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Risk factors for work-related eczema and urticaria among vocational students of agriculture

cris.lastimport.scopus2024-09-16T01:31:00Z
dc.abstract.enIntroduction and objective. Farmers are at high risk of occupational skin diseases which may start already during vocational training. This study was aimed at identification of risk factors for work-related skin diseases among vocational students of agriculture. Materials and method. The study involved 440 students (245 males, 195 females aged 17–21 years) in 11 vocational schools which were at least 100 km from each other. The protocol included a physician-managed questionnaire and medical examination, skin prick tests, patch tests, total IgE and Phadiatop. Logistic regression model was used for the identification of relevant risk factors. Results. Work-related dermatoses were diagnosed in 29 study participants (6.6%, 95%CI: 4.3–8.9%): eczema in 22, urticaria in 14, and co-existence of both in 7 students. Significant risk factors for work-related eczema were: history of respiratory allergy (OR=10.10; p<0.001), history of eczema (itchy rash) provoked by wet work and detergents before entering the school (OR=5.85; p<0.001), as well as history of contact dermatitis to metals, rubber or cosmetics prior to inscription (OR=2.84; p=0.016), and family history of any skin disease (OR=2.99; p=0.013). Significant risk factors for work-related urticaria were: history of allergic rhinitis and asthma prior to inscription (OR=7.29; p=0.006), positive skin prick tests to work place allergens (OR=4.65; p=0.002) and to environmental allergens (OR=3.79; p=0.009), and positive Phadiatop test (OR=3.61; p=0.013). Conclusions. Work-related skin diseases are common among vocational students of agriculture. Atopy, past history of asthma, allergic rhinitis, and eczema (either atopic, allergic or irritant) are relevant risk factors for work-related eczema and urticaria in young farmers, along with family history of any skin disease. Positive skin prick tests seem relevant, especially in the case of urticaria. Asking simple, aimed questions during health checks while enrolling students into agricultural schools would suffice to identify students at risk for work-related eczema and urticaria, giving them the chance for selecting a safer profession, and hopefully avoiding an occupational disease in the future.
dc.affiliationNauk o Człowieku
dc.contributor.authorRadosław Śpiewak
dc.contributor.authorAnna Góra-Florek
dc.contributor.authorAndrzej Horoch
dc.contributor.authorMirosław Jarosz
dc.contributor.authorAgnieszka Doryńska
dc.contributor.authorMarcin Golec
dc.contributor.authorJacek Dutkiewicz
dc.date.accessioned2024-04-30T06:40:44Z
dc.date.available2024-04-30T06:40:44Z
dc.date.issued2017
dc.identifier.doi10.26444/aaem/81002
dc.identifier.issn1232-1966
dc.identifier.issn1898-2263
dc.identifier.urihttps://repo.akademiawsei.eu/handle/item/261
dc.languageen
dc.pbn.affiliationpsychology
dc.relation.ispartofAnnals of Agricultural and Environmental Medicine
dc.rightsCC-BY-NC
dc.subject.enwork-related dermatoses
dc.subject.enoccupational skin disease
dc.subject.enrisk factors
dc.subject.enfarmers
dc.subject.enagriculture
dc.subject.envocational schools
dc.subject.enapprentices
dc.subject.eneczema
dc.subject.endermatitis
dc.subject.enurticaria
dc.titleRisk factors for work-related eczema and urticaria among vocational students of agriculture
dc.typeReviewArticle
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.volume24