Institute and Outpatient Clinic of Occupational, Social and Environmental Medicine, Friedrich-Alexander University of Erlangen-Nuremberg, Erlangen, Germany.
Dermatology. 2011;222(4):375-80. doi: 10.1159/000329433. Epub 2011 Jul 25.
Although they know the long-term complications of smoking, many smokers require additional motivation for entering a smoking cessation programme. At the same time, smoking is considered a possible promoting factor for various skin diseases.
The present study assesses the impact of smoking on occupational hand dermatitis in a high-risk population.
1,355 metal workers, 97.3% of them shift workers, took part in a standardized interview and a dermatological examination of their hands. A subgroup of 1,020 males was willing to be followed-up for 1 year. Of those, 78.3% could be included in the final assessment.
Compared to the general German adult population the percentage of smokers was increased (41.7% at baseline). Probably due to self-selection bias and to a higher drop-out rate, the proportion of smokers was significantly lower at follow-up. Compared to nonsmokers, smokers had significantly higher score values for both erythematous lesions and vesicles.
The present data might give additional support for occupational physicians or dermatologists to convince workers to quit smoking.
尽管许多吸烟者知道吸烟的长期并发症，但他们仍需要额外的动机来参加戒烟计划。与此同时，吸烟被认为是多种皮肤病的一个可能的促进因素。
本研究评估了吸烟对高危人群职业性手部皮炎的影响。
1355 名金属工人，其中 97.3%为倒班工人，参加了标准化访谈和手部皮肤病学检查。1020 名男性中有一小部分人愿意随访 1 年。其中，78.3%的人可以纳入最终评估。
与一般德国成年人口相比，吸烟者的比例增加（基线时为 41.7%）。可能由于自我选择偏差和较高的脱落率，随访时吸烟者的比例明显较低。与不吸烟者相比，吸烟者的红斑性病变和水疱评分值明显更高。
本研究数据可能为职业医生或皮肤科医生提供额外的支持，以说服工人戒烟。
