接触性皮炎是建筑行业中未被认识到的问题：四种不同评估方法的比较。
Contact dermatitis is an unrecognized problem in the construction industry: Comparison of four different assessment methods.
机构信息
Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands.
Arbouw Research and Development, Harderwijk, The Netherlands.
出版信息
Am J Ind Med. 2017 Oct;60(10):879-888. doi: 10.1002/ajim.22742. Epub 2017 Aug 18.
BACKGROUND
A high contact dermatitis symptoms prevalence has been observed in Dutch construction workers.
METHODS
Contact dermatitis was diagnosed by an expert panel using questionnaire data and photographs of 751 subjects' hands. A subset was evaluated by two occupational physicians. Their diagnoses were compared to those of the expert panel. In addition, two self-reported questionnaire-based assessment methods were compared to the expert panel evaluation. Associations between contact dermatitis and determinants were assessed using log-binomial regression analysis.
RESULTS
Contact dermatitis prevalence was high: 61.4% (expert panel's diagnosis) and 32.9% (self-reported). Agreement between occupational physicians and the expert panel was low but increased after training. Washing hands with solvents and performing job-related tasks at home were related to contact dermatitis.
CONCLUSIONS
Contact dermatitis prevalence among construction workers is high. Recognition of contact dermatitis by occupational physicians is poor but can be improved by training. Awareness of skin disorders should be raised.
背景
荷兰建筑工人接触性皮炎症状的患病率较高。
方法
接触性皮炎由专家小组通过问卷数据和 751 名受试者手部照片进行诊断。一小部分人由两名职业医生进行评估。他们的诊断与专家小组的诊断进行了比较。此外，还比较了两种基于自我报告问卷的评估方法与专家小组评估的结果。使用对数二项式回归分析评估接触性皮炎与决定因素之间的关联。
结果
接触性皮炎的患病率较高：专家小组诊断的患病率为 61.4%，自我报告的患病率为 32.9%。职业医生与专家小组之间的一致性较低，但经过培训后有所提高。用溶剂洗手和在家中从事与工作相关的任务与接触性皮炎有关。
结论
建筑工人接触性皮炎的患病率较高。职业医生对接触性皮炎的识别能力较差，但可以通过培训来提高。应该提高对皮肤疾病的认识。
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