Atopy, occupation and domestic work as risk factors for hand eczema in hospital workers

Nilsson, Eskil; Mikaelsson, Bo; Andersson, Sture

doi:10.1111/j.1600-0536.1985.tb02553.x

Cited by 185 publications

(126 citation statements)

References 9 publications

Supporting

Mentioning

105

Contrasting

Unclassified

Order By: Relevance

“…In other Sca ndi navian pop ulation studies (4,5,(8)(9)(10)(11)(12)(13), the lifetime incidences of atopic symptoms have been so mewhat lower than or similar to those of this study. Our fig ures do not suggest that atopic farmers woul d have left the farming industry.…”

Section: Discussioncontrasting

confidence: 49%

See 1 more Smart Citation

Prevalence of hand dermatoses among Finnish farmers.

Susitaival¹,

Husman²,

Horsmanheimo³

et al. 1994

Scand J Work Environ Health

View full text Add to dashboard Cite

SUSITAIVAL P, HUSMAN L, HORSMANHEIMO M, NOTKOLA V, HUSMAN K. Prevalence of hand dermatoses among Finnish farmers. Scand J Work Environ Health 1994;20:206-12. OBJECTIVES -The goal of this study was to determine the prevalence and risk factors of hand dermatosis among farmers. METHODS -A questionnaire survey was carried out in a geographically defined sample of the Finnish farming population between the ages of 18 and 64 years (N = 10 847). RESULTS -The one-year prevalence of self-reported hand and forearm dermatoses was 16% for the women and 7% for the men. These figures were similar to the prevalence of hand eczema in two large Scandinavian questionnaire surveys. The highest one-year prevalence of hand dermatoses was found for women on farms with more than nine dairy cows (20%). Atopy (both the personal history of atopic dermatitis and respiratory atopy), female gender, and, among the women, also age under 35 years were the most important risk factors for the occurrence of hand dermatosis. Work-related risk factors were handling disinfectants daily, handling silage preservatives, milking cows, and machine servicing. CONCLUSIONS -Occupationalrisk factors for hand dermatoses were found, especially for dairy farming. The results may be useful for the prevention of hand dermatoses in farming since they direct attention to related occupational hazards, and they may also aid vocational guidance for the atopic population. In order to lower the prevalence of hand dermatoses in dairy farming, both preventive and protective measures should become everyday practice in farming work.

show abstract

Section: Discussioncontrasting

confidence: 49%

“…The personal history of atop ic de rmatitis increased the risk for hand derm ato sis abo ut threefold in the present study (figure 2) . The prevalence of hand eczema has been shown to be increased among peo ple with a personal history of atop ic dermatitis in many studie s (4,5,19,(29)(30)(31).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of hand dermatoses among Finnish farmers.

Susitaival¹,

Husman²,

Horsmanheimo³

et al. 1994

Scand J Work Environ Health

View full text Add to dashboard Cite

show abstract

“…15 To determine whether the association between atopic eczema and hygiene may have been due in some part to excessive hands washing, we explored whether children with severe atopic eczema (30-42 months) more frequently washed their hands than children without the condition. We found no statistical evidence that this was the case: 24.1% of children without severe atopic eczema had their hands washed five or more times per day compared to 25.6% of children with severe atopic eczema (Fisher's exact test: p = 0.3).…”

Section: Discussionmentioning

confidence: 99%

Hygiene levels in a contemporary population cohort are associated with wheezing and atopic eczema in preschool infants

Sherriff

Golding²

2002

Archives of Disease in Childhood

102

View full text Add to dashboard Cite

Background: The hygiene hypothesis states that insufficient exposure to certain infectious agents during childhood increases the risk of developing asthma and atopic diseases. Improvements in hygiene levels may be partly responsible for this decline in exposure. Aims: To assess whether hygiene levels in infancy are associated with wheeze and/or atopic eczema, independent of a number of possible confounding factors. Methods: Data were gathered from the Avon Longitudinal Study of Parents and Children (ALSPAC). Parental self completion questionnaires provided symptom data on infant wheeze and atopic eczema at 0-6 months and 30-42 months, respectively. A simple hygiene score was derived using questionnaire responses at 15 months, which ranged from least hygienic to most hygienic. Multivariable logistic regression models analysed the effect of hygiene scores on health outcomes, while adjusting for a number of important confounding variables. Results: Increasing hygiene scores were independently associated with wheezing (OR = 1.04; 95% CI: 1.00 to 1.08) and atopic eczema (OR = 1.04; 95% CI: 1.01 to 1.07) between 30 and 42 months, but not in the first six months. The odds ratio was higher for atopic eczema if the rash was reported to have become sore and oozy (OR = 1.09; 95% CI: 1.02 to 1.16). Conclusions: High levels of hygiene at 15 months of age were independently associated with wheeze and atopic eczema reported between 30 and 42 months, and there was an increased risk for children with more severe eczema during this period. The importance of hygiene in public health should not be dismissed; however, the creation of a sterile environment through excessive cleanliness may potentially be harmful to the immune system.

show abstract

“…12 Contact allergens may be present in domestic and occupational products. A history of atopic dermatitis also predisposes patients to hand eczema.…”

mentioning

confidence: 99%