流动农场工人的皮肤相关生活质量
Skin-related quality of life among migrant farmworkers.
作者信息
Quandt Sara A, Schulz Mark R, Vallejos Quirina M, Feldman Steven R, Preisser John S, Arcury Thomas A
机构信息
Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA.
出版信息
J Cutan Med Surg. 2008 Jan-Feb;12(1):1-7. doi: 10.2310/7750.2007.00041.
BACKGROUND
Farmworkers in North America work in an environment likely to produce skin injuries and illnesses that affect quality of life (QOL).
OBJECTIVE
We identified the dimensions of skin-related QOL that were most impaired and examined predictors in a cohort of North Carolina farmworkers.
METHODS
We conducted a longitudinal survey of 304 Latino farmworkers across a work season (1,048 interviews). We assessed skin-related QOL using the Dermatology Life Quality Index.
RESULTS
Effects on QOL were reported in 38.7% of observations. The greatest impacts of skin impairments were seen in the Symptoms and Feelings and Work and School Subscales. In multivariate analysis, specific work tasks and high temperatures were associated with greater decrements in QOL.
CONCLUSIONS
Skin disease among farmworkers is sufficiently severe to affect QOL. Future research should test the effectiveness of interventions on modifiable factors such as facilities for personal hygiene and field sanitation on skin-related QOL.
背景
北美农场工人的工作环境容易导致皮肤损伤和疾病，进而影响生活质量（QOL）。
目的
我们确定了生活质量受皮肤问题影响最严重的维度，并在北卡罗来纳州的一组农场工人中研究了相关预测因素。
方法
我们在一个工作季节对304名拉丁裔农场工人进行了纵向调查（共1048次访谈）。我们使用皮肤病生活质量指数评估与皮肤相关的生活质量。
结果
38.7%的观察结果显示生活质量受到影响。皮肤损伤对生活质量的最大影响体现在症状与感受以及工作与学校子量表中。在多变量分析中，特定的工作任务和高温与生活质量的更大降幅相关。
结论
农场工人的皮肤疾病严重到足以影响生活质量。未来的研究应测试针对可改变因素（如个人卫生设施和田间卫生条件）的干预措施对与皮肤相关的生活质量的有效性。
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