Occupational Safety and Health Research Institute , Korea Occupational Safety and Health Agency, Ulsan, Korea.
Department of Medical Humanities and Social Medicine, Kosin University College of Medicine, Busan, Korea.
Yonsei Med J. 2020 Jan;61(1):64-72. doi: 10.3349/ymj.2020.61.1.64.
Occupational skin disease (OSD) is a commonly known occupational disease. However, epidemiological data about this condition in Korea are limited. We aimed to estimate the prevalence and risk factors of OSD using nationally representative data.
We used data from the large-scale, cross-sectional, nationwide 4th Korean Working Conditions Survey conducted in 2014. OSD was defined as skin diseases caused or aggravated by working environments as indicated in a self-reported questionnaire. Factors affecting the occurrences of OSD were investigated using logistic regression analysis.
The prevalence rates of OSD were 1.35% in all workers and 62.2% in workers with skin diseases. The workers with OSD were older, had lower educational levels, and had longer working times per week than those without OSD (<0.001). Furthermore, OSDs occurred more frequently in self-employed workers (=0.002), those with small-sized businesses (=0.008), those with longer working durations (<0.001), and manual and service workers (<0.001). Although the workers with OSD had greater exposure to various hazardous factors, logistic multivariate analysis showed that high temperatures and skin contact with chemical products were significantly correlated (odds ratios: 2.096 and 2.326, respectively). High prevalence rates of OSD were observed in membership organizations/repair/other personal services (3.2%), agriculture/forestry/fishing (2.7%), manufacturing (2.0%), and construction (1.6%) industries. Additionally, depression/anxiety problems were significantly more prevalent in workers with OSD than in those without (<0.001).
This is the first study to present large-scale epidemiological data on OSD prevalence in Korean workers. Our results highlight modifiable factors contributing to the development of OSDs.
职业性皮肤病(OSD)是一种常见的职业病。然而,韩国有关该病的流行病学数据有限。我们旨在使用具有代表性的全国数据来评估 OSD 的患病率和危险因素。
我们使用了 2014 年进行的大规模、横断面、全国性的第四次韩国工作条件调查的数据。OSD 被定义为由自我报告问卷中指出的工作环境引起或加重的皮肤病。使用逻辑回归分析调查了影响 OSD 发生的因素。
所有工人的 OSD 患病率为 1.35%,患有皮肤病的工人的 OSD 患病率为 62.2%。患有 OSD 的工人比没有 OSD 的工人年龄更大,教育程度更低,每周工作时间更长(<0.001)。此外,与没有 OSD 的工人相比,自雇工人(=0.002)、小型企业工人(=0.008)、工作时间较长的工人(<0.001)、体力劳动和服务工人(<0.001)更容易发生 OSD。尽管患有 OSD 的工人接触到各种危险因素的可能性更大,但逻辑多元分析显示,高温和皮肤接触化学制品与 OSD 显著相关(比值比:2.096 和 2.326)。OSD 的高患病率见于会员组织/修理/其他个人服务(3.2%)、农业/林业/渔业(2.7%)、制造业(2.0%)和建筑业(1.6%)。此外,患有 OSD 的工人中抑郁/焦虑问题的发生率明显高于没有 OSD 的工人(<0.001)。
这是第一项在韩国工人中呈现大规模 OSD 患病率流行病学数据的研究。我们的研究结果突出了可改变的因素,这些因素导致了 OSD 的发生。