Occupational risk factors for hand dermatitis among professional cleaners in Spain

Contact Dermatitis. 2012 Apr;66(4):188-96. doi: 10.1111/j.1600-0536.2011.02023.x. Epub 2012 Jan 23.

Abstract

Background: Dermatitis is an important health outcome for workers whose jobs put them in contact with irritants or sensitizing agents.

Objectives: We conducted an analysis of data from the Epidemiological Study on the Risk of Asthma in Cleaning Workers 2 (EPIASLI2) to assess worksites and cleaning products as risk factors for hand dermatitis among professional cleaning workers.

Materials/methods: We distributed 4993 questionnaires to employees of 37 cleaning companies, and used data from 818 (16%) respondents who provided information about skin symptoms and cleaning-related exposures. We assessed associations between the frequencies of worksite and cleaning product exposures and a symptom-based definition of hand dermatitis among current cleaning workers (n = 693) and a comparison population (n = 125).

Results: Hand dermatitis was reported by 28% of current cleaning workers, versus 18% of the comparison population, and was associated with cleaning outdoor areas and schools, and the use of hydrochloric acid [prevalence ratio (PR) 1.92, 95% confidence interval (CI) 1.22-3.02] and dust mop products (PR 1.75, 95% CI 1.11-2.75).

Conclusions: Professional cleaning workers may not be sufficiently protected from cutaneous disease at work. Future research should further investigate the roles of multiple product exposures and personal protective equipment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Dermatitis, Occupational / epidemiology*
  • Dermatitis, Occupational / etiology
  • Detergents / adverse effects*
  • Female
  • Hand Dermatoses / chemically induced
  • Hand Dermatoses / epidemiology*
  • Household Work*
  • Humans
  • Hydrochloric Acid / adverse effects
  • Irritants / adverse effects
  • Male
  • Middle Aged
  • Occupational Exposure / adverse effects*
  • Prevalence
  • Risk Factors
  • Schools
  • Spain / epidemiology
  • Young Adult

Substances

  • Detergents
  • Irritants
  • Hydrochloric Acid