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Am J Ind Med. 2017 Oct;60(10):879-888. doi: 10.1002/ajim.22742. Epub 2017 Aug 18.

Contact dermatitis is an unrecognized problem in the construction industry: Comparison of four different assessment methods.

Author information

1
Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands.
2
Arbouw Research and Development, Harderwijk, The Netherlands.
3
Arbo Unie Expert Centre for Chemical Risk Management, Haarlem, The Netherlands.
4
Department of Dermatology, VU University Medical Centre, Amsterdam, The Netherlands.

Abstract

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.

KEYWORDS:

agreement; construction industry; determinants; diagnosis; occupational contact dermatitis; occupational health care; prevalence

PMID:
28833409
DOI:
10.1002/ajim.22742
[Indexed for MEDLINE]

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