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Self-reported hand eczema among dental workers in Japan - a cross-sectional study
Summary Background Dental workers are considered to have a high risk of developing occupational hand eczema. Objectives To estimate the prevalence of work‐related hand eczema and associated risk factors in dental workers in Japan. Methods A self‐administered questionnaire was sent by mail to all den...
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| Published in: | Contact dermatitis 2016-10, Vol.75 (4), p.230-239 |
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| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c4906-fdc20aa543d259fbc66a32270070633add48e050a6dbd0525c748af683ebb99f3 |
| container_end_page | 239 |
| container_issue | 4 |
| container_start_page | 230 |
| container_title | Contact dermatitis |
| container_volume | 75 |
| creator | Minamoto, Keiko Watanabe, Takeshi Diepgen, Thomas L. |
| description | Summary
Background
Dental workers are considered to have a high risk of developing occupational hand eczema.
Objectives
To estimate the prevalence of work‐related hand eczema and associated risk factors in dental workers in Japan.
Methods
A self‐administered questionnaire was sent by mail to all dental clinics of Kumamoto City, Japan. In addition, patch testing with 24 dentistry‐related allergens was offered.
Results
In total, 46.4% of dental workers (n = 528: response 31.4%, based on 97 clinics) reported a lifetime history of chronic hand eczema. The 1‐year prevalence was 36.2%. According to logistic regression analysis, the most important risk factors for the 1‐year prevalence were a personal history of atopic dermatitis [odds ratio (OR) 4.7, 95% confidence interval (CI): 2.2–8.8], asthma and/or allergic rhinitis (OR 2.0, 95%CI: 1.3–3.0), dry skin (OR 1.7, 95%CI: 1.1–2.7), shorter duration of work (OR 2.0, 95%CI: 1.2–3.5 for up to 10 years versus >20 years), and washing hands >10 times per day (OR 1.6, 95%CI: 1.0–2.5). Fifty‐four workers were patch tested. Rubber chemicals and acrylates were the most frequent occupationally relevant contact allergens.
Conclusions
Dental workers in Japan have a high prevalence of hand eczema. Health education to prevent hand eczema and more frequent patch testing are needed. |
| doi_str_mv | 10.1111/cod.12656 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1827910743</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1819429847</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4906-fdc20aa543d259fbc66a32270070633add48e050a6dbd0525c748af683ebb99f3</originalsourceid><addsrcrecordid>eNqN0cFu1DAQBmALgei2cOAFkCUu9OB2bMd2cqQLFNCKqhQE4mI58QTSJvFiJyrL02N22x6QkPDFl29-2fMT8oTDEc_nuAn-iAut9D2y4BqAgZL6PlkAB8V4aeQe2U_pEoDrQpQPyZ4wSkhjzIKcX2DfsojrECf09LsbPcXmFw6OuiGM36jHcXI9vQ7xCmOi3UjfubUbKaOONjGkxBI2UxfGjNI0-80j8qB1fcLHN_cB-fT61cflG7Y6O327fLFiTVGBZq1vBDinCumFqtq60dpJIQyAAS2l874oERQ47WsPSqjGFKVrdSmxrquqlQfk-S53HcOPGdNkhy412PduxDAny0thKg6mkP9BeVWIqixMps_-opdhjvlzW1Xm53Kosjrcqe0GIrZ2HbvBxY3lYP9UYnMldltJtk9vEud6QH8nbzvI4HgHrrseN_9Ossuzl7eRbDfRpQl_3k24eGW1kUbZz-9P7fJcfDlZffhqL-RvcuWibQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1818543109</pqid></control><display><type>article</type><title>Self-reported hand eczema among dental workers in Japan - a cross-sectional study</title><source>Wiley</source><creator>Minamoto, Keiko ; Watanabe, Takeshi ; Diepgen, Thomas L.</creator><creatorcontrib>Minamoto, Keiko ; Watanabe, Takeshi ; Diepgen, Thomas L.</creatorcontrib><description>Summary
Background
Dental workers are considered to have a high risk of developing occupational hand eczema.
Objectives
To estimate the prevalence of work‐related hand eczema and associated risk factors in dental workers in Japan.
Methods
A self‐administered questionnaire was sent by mail to all dental clinics of Kumamoto City, Japan. In addition, patch testing with 24 dentistry‐related allergens was offered.
Results
In total, 46.4% of dental workers (n = 528: response 31.4%, based on 97 clinics) reported a lifetime history of chronic hand eczema. The 1‐year prevalence was 36.2%. According to logistic regression analysis, the most important risk factors for the 1‐year prevalence were a personal history of atopic dermatitis [odds ratio (OR) 4.7, 95% confidence interval (CI): 2.2–8.8], asthma and/or allergic rhinitis (OR 2.0, 95%CI: 1.3–3.0), dry skin (OR 1.7, 95%CI: 1.1–2.7), shorter duration of work (OR 2.0, 95%CI: 1.2–3.5 for up to 10 years versus >20 years), and washing hands >10 times per day (OR 1.6, 95%CI: 1.0–2.5). Fifty‐four workers were patch tested. Rubber chemicals and acrylates were the most frequent occupationally relevant contact allergens.
Conclusions
Dental workers in Japan have a high prevalence of hand eczema. Health education to prevent hand eczema and more frequent patch testing are needed.</description><identifier>ISSN: 0105-1873</identifier><identifier>EISSN: 1600-0536</identifier><identifier>DOI: 10.1111/cod.12656</identifier><identifier>PMID: 27523777</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; alcohol-based hand rub disinfectant ; Allergens - adverse effects ; Allergies ; atopic dermatitis ; Confidence intervals ; Cross-Sectional Studies ; Dental Auxiliaries - statistics & numerical data ; dental workers ; Dentists - statistics & numerical data ; Dermatitis, Allergic Contact - diagnosis ; Dermatitis, Allergic Contact - epidemiology ; Dermatitis, Allergic Contact - etiology ; Dermatitis, Occupational - epidemiology ; Eczema ; Eczema - epidemiology ; epidemiology ; Female ; Hand Dermatoses - epidemiology ; hand eczema ; hand washing ; Humans ; Japan - epidemiology ; Male ; Methacrylates - adverse effects ; Middle Aged ; occupational contact dermatitis ; Patch Tests ; Phenylenediamines - adverse effects ; Prevalence ; Self Report ; Surveys and Questionnaires ; Thiram - adverse effects ; wet work ; Young Adult</subject><ispartof>Contact dermatitis, 2016-10, Vol.75 (4), p.230-239</ispartof><rights>2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4906-fdc20aa543d259fbc66a32270070633add48e050a6dbd0525c748af683ebb99f3</citedby><cites>FETCH-LOGICAL-c4906-fdc20aa543d259fbc66a32270070633add48e050a6dbd0525c748af683ebb99f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27523777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Minamoto, Keiko</creatorcontrib><creatorcontrib>Watanabe, Takeshi</creatorcontrib><creatorcontrib>Diepgen, Thomas L.</creatorcontrib><title>Self-reported hand eczema among dental workers in Japan - a cross-sectional study</title><title>Contact dermatitis</title><addtitle>Contact Dermatitis</addtitle><description>Summary
Background
Dental workers are considered to have a high risk of developing occupational hand eczema.
Objectives
To estimate the prevalence of work‐related hand eczema and associated risk factors in dental workers in Japan.
Methods
A self‐administered questionnaire was sent by mail to all dental clinics of Kumamoto City, Japan. In addition, patch testing with 24 dentistry‐related allergens was offered.
Results
In total, 46.4% of dental workers (n = 528: response 31.4%, based on 97 clinics) reported a lifetime history of chronic hand eczema. The 1‐year prevalence was 36.2%. According to logistic regression analysis, the most important risk factors for the 1‐year prevalence were a personal history of atopic dermatitis [odds ratio (OR) 4.7, 95% confidence interval (CI): 2.2–8.8], asthma and/or allergic rhinitis (OR 2.0, 95%CI: 1.3–3.0), dry skin (OR 1.7, 95%CI: 1.1–2.7), shorter duration of work (OR 2.0, 95%CI: 1.2–3.5 for up to 10 years versus >20 years), and washing hands >10 times per day (OR 1.6, 95%CI: 1.0–2.5). Fifty‐four workers were patch tested. Rubber chemicals and acrylates were the most frequent occupationally relevant contact allergens.
Conclusions
Dental workers in Japan have a high prevalence of hand eczema. Health education to prevent hand eczema and more frequent patch testing are needed.</description><subject>Adult</subject><subject>Aged</subject><subject>alcohol-based hand rub disinfectant</subject><subject>Allergens - adverse effects</subject><subject>Allergies</subject><subject>atopic dermatitis</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Dental Auxiliaries - statistics & numerical data</subject><subject>dental workers</subject><subject>Dentists - statistics & numerical data</subject><subject>Dermatitis, Allergic Contact - diagnosis</subject><subject>Dermatitis, Allergic Contact - epidemiology</subject><subject>Dermatitis, Allergic Contact - etiology</subject><subject>Dermatitis, Occupational - epidemiology</subject><subject>Eczema</subject><subject>Eczema - epidemiology</subject><subject>epidemiology</subject><subject>Female</subject><subject>Hand Dermatoses - epidemiology</subject><subject>hand eczema</subject><subject>hand washing</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Methacrylates - adverse effects</subject><subject>Middle Aged</subject><subject>occupational contact dermatitis</subject><subject>Patch Tests</subject><subject>Phenylenediamines - adverse effects</subject><subject>Prevalence</subject><subject>Self Report</subject><subject>Surveys and Questionnaires</subject><subject>Thiram - adverse effects</subject><subject>wet work</subject><subject>Young Adult</subject><issn>0105-1873</issn><issn>1600-0536</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqN0cFu1DAQBmALgei2cOAFkCUu9OB2bMd2cqQLFNCKqhQE4mI58QTSJvFiJyrL02N22x6QkPDFl29-2fMT8oTDEc_nuAn-iAut9D2y4BqAgZL6PlkAB8V4aeQe2U_pEoDrQpQPyZ4wSkhjzIKcX2DfsojrECf09LsbPcXmFw6OuiGM36jHcXI9vQ7xCmOi3UjfubUbKaOONjGkxBI2UxfGjNI0-80j8qB1fcLHN_cB-fT61cflG7Y6O327fLFiTVGBZq1vBDinCumFqtq60dpJIQyAAS2l874oERQ47WsPSqjGFKVrdSmxrquqlQfk-S53HcOPGdNkhy412PduxDAny0thKg6mkP9BeVWIqixMps_-opdhjvlzW1Xm53Kosjrcqe0GIrZ2HbvBxY3lYP9UYnMldltJtk9vEud6QH8nbzvI4HgHrrseN_9Ossuzl7eRbDfRpQl_3k24eGW1kUbZz-9P7fJcfDlZffhqL-RvcuWibQ</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Minamoto, Keiko</creator><creator>Watanabe, Takeshi</creator><creator>Diepgen, Thomas L.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>201610</creationdate><title>Self-reported hand eczema among dental workers in Japan - a cross-sectional study</title><author>Minamoto, Keiko ; Watanabe, Takeshi ; Diepgen, Thomas L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4906-fdc20aa543d259fbc66a32270070633add48e050a6dbd0525c748af683ebb99f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>alcohol-based hand rub disinfectant</topic><topic>Allergens - adverse effects</topic><topic>Allergies</topic><topic>atopic dermatitis</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Dental Auxiliaries - statistics & numerical data</topic><topic>dental workers</topic><topic>Dentists - statistics & numerical data</topic><topic>Dermatitis, Allergic Contact - diagnosis</topic><topic>Dermatitis, Allergic Contact - epidemiology</topic><topic>Dermatitis, Allergic Contact - etiology</topic><topic>Dermatitis, Occupational - epidemiology</topic><topic>Eczema</topic><topic>Eczema - epidemiology</topic><topic>epidemiology</topic><topic>Female</topic><topic>Hand Dermatoses - epidemiology</topic><topic>hand eczema</topic><topic>hand washing</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Methacrylates - adverse effects</topic><topic>Middle Aged</topic><topic>occupational contact dermatitis</topic><topic>Patch Tests</topic><topic>Phenylenediamines - adverse effects</topic><topic>Prevalence</topic><topic>Self Report</topic><topic>Surveys and Questionnaires</topic><topic>Thiram - adverse effects</topic><topic>wet work</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Minamoto, Keiko</creatorcontrib><creatorcontrib>Watanabe, Takeshi</creatorcontrib><creatorcontrib>Diepgen, Thomas L.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Contact dermatitis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Minamoto, Keiko</au><au>Watanabe, Takeshi</au><au>Diepgen, Thomas L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-reported hand eczema among dental workers in Japan - a cross-sectional study</atitle><jtitle>Contact dermatitis</jtitle><addtitle>Contact Dermatitis</addtitle><date>2016-10</date><risdate>2016</risdate><volume>75</volume><issue>4</issue><spage>230</spage><epage>239</epage><pages>230-239</pages><issn>0105-1873</issn><eissn>1600-0536</eissn><abstract>Summary
Background
Dental workers are considered to have a high risk of developing occupational hand eczema.
Objectives
To estimate the prevalence of work‐related hand eczema and associated risk factors in dental workers in Japan.
Methods
A self‐administered questionnaire was sent by mail to all dental clinics of Kumamoto City, Japan. In addition, patch testing with 24 dentistry‐related allergens was offered.
Results
In total, 46.4% of dental workers (n = 528: response 31.4%, based on 97 clinics) reported a lifetime history of chronic hand eczema. The 1‐year prevalence was 36.2%. According to logistic regression analysis, the most important risk factors for the 1‐year prevalence were a personal history of atopic dermatitis [odds ratio (OR) 4.7, 95% confidence interval (CI): 2.2–8.8], asthma and/or allergic rhinitis (OR 2.0, 95%CI: 1.3–3.0), dry skin (OR 1.7, 95%CI: 1.1–2.7), shorter duration of work (OR 2.0, 95%CI: 1.2–3.5 for up to 10 years versus >20 years), and washing hands >10 times per day (OR 1.6, 95%CI: 1.0–2.5). Fifty‐four workers were patch tested. Rubber chemicals and acrylates were the most frequent occupationally relevant contact allergens.
Conclusions
Dental workers in Japan have a high prevalence of hand eczema. Health education to prevent hand eczema and more frequent patch testing are needed.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>27523777</pmid><doi>10.1111/cod.12656</doi><tpages>10</tpages></addata></record> |
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| ispartof | Contact dermatitis, 2016-10, Vol.75 (4), p.230-239 |
| issn | 0105-1873 1600-0536 |
| language | eng |
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| source | Wiley |
| subjects | Adult Aged alcohol-based hand rub disinfectant Allergens - adverse effects Allergies atopic dermatitis Confidence intervals Cross-Sectional Studies Dental Auxiliaries - statistics & numerical data dental workers Dentists - statistics & numerical data Dermatitis, Allergic Contact - diagnosis Dermatitis, Allergic Contact - epidemiology Dermatitis, Allergic Contact - etiology Dermatitis, Occupational - epidemiology Eczema Eczema - epidemiology epidemiology Female Hand Dermatoses - epidemiology hand eczema hand washing Humans Japan - epidemiology Male Methacrylates - adverse effects Middle Aged occupational contact dermatitis Patch Tests Phenylenediamines - adverse effects Prevalence Self Report Surveys and Questionnaires Thiram - adverse effects wet work Young Adult |
| title | Self-reported hand eczema among dental workers in Japan - a cross-sectional study |
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