Occupational exposure to epoxy components and risk of dermatitis: A registry-based follow-up study of the wind turbine industry.

allergic contact dermatitis epidemiology epoxy resin systems occupational

Journal

Contact dermatitis
ISSN: 1600-0536
Titre abrégé: Contact Dermatitis
Pays: England
ID NLM: 7604950

Informations de publication

Date de publication:
Jan 2024
Historique:
revised: 06 09 2023
received: 11 05 2023
accepted: 15 09 2023
pubmed: 5 10 2023
medline: 5 10 2023
entrez: 5 10 2023
Statut: ppublish

Résumé

Allergic contact allergy and dermatitis are frequently reported among epoxy-exposed workers. To determine the risk of dermatitis associated with epoxy exposure. We followed 825 epoxy-exposed and 1091 non-exposed blue-collar workers, and 493 white-collar workers of a Danish wind turbine blade factory during 2017-2022 with linked data from national health registers on diagnoses, patch testing, or fillings of prescriptions for topical corticosteroids. Incidence rate ratios of dermatitis or a first-time topical corticosteroid prescription were estimated with Poisson regression using non-exposed blue-collar workers as reference. We similarly estimated incidence rate ratios for the duration of epoxy exposure and current epoxy exposure. Epoxy-exposed blue-collar workers showed a dermatitis incidence rate of 2.1 per 100 000 person days, a two-fold increased risk of dermatitis and a 20% increased risk of filling a prescription for topical corticosteroids. Incidence rate ratios were higher during early exposure and declined with further exposure for both outcomes. White-collar workers had generally lower risks. We observed an increased risk of dermatitis following epoxy exposure confirming previous case reports and cross-sectional studies emphasizing the need for intensified focus on preventive efforts for this group of workers.

Sections du résumé

BACKGROUND BACKGROUND
Allergic contact allergy and dermatitis are frequently reported among epoxy-exposed workers.
OBJECTIVES OBJECTIVE
To determine the risk of dermatitis associated with epoxy exposure.
METHODS METHODS
We followed 825 epoxy-exposed and 1091 non-exposed blue-collar workers, and 493 white-collar workers of a Danish wind turbine blade factory during 2017-2022 with linked data from national health registers on diagnoses, patch testing, or fillings of prescriptions for topical corticosteroids. Incidence rate ratios of dermatitis or a first-time topical corticosteroid prescription were estimated with Poisson regression using non-exposed blue-collar workers as reference. We similarly estimated incidence rate ratios for the duration of epoxy exposure and current epoxy exposure.
RESULTS RESULTS
Epoxy-exposed blue-collar workers showed a dermatitis incidence rate of 2.1 per 100 000 person days, a two-fold increased risk of dermatitis and a 20% increased risk of filling a prescription for topical corticosteroids. Incidence rate ratios were higher during early exposure and declined with further exposure for both outcomes. White-collar workers had generally lower risks.
CONCLUSION CONCLUSIONS
We observed an increased risk of dermatitis following epoxy exposure confirming previous case reports and cross-sectional studies emphasizing the need for intensified focus on preventive efforts for this group of workers.

Identifiants

pubmed: 37795841
doi: 10.1111/cod.14431
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

32-40

Subventions

Organisme : The Danish Working Environment Fund
ID : 20175100924

Informations de copyright

© 2023 The Authors. Contact Dermatitis published by John Wiley & Sons Ltd.

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Auteurs

Alexandra Golabek Christiansen (AG)

Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.

Martin Byskov Kinnerup (MB)

Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.
Department of Occupational Medicine, Danish Ramazzini Centre, The Regional Hospital Goedstrup, University Research Clinic, Herning, Denmark.

Ole Carstensen (O)

Department of Occupational Medicine, Danish Ramazzini Centre, The Regional Hospital Goedstrup, University Research Clinic, Herning, Denmark.

Mette Sommerlund (M)

Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark.

Per Axel Clausen (PA)

National Research Centre for the Working Environment, Copenhagen, Denmark.

Jakob Hjort Bønløkke (JH)

Department of Occupational and Environmental Medicine, Danish Ramazzini Centre, Aalborg University Hospital, Aalborg, Denmark.

Vivi Schlünssen (V)

Department of Public Health, Research Unit for Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Marléne Isaksson (M)

Department of Occupational and Environmental Dermatology, Skane University Hospital Malmö, Lund University, Malmö, Sweden.

Sigrun Alba Johannesdottir Schmidt (SAJ)

Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark.
Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.

Henrik Albert Kolstad (HA)

Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.
Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Classifications MeSH