上海市黄浦区理发业从业人员手部皮炎的患病情况及相关因素分析

发布时间：2018-02-23 02:25

本文关键词： 手部皮炎理发业从业人员横断面调查相关因素多因素分析　出处：《环境与职业医学》2014年07期 　论文类型：期刊论文

【摘要】：[目的]初步了解上海市黄浦区理发业从业人员手部皮炎的患病情况,讨论可能的相关因素,为进一步的研究提供数据基础。[方法]通过随机整群抽样,在上海市黄浦区抽取113家理发店进行问卷调查。将理发业从业人员的工种分为4类,即专职从事洗发(工种1),专职从事染、烫发(工种2),既从事洗发又从事染、烫发(工种3),从事洗发和染、烫发以外的其他工种[主要为剪发和(或)吹发,工种4]。问卷内容包括人口学信息、手部皮炎相关的临床症状、可能的暴露及相关的保护措施等内容。由经过统一培训的调查员对研究对象进行面对面的问卷调查。数据录入后,先经单因素卡方检验分析不同因素对理发业从业人员手部皮炎的影响,再进行多因素logistic回归分析,找出可能与理发业从业人员手部皮炎发生相关的因素。[结果]最后共得到578份有效问卷。37.7%的研究对象(218人)曾患过手部皮炎,在这些患过手部皮炎的理发业从业人员中,90.4%为慢性手部皮炎,9.6%为急性。单因素分析结果显示,不同年龄、不同工龄、有无采取手套防护间理发业从业人员手部皮炎的患病率差异无统计学意义。多因素分析结果显示,与工种4相比,工种1、工种2、工种3的OR值分别为5.28(95%CI:2.72~10.25)、2.44(95%CI:1.20~4.95)和5.56(95%CI:3.12~9.90);与报告无过敏史的理发业从业人员相比,报告有过敏史者发生手部皮炎的可能性增大,OR值为3.06(95%CI:1.98~4.72);同时,未发现工作过程中佩戴手套、涂抹护手霜等防护措施对理发业从业人员手部皮炎的发生有统计学意义上的影响。[结论]从事洗发,染、烫发工种可能增加理发业从业人员手部皮炎的患病可能。有过敏史的理发业从业人员可能更容易患手部接触性皮炎。
[Abstract]:[objective] to investigate the prevalence of hand dermatitis among hairdressers in Huangpu District, Shanghai, and to discuss the possible related factors, and to provide a data basis for further study. [methods] Random cluster sampling was used. A questionnaire survey was conducted in 113 barber shops in Huangpu District, Shanghai. The types of work of the hairdresser were divided into four categories, namely, full-time shampoo (type 1), dyeing (type 1), perm (type 2), both shampoo and dyeing. Perm (3 kinds of work, engaged in shampoo and dyeing, other types of work other than perm [mainly haircut and / or hair blowing, type 4]. Questionnaire contents include demographic information, clinical symptoms related to hand dermatitis, Possible exposure and related protective measures, etc. Face-to-face questionnaires were conducted by uniformly trained investigators on the subjects of the study. After the data was entered, The effects of different factors on hand dermatitis were analyzed by single factor chi-square test, and then multivariate logistic regression analysis was carried out. To find out the possible factors associated with hand dermatitis in hairdressers. [results] finally, 578 valid questionnaires (37.7%) were obtained. Among the people in the hairdressing industry who had suffered from hand dermatitis, 90.4% were chronic hand dermatitis and 9.6% were acute. There was no significant difference in the prevalence of hand dermatitis among hairdressing workers with or without gloves. Multivariate analysis showed that, compared with type 4, The OR values of type 1, type 2, and job 3 were 5.28995 CI: 2.7210.25 and 2.44 / 95 CI: 1.20 / 4.95 respectively) and 5.560.95 CI: 3.121.129.90; compared with those in the hairdressing industry who reported no history of allergies, the odds ratio of developing dermatitis in the hands of those who reported a history of allergies was 3.06 / 95CIW 1.984.72; at the same time, no gloves were found in the course of work. Application of hand cream and other protective measures has a statistical impact on the occurrence of hand dermatitis in hairdressers. [conclusion] to do shampoo, dye, and other protective measures have a significant effect on the occurrence of hand dermatitis. Perms may increase the risk of hand dermatitis among hairdressers. Those with a history of allergies may be more susceptible to contact dermatitis in the hands.
【作者单位】：上海市疾病预防控制中心健康相关产品卫生评价科;上海市疾病预防控制中心微生物实验室;
【分类号】：R134.2;R758.22

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