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预防职业性皮肤病的皮肤保护研讨会:高危职业学徒前瞻性纵向研究结果

Skin Protection Seminars to Prevent Occupational Skin Diseases: Results of a Prospective Longitudinal Study in Apprentices of High-risk Professions.

作者信息

Wilke Annika, Brans Richard, Nordheider Kathrin, Braumann Antje, Hübner Anja, Sonsmann Flora K, John Swen M, Wulfhorst Britta

机构信息

Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, Osnabrück, Germany.

Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrück, Osnabrück, Germany.

出版信息

Saf Health Work. 2018 Dec;9(4):398-407. doi: 10.1016/j.shaw.2018.05.003. Epub 2018 May 23.

Abstract

BACKGROUND

Occupational skin diseases (OSDs) are frequent in professions with exposure to skin hazards. Thus, a health educational intervention for apprentices of high-risk professions was conducted. It was the aim of this study to gain insight into possible effects of this intervention.

METHODS

A one-time skin protection seminar was conducted in 140 apprentices of health-related and non-health-related professions [trained cohort (TC)]. In addition, 134 apprentices of the same occupations were monitored [untrained cohort (UTC)]. The OSD-specific knowledge and the skin condition of the hands were assessed at baseline (T0), after the seminar (T1), and after 6 (T2) and 12 months (T3).

RESULTS

The OSD-specific knowledge increased in all cohorts from T0 to T3, but we found a significantly higher knowledge in the TC at T2 ( < 0.001, t = 3.6, df = 196, 95% confidence interval = 0.9, 3.3) and T3 ( < 0.001, t = 3.8, df = 196, 95% confidence interval = 1.0, 3.2) compared to the UTC. Our results indicated a better skin condition of the hands in the TC of the health-related professions but not in the non-health-related professions.

CONCLUSION

The study indicates that an educational intervention may positively influence the disease-specific knowledge and the prevalence of OSD in apprentices. However, definite conclusions cannot be drawn because of the heterogeneous study cohorts and the study design. Future research should aim at tailoring primary prevention to specific target groups, e.g., in view of the duration and frequency of skin protection education, different professions, and gender-specific prevention approaches.

摘要

背景

职业性皮肤病(OSD)在接触皮肤危害的职业中很常见。因此,对高危职业的学徒进行了健康教育干预。本研究的目的是深入了解这种干预可能产生的效果。

方法

对140名健康相关和非健康相关职业的学徒举办了一次皮肤保护研讨会[培训队列(TC)]。此外,对134名相同职业的学徒进行了监测[未培训队列(UTC)]。在基线(T0)、研讨会后(T1)、6个月后(T2)和12个月后(T3)评估了OSD相关知识和手部皮肤状况。

结果

从T0到T3,所有队列的OSD相关知识均有所增加,但我们发现,与UTC相比,TC在T2(<0.001,t = 3.6,自由度 = 196,95%置信区间 = 0.9,3.3)和T3(<0.001,t = 3.8,自由度 = 196,95%置信区间 = 1.0,3.2)时的知识水平显著更高。我们的结果表明,健康相关职业的TC中手部皮肤状况较好,但非健康相关职业并非如此。

结论

该研究表明,教育干预可能会对学徒的疾病相关知识和职业性皮肤病患病率产生积极影响。然而,由于研究队列的异质性和研究设计,无法得出明确结论。未来的研究应旨在针对特定目标群体进行一级预防,例如,考虑到皮肤保护教育的持续时间和频率、不同职业以及针对性别的预防方法。

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