自我报告的职业性皮肤暴露与医生认证的长期病假风险：挪威普通劳动人口的前瞻性研究。

Self-reported Occupational Skin Exposure and Risk of Physician-certified Long-term Sick Leave: A Prospective Study of the General Working Population of Norway.

作者信息

Alfonso Jose H, Tynes Tore, Thyssen Jacob P, Holm Jan-Øivind, Johannessen Håkon A

机构信息

Department of Occupational Medicine and Epidemiology, National Institute of Occupational Health, Pb 8149 Dep, N-0033 Oslo, Norway.

出版信息

Acta Derm Venereol. 2016 Mar;96(3):336-40. doi: 10.2340/00015555-2253.

DOI:10.2340/00015555-2253

PMID:26439508

Abstract

Little is known about the contribution of occupational skin exposure as a risk factor for physician-certified long-term sick leave in the general working population of Norway. This study drew a cohort (n = 12,255; response at baseline 69.9%) randomly from the general population of Norway. Occupational skin exposure (in 2009) was measured based on 5 items. The outcome of interest was physician-certified long-term sick leave ≥ 16 days during 2010. Statistical adjustment for psychosocial and mechanical occupational exposures was performed. Long-term sick leave was predicted by occupational skin exposure to cleaning products (odds ratio (OR) 1.7; 95% confidence interval (95% CI) 1.1-2.5) and waste (OR 2.1; 95% CI 1.1-3.7) among men, and occupational skin exposure to water (OR 1.3; 95% CI 1.0-1.6) among women. The estimated population attributable risk for occupational skin exposure was 14.5%, which emphasizes its contribution as an important risk factor for long-term sick leave.

摘要

在挪威普通劳动人口中，关于职业性皮肤暴露作为医生证明的长期病假风险因素的贡献，人们知之甚少。本研究从挪威普通人群中随机抽取了一个队列（n = 12,255；基线时的应答率为69.9%）。基于5个项目对职业性皮肤暴露（2009年）进行了测量。感兴趣的结果是2010年期间医生证明的≥16天的长期病假。对心理社会和机械性职业暴露进行了统计调整。男性中，职业性皮肤暴露于清洁产品（比值比（OR）1.7；95%置信区间（95%CI）1.1 - 2.5）和废物（OR 2.1；95%CI 1.1 - 3.7）可预测长期病假；女性中，职业性皮肤暴露于水（OR 1.3；95%CI 1.0 - 1.6）可预测长期病假。职业性皮肤暴露的估计人群归因风险为14.5%，这强调了其作为长期病假重要风险因素的作用。