Occupational hand eczema and/or contact urticaria: factors associated with change of profession or not remaining in the workforce
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Occupational hand eczema and/or contact urticaria : factors associated with change of profession or not remaining in the workforce. / Carøe, Tanja K; Ebbehøj, Niels E; Bonde, Jens P; Agner, Tove.
I: Contact Dermatitis, Bind 78, Nr. 1, 2018, s. 55-63.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Occupational hand eczema and/or contact urticaria
T2 - factors associated with change of profession or not remaining in the workforce
AU - Carøe, Tanja K
AU - Ebbehøj, Niels E
AU - Bonde, Jens P
AU - Agner, Tove
N1 - © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2018
Y1 - 2018
N2 - BACKGROUND: Occupational hand eczema and/or contact urticaria may have social consequences such as change of profession or not remaining in the workforce.OBJECTIVES: To identify factors associated with job change in a cohort of participants with recognised occupational hand eczema/contact urticaria METHODS: A registry-based study including 2703 employees with recognised occupational hand eczema/contact urticaria in Denmark in 2010/2011. Four to five years later the participants received a follow-up questionnaire, comprising questions on current job situation (response rate 58.0%).RESULTS: At follow-up, 51.3% of the participants were no longer in the same profession. 32.5% had changed profession and 18.8% were no longer in employment. Change of profession was associated with young age, positive patch test, low educational level and severity of hand eczema/contact urticaria. With regard to specific professions, cleaning personnel changed profession significantly more often than other workers [71.4% (OR = 2.26)], health care workers significantly less often than other workers [34.0% (OR = 0.36)].CONCLUSION: Job change occurs frequently during the first years after recognition of occupational hand eczema/contact urticaria and more often among patients with positive patch test reactions, with severe hand eczema/contact urticaria. Whether job changes improve the prognosis of occupational hand eczema/contact urticaria remains to be established.
AB - BACKGROUND: Occupational hand eczema and/or contact urticaria may have social consequences such as change of profession or not remaining in the workforce.OBJECTIVES: To identify factors associated with job change in a cohort of participants with recognised occupational hand eczema/contact urticaria METHODS: A registry-based study including 2703 employees with recognised occupational hand eczema/contact urticaria in Denmark in 2010/2011. Four to five years later the participants received a follow-up questionnaire, comprising questions on current job situation (response rate 58.0%).RESULTS: At follow-up, 51.3% of the participants were no longer in the same profession. 32.5% had changed profession and 18.8% were no longer in employment. Change of profession was associated with young age, positive patch test, low educational level and severity of hand eczema/contact urticaria. With regard to specific professions, cleaning personnel changed profession significantly more often than other workers [71.4% (OR = 2.26)], health care workers significantly less often than other workers [34.0% (OR = 0.36)].CONCLUSION: Job change occurs frequently during the first years after recognition of occupational hand eczema/contact urticaria and more often among patients with positive patch test reactions, with severe hand eczema/contact urticaria. Whether job changes improve the prognosis of occupational hand eczema/contact urticaria remains to be established.
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Career Choice
KW - Denmark
KW - Dermatitis, Allergic Contact/diagnosis
KW - Dermatitis, Occupational/diagnosis
KW - Educational Status
KW - Female
KW - Hand Dermatoses/diagnosis
KW - Humans
KW - Male
KW - Middle Aged
KW - Occupations/statistics & numerical data
KW - Patch Tests
KW - Registries
KW - Severity of Illness Index
KW - Surveys and Questionnaires
KW - Unemployment/statistics & numerical data
KW - Urticaria/diagnosis
KW - Young Adult
U2 - 10.1111/cod.12869
DO - 10.1111/cod.12869
M3 - Journal article
C2 - 29076572
VL - 78
SP - 55
EP - 63
JO - Contact Dermatitis
JF - Contact Dermatitis
SN - 0105-1873
IS - 1
ER -
ID: 216513736