National Allergy Research Center, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Hellerup, Denmark
Institute of Clinical Medicine, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark.
Occup Environ Med. 2024 Mar 8;81(3):122-128. doi: 10.1136/oemed-2023-109188.
Self-reported hand eczema was previously found under-reported as an occupational disease to the authorities among Danish hairdressers graduating from 1985 to 2007. This study investigates whether self-reported hand eczema among Danish hairdressers graduating from 2008 to 2018 is under-reported as an occupational disease to the authorities.
A cross-sectional study on all Danish hairdressers graduating from 2008 to 2018 was conducted. The participants were identified using information from the Danish Hairdressers' and Beauticians' Union. In May 2020, a self-administered survey on hand eczema was sent to all hairdressers.
A response rate of 30.7% (1485/4830) was obtained. The lifetime prevalence of self-reported hand eczema was 40.1%, and 84.1% of hairdressers with hand eczema believed it to be occupational of whom 27.0% answered it was reported as an occupational disease to the authorities. Of hairdressers believing their hand eczema was occupational, consulting a doctor and answering it was reported as an occupational disease, 94.4% had consulted a dermatologist. The main reason for not reporting was 'I would probably not gain anything from it anyway' (40.0%).
Based on hairdressers' perception, occupational hand eczema still seems to be an under-reported disease which may lead to underestimation of the problem and impair prevention, diagnosis and treatment.
先前的研究发现，在丹麦，1985 年至 2007 年毕业的美发师向当局报告的手部湿疹职业病病例较少。本研究旨在调查 2008 年至 2018 年毕业的丹麦美发师是否也向当局少报了手部湿疹职业病病例。
本研究采用了一项横断面研究，调查对象为 2008 年至 2018 年毕业的所有丹麦美发师。通过丹麦美发师和美容师联合会获取参与者信息。2020 年 5 月，向所有美发师发送了一份关于手部湿疹的自我报告调查问卷。
我们获得了 30.7%（1485/4830）的回应率。有手部湿疹病史的美发师终生患病率为 40.1%，其中 84.1%的人认为手部湿疹是职业性的，27.0%的人回答他们已经向当局报告了手部湿疹职业病。在认为手部湿疹是职业性的美发师中，94.4%曾咨询过皮肤科医生，且其中 94.4%的人认为自己已经向当局报告了手部湿疹职业病。不报告的主要原因是“反正我可能也得不到什么好处”（40.0%）。
根据美发师的认知，手部湿疹职业病似乎仍未得到充分报告，这可能导致对手部湿疹问题的低估，并影响预防、诊断和治疗。
