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丹麦一项全国性前瞻性干预项目后美发学徒手部湿疹的6年随访

Hand eczema among hairdressing apprentices in Denmark following a nationwide prospective intervention programme: 6-year follow-up.

作者信息

Steengaard Sanne S, Bregnhøj Anne, Johansen Jeanne D

机构信息

Research Centre for Hairdressers and Beauticians, Department of Dermato-Allergology, University Hospital Gentofte, 2900, Hellerup, Denmark.

出版信息

Contact Dermatitis. 2016 Jul;75(1):32-40. doi: 10.1111/cod.12588. Epub 2016 Apr 25.

DOI:10.1111/cod.12588
PMID:27113249
Abstract

BACKGROUND

Hand eczema is the commonest occupational skin disease in Denmark, and hairdressing is a high-risk profession. In 2008-2010, a clinically controlled, prospective intervention study aimed at reducing the development of hand eczema was conducted at hairdressing schools in Denmark. The findings showed that significantly fewer apprentices in the intervention group developed hand eczema over a period of 18 months.

OBJECTIVES

To investigate the long-term effect of the intervention.

METHODS

Two hundred and eighty-four participants were identified from the original dataset, and were sent a questionnaire.

RESULTS

No difference was seen between the intervention and control groups. This may partly be attributable to the two groups no longer being well matched, and improved work habits in the control group. Overall, there was an improvement in work habits. Participants had a 1-year prevalence of hand eczema of 22.4%. Reactions to hair dye were reported for 24.5%, and 35.5% had left the trade; 36.4% used gloves when shampooing, and 21.3% stated that they cut hair before colouring it.

CONCLUSIONS

The effect of the intervention was not visible after 6 years, but an overall improvement in work habits was noted.

摘要

背景

手部湿疹是丹麦最常见的职业皮肤病,美发行业是高风险职业。2008年至2010年,在丹麦的美发学校开展了一项旨在减少手部湿疹发病的临床对照前瞻性干预研究。研究结果显示,在18个月的时间里,干预组中患手部湿疹的学徒明显减少。

目的

调查该干预措施的长期效果。

方法

从原始数据集中确定了284名参与者,并向他们发送了一份问卷。

结果

干预组和对照组之间没有差异。这可能部分归因于两组不再具有良好的匹配性,以及对照组工作习惯的改善。总体而言,工作习惯有所改善。参与者手部湿疹的1年患病率为22.4%。报告对染发剂有反应的占24.5%,35.5%的人已离开该行业;36.4%的人在洗发时戴手套,21.3%的人表示他们在染发前先剪发。

结论

6年后该干预措施的效果不明显,但注意到工作习惯总体有所改善。

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