Department of Dermato-Allergology, Research Centre for Hairdressers and Beauticians, Copenhagen University Hospital Gentofte, DK-2900 Gentofte, Denmark.
Contact Dermatitis. 2011 Sep;65(3):151-8. doi: 10.1111/j.1600-0536.2011.01935.x. Epub 2011 Jun 21.
Occupational hand eczema is common in hairdressers, owing to wet work and hairdressing chemicals.
To estimate the prevalence of hand eczema and its career consequences among hairdressers in Denmark.
A register-based study was conducted, comprising all graduates from hairdressing vocational schools from 1985 to 2007 (n = 7840). The participants received a self-administered postal questionnaire including questions on hand eczema, atopic dermatitis, and career change. A response rate of 67.9% (n = 5324) was obtained.
Of the respondents, 44.3% no longer worked as hairdressers and had worked for an average of 8.4 years in the profession before leaving it. Hand eczema was more common among ex-hairdressers (48.4%) than among current hairdressers (37.6%) (p < 0.0001), and significantly more ex-hairdressers (26.8%) than current hairdressers (15.7%) had chronic hand eczema (p < 0.0001). Of the respondents with hand eczema, 75% were aged 15-24 years at onset, and 45.5% gave hand eczema as a reason for career change. In this group, logistic regression analysis showed that chronic hand eczema contributed the most to the decision to change career (odds ratio 50.12; 95% confidence interval 18.3-137).
Hairdressers work an average of 8.4 years in the profession before leaving it, and hand eczema contributes significantly to this career change.
美发师常因手部频繁接触水和美发产品而罹患职业性手部湿疹。
估计丹麦美发师手部湿疹的患病率及其职业后果。
开展了一项基于登记的研究，研究对象为 1985 年至 2007 年毕业于美发职业学校的所有学生（n=7840）。参与者收到了一份包含手部湿疹、特应性皮炎和职业变化问题的自填式邮寄问卷。共获得了 67.9%（n=5324）的有效应答率。
在应答者中，44.3%的人不再从事美发师工作，在离开该职业前平均从事该职业 8.4 年。前美发师中手部湿疹的患病率（48.4%）高于当前美发师（37.6%）（p＜0.0001），前美发师中慢性手部湿疹的比例（26.8%）也显著高于当前美发师（15.7%）（p＜0.0001）。在有手部湿疹的应答者中，75%的人在 15-24 岁时发病，45.5%的人将手部湿疹作为职业变化的原因。在这一组中，逻辑回归分析显示，慢性手部湿疹对决定转行的影响最大（比值比 50.12；95%置信区间 18.3-137）。
美发师在离开该职业前平均工作 8.4 年，手部湿疹是导致这一职业变化的主要原因。
