Hand eczema, wet work exposure, and quality of life in health care workers in Denmark during the COVID-19 pandemic.
ABHR, alcohol-based hand rub
CI, confidence interval
COVID-19
HCW, health care worker
HE, hand eczema
HRQOL, health-related quality of life
OR, odds ratio
QOLHEQ, Quality of Life in Hand Eczema Questionnaire
dermatitis
epidemiology
hand eczema
health-related quality of life
risk factors
Journal
JAAD international
ISSN: 2666-3287
Titre abrégé: JAAD Int
Pays: United States
ID NLM: 101774762
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
accepted:
06
02
2022
pubmed:
15
3
2022
medline:
15
3
2022
entrez:
14
3
2022
Statut:
ppublish
Résumé
The focus on hand hygiene during the pandemic has been reported to increase the hand eczema (HE) prevalence in health care workers (HCWs); however, detailed prospective data are missing. To evaluate changes in HE prevalence, exposures, and health-related quality of life among HCWs during the COVID-19 pandemic. In this prospective cohort study, HCWs employed at the hospitals in Copenhagen responded to a digital questionnaire at the beginning of the pandemic and 11 months thereafter. A total of 795 HCWs responded to both questionnaires (83.4% women). The calculated 1-year HE prevalence decreased from 16.0% at baseline to 13.0% at follow-up. The number of hand washings decreased significantly, whereas the use of alcohol-based hand rubs on wet skin increased significantly. In a logistic regression model, increased use of alcohol-based hand rubs on wet skin was associated with HE at follow-up (odds ratio, 1.78; 95% CI, 1.11-2.87). Health-related quality of life worsened slightly at follow-up, with HE severity and frequent flareups being risk factors for a reduced health-related quality of life. Sample size. In contrast to previous studies undertaken during the pandemic, we found a relatively low and stable HE prevalence. Our findings suggest that the interaction between changed exposures and HE is complex and cannot be linked to a single factor.
Sections du résumé
Background
UNASSIGNED
The focus on hand hygiene during the pandemic has been reported to increase the hand eczema (HE) prevalence in health care workers (HCWs); however, detailed prospective data are missing.
Objective
UNASSIGNED
To evaluate changes in HE prevalence, exposures, and health-related quality of life among HCWs during the COVID-19 pandemic.
Methods
UNASSIGNED
In this prospective cohort study, HCWs employed at the hospitals in Copenhagen responded to a digital questionnaire at the beginning of the pandemic and 11 months thereafter.
Results
UNASSIGNED
A total of 795 HCWs responded to both questionnaires (83.4% women). The calculated 1-year HE prevalence decreased from 16.0% at baseline to 13.0% at follow-up. The number of hand washings decreased significantly, whereas the use of alcohol-based hand rubs on wet skin increased significantly. In a logistic regression model, increased use of alcohol-based hand rubs on wet skin was associated with HE at follow-up (odds ratio, 1.78; 95% CI, 1.11-2.87). Health-related quality of life worsened slightly at follow-up, with HE severity and frequent flareups being risk factors for a reduced health-related quality of life.
Limitations
UNASSIGNED
Sample size.
Conclusion
UNASSIGNED
In contrast to previous studies undertaken during the pandemic, we found a relatively low and stable HE prevalence. Our findings suggest that the interaction between changed exposures and HE is complex and cannot be linked to a single factor.
Identifiants
pubmed: 35281322
doi: 10.1016/j.jdin.2022.02.009
pii: S2666-3287(22)00025-6
pmc: PMC8898740
doi:
Types de publication
Journal Article
Langues
eng
Pagination
86-94Informations de copyright
© 2022 by the American Academy of Dermatology, Inc. Published by Elsevier Inc.
Déclaration de conflit d'intérêts
None disclosed.
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