Vallejos Quirina M, Schulz Mark R, Quandt Sara A, Feldman Steven R, Galvan Leonardo, Verma Amit, Fleischer Alan B, Rapp Stephen R, Arcury Thomas A
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1084, USA.
Am J Ind Med. 2008 Mar;51(3):204-12. doi: 10.1002/ajim.20550.
This study estimates the prevalence of self-reported skin problems among Latino farmworkers and identifies associated risk factors.
The study used a longitudinal surveillance design. Participants were interviewed up to five times and reported skin problems and personal, work, and environment characteristics. Frequencies and counts were calculated for 13 skin problems. Adjusted odds ratios were obtained for six skin problems.
More than one-third of participants reported skin problems, including skin and nail fungus; sunburn; bumps, pimples, or acne; calluses; itching; rash; and insect bite. A variety of work and environment factors were associated with higher rates of skin problems. One of the strongest predictors was working in wet clothes or shoes.
Programs are needed to educate farmworkers about measures they can take to decrease their risk of skin problems. Changes in work practices and personal protective equipment provided could help decrease the prevalence of skin problems.
本研究估计了拉丁裔农场工人自我报告的皮肤问题患病率,并确定了相关风险因素。
该研究采用纵向监测设计。对参与者进行了多达五次访谈,他们报告了皮肤问题以及个人、工作和环境特征。计算了13种皮肤问题的频率和计数。获得了六种皮肤问题的调整后比值比。
超过三分之一的参与者报告有皮肤问题,包括皮肤和指甲真菌、晒伤、肿块、丘疹或痤疮、老茧、瘙痒、皮疹和昆虫叮咬。各种工作和环境因素与较高的皮肤问题发生率相关。最强的预测因素之一是穿着湿衣服或鞋子工作。
需要开展相关项目,教育农场工人采取措施降低皮肤问题风险。改变工作方式和提供个人防护装备有助于降低皮肤问题的患病率。