Occupational contact dermatitis in blue-collar workers: results from a multicentre study from the Danish Contact Dermatitis Group (2003-2012)

Jakob F Schwensen, Torkil Menné, Niels K Veien, Anne T Funding, Christian Avnstorp, Morten Osterballe, Klaus Ejner Andersen, Evy Paulsen, Charlotte G Mørtz, Mette Sommerlund, Anne Danielsen, Bo L Andersen, Jens Thormann, Ove Kristensen, Berit Kristensen, Susanne Vissing, Niels H Nielsen, Jacob P Thyssen, Jeanne D Johansen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstrakt

BACKGROUND: Blue-collar workers have a high risk of occupational contact dermatitis, but epidemiological studies are scarce.

OBJECTIVES: To investigate allergic contact dermatitis in blue-collar workers with dermatitis registered by the Danish Contact Dermatitis Group.

METHODS: A retrospective analysis of patch test data from 1471 blue-collar workers and 1471 matched controls tested between 2003 and 2012 was performed. A logistic regression was used to test for associations.

RESULTS: The blue-collar workers often had occupational hand dermatitis (p < 0.001). Atopic dermatitis was less commonly observed among blue-collar workers (19.6%) than among controls (23.9%) (p = 0.005). Allergens with a statistically significant association with the occupational group of blue-collar workers were epoxy resins, methyldibromo glutaronitrile, 2-bromo-2-nitro-1,3-propanediol, potassium dichromate, and methylchloroisothiazolinone (MCI)/methylisothiazolinone (MI). The following occupations were additionally identified as risk factors for contact sensitization to MCI/MI and MI, epoxy resins, and potassium dichromate, respectively: painting, construction work, and tile setting/terrazzo work.

CONCLUSION: Contact allergy is a major problem among blue-collar workers. The data indicate a healthy worker effect among blue-collar workers diagnosed with dermatitis, as blue-collar workers were diagnosed significantly less often with atopic dermatitis than were controls.

OriginalsprogEngelsk
TidsskriftContact Dermatitis
Vol/bind71
Udgave nummer6
Sider (fra-til)348-355
ISSN0105-1873
DOI
StatusUdgivet - 18. jul. 2014

    Fingerprint

Citationsformater

Schwensen, J. F., Menné, T., Veien, N. K., Funding, A. T., Avnstorp, C., Osterballe, M., Andersen, K. E., Paulsen, E., Mørtz, C. G., Sommerlund, M., Danielsen, A., Andersen, B. L., Thormann, J., Kristensen, O., Kristensen, B., Vissing, S., Nielsen, N. H., Thyssen, J. P., & Johansen, J. D. (2014). Occupational contact dermatitis in blue-collar workers: results from a multicentre study from the Danish Contact Dermatitis Group (2003-2012). Contact Dermatitis, 71(6), 348-355. https://doi.org/10.1111/cod.12277