Volume 21, Issue 4 (12-2022)
TB 2022, 21(4): 49-60 |
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Namani M, Aziz zadeh M, Mirmohammadkhani M, Mansori K, Pahlevan D. Quality of Life and Its Predictors in Patients with Occupational Hand Eczema: A Cross-sectional Study. TB 2022; 21 (4) :49-60
URL: http://tbj.ssu.ac.ir/article-1-3387-en.html
URL: http://tbj.ssu.ac.ir/article-1-3387-en.html
Semnan University of Medical Sciences , pahlevandaryoush@gmail.com
Keywords: Hand Eczema, Quality of Life, Predictive Factors, Cross-sectional Study, Professional Health
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Quality of Life and Its Predictors in Patients with Occupational Hand Eczema: A Cross-sectional Study
Maryam Nomani (M.D) 1, Maryam Azizzadeh (M.D) 2, Majid Mirmohammadkhani (Ph.D) 3, Kamyar Mansori (Ph.D) 4, Daryoush Pahlevan (M.D) 5
1. General Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
2. MD, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
3.Associate Professor of Epidemiology, Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
4. Assistant Professor of Epidemiology, Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
5.Corresponding Author: Associate Professor of Occupational Medicine, Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Email: pahlevandaryoush@gmail.com Tel: 09122313116
Abstract
Introduction: The present study was conducted with the aim of investigating the quality of life and its predictive factors in patients with occupational hand eczema.
Methods: In this cross-sectional-analytical study, 244 patients with occupational hand eczema were examined through convenience sampling. The tools of data collection included the standard questionnaire of quality of life index in skin diseases (DLQI) and visual analog scale (VAS). Data analysis was done by Stata14 and the raw and adjusted odds ratio (OR) with a 95% confidence interval (95% CI) was reported.
Results: 46.7% had severe eczema. Multivariable logistic regression model showed the age over 30 (OR=5.40; CI 95%: 2.92 – 9.98), female gender (OR=2.02 ; ; CI 95% : 1.14 – 3.06), housekeeping (OR=5.25 ; CI 95% : 1.94 – 14.24), work experience over 5 years (OR=4.59 ; CI 95% : 2.13 – 9.85), working more than 8 hours (OR=4.71 ; CI 95% : 2.57 – 8.62) and severity of hand eczema (OR=2.14 ; ; CI 95% : 1.28 – 2.56) were the most important predictors of low life quality in patients with hand eczema (P-value>0.05).
Conclusion: Hand eczema has a significant effect on the life quality of most patients; therefore, designing and implementing care and preventive programs considering the above-mentioned factors are necessary to improve the quality of life regarding these patients.
Keywords: Hand Eczema, Quality of Life, Predictive Factors, Cross-sectional Study, Professional Health
Reference
1-Chan LN, Magyari A, Ye M, Al-Alusi NA, et al. The epidemiology of atopic dermatitis in older adults: A population-based study in the United Kingdom. PloS one. 2021;16(10):e0258219.
2-Ferrandiz‐Mont D, Wahyuniati N, Chen HJ, Mulyadi M, Zanaria TM, Ji DD. Hygiene practices: Are they protective factors for eczema symptoms? Immunity, Inflammation and Disease. 2018;6(2):297-306.
3-Diepgen TL, Agner T, Aberer W, Berth‐Jones J, Cambazard F, Elsner P, et al. Management of chronic hand eczema. Contact dermatitis. 2007;57(4):203-10.
4-Sasaki M, Yoshida K, Adachi Y, Furukawa M, Itazawa T, Odajima H, et al. Environmental factors associated with childhood eczema: findings from a national web-based survey. Allergology International. 2016;65(4):420-4.
5-Li F, Zhou Y, Li S, Jiang F, Jin X, Yan C, et al. Prevalence and risk factors of childhood allergic diseases in eight metropolitan cities in China: a multicenter study. BMC public health. 2011;11(1):1-9.
6-Gooya M, Shirkani A, Tahmasebi R, Omrani A, Gheybi MK, Darabi H, et al. Prevalence of asthma and allergic diseases and its risk factors in school children aged (6-7 and 13-14 years) in Assalouyeh city, Bushehr province based on III ISAAC protocol phase I, in 2014. ISMJ. 2017;20(1):57-69.
7-Warshaw EM, Ahmed RL, Belsito DV, DeLeo VA, Fowler Jr JF, Maibach HI, et al. Contact dermatitis of the hands: cross-sectional analyses of North American Contact Dermatitis Group Data, 1994-2004. Journal of the American Academy of Dermatology. 2007;57(2):301-14.
8-Elston DM, Ahmed DD, Watsky KL, Schwarzenberger K. Hand dermatitis. Journal of the American Academy of Dermatology. 2002;47(2):291-9.
9-Astner S, Burnett N, Rius-Díaz F, Doukas AG, González S, Gonzalez E. Irritant contact dermatitis induced by a common household irritant: a noninvasive evaluation of ethnic variability in skin response. Journal of the American Academy of Dermatology. 2006;54(3):458-65.
10- alamonti M, Galluzzo M, Silvaggio D, Lombardo P, Tartaglia C, Bianchi L. Quality of Life and Psychological Impact in Patients with Atopic Dermatitis. J Clin Med. 2021;10(6):1298. .
11-Ghalenoei AA, Ansari H, Payandeh A, Arbabi Sarjou A, Soleimani G, Meshkinian A. Prevalence and Determinants of Eczema Among Elementary School Children, Southeast of Iran, 2019. Journal of Arak University of Medical Sciences. 2021;24(3):438-49.
12-Jayaprakasam A, Darvay A, Osborne G, McGibbon D. Comparison of assessments of severity and quality of life in cutaneous disease. Clinical and Experimental Dermatology.2002; 20(4):27.
13-Panahi Y, Davood SM, Naghizadeh MM. Dermatology related quality of life in sulfur mustard exposed veterans. Journal of behavioral sciences. 2008; 3: 237-44.
14-Finlay AY, Khan G. Dermatology Life Quality Index (DLQI)—a simple practical measure for routine clinical use. Clinical and experimental dermatology. 1994;19(3):210-6.
15-Aghaei S, Sodaifi M, Jafari P, Mazharinia N, Finlay AY. DLQI scores in vitiligo: reliability and validity of the Persian version. BMC dermatology.2004;4(1(:1-5.
16-Holm E, Wulf H, Stegmann H, Jemec G. Life quality assessment among patients with atopic eczema. British Journal of Dermatology. 2006;154(4):719-25.
17-Thyssen JP, Johansen JD, Linneberg A, Menné T. The epidemiology of hand eczema in the general population--prevalence and main findings. Contact Dermatitis. 2010;62(2):75-87. .
18-Held E, Skoet R, Johansen J, Agner T. The hand eczema severity index (HECSI): a scoring system for clinical assessment of hand eczema. A study of inter‐and intraobserver reliability. British Journal of Dermatology. 2005;152(2):302-7.
19-Cvetkovski RS, Zachariae R, Jensen H, Olsen J, Johansen JD, Agner T. Quality of life and depression in a population of occupational hand eczema patients. Contact dermatitis.2006;54(2):11-106.
20-Hald M, Agner T, Blands J, Johansen JD. Quality of life in a population of patients with hand eczema: a six-month follow-up study. Acta dermato-venereologica. 2011;91(4):484-6.
21-Wallenhammar L-M, Nyfjäll M, Lindberg M, Meding B. Health-related quality of life and hand eczema—a comparison of two instruments, including factor analysis. Journal of investigative dermatology. 2004;122(6):1381-9.
22-Boehm D, Schmid‐Ott G, Finkeldey F, John SM, Dwinger C, Werfel T, et al. Anxiety, depression and impaired health‐related quality of life in patients with occupational hand eczema. Contact dermatitis. 2012;67(4):184-92.
23-Safizadeh H, Shamsi-Meymandy S, Nasri L, Shamsi-Meymandy M. Quality of life among patients with hand eczema in Iran. Russian Open Medical Journal. 2013;2(3): 305-8.
24-Agner T, Andersen KE, Brandao FM, Bruynzeel DP, Bruze M, Frosch P, et al. Hand eczema severity and quality of life: a cross‐sectional, multicentre study of hand eczema patients. Contact Dermatitis. 2008;59(1):43-7.
25-Charan UP, Peter CD, Pulimood SA. Impact of hand eczema severity on quality of life. Indian Dermatology Online Journal. 2013;4(2):102.
26-Bingefors K, Lindberg M, Isacson D. Quality of life, use of topical medications and socio-economic data in hand eczema: a Swedish nationwide survey. Acta dermato-venereologica. 2011;91(4).
27-Moberg C, Alderling M, Meding B. Hand eczema and quality of life: a population‐based study. British Journal of Dermatology. 2009;161(2):397-403.
28-Varma R, Devi K, Asokan N. A cross-sectional analysis on hand eczema: Severity and quality of life. Indian Dermatology Online Journal. 2021;12(6):952.
Maryam Nomani (M.D) 1, Maryam Azizzadeh (M.D) 2, Majid Mirmohammadkhani (Ph.D) 3, Kamyar Mansori (Ph.D) 4, Daryoush Pahlevan (M.D) 5
1. General Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
2. MD, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
3.Associate Professor of Epidemiology, Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
4. Assistant Professor of Epidemiology, Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
5.Corresponding Author: Associate Professor of Occupational Medicine, Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Email: pahlevandaryoush@gmail.com Tel: 09122313116
Abstract
Introduction: The present study was conducted with the aim of investigating the quality of life and its predictive factors in patients with occupational hand eczema.
Methods: In this cross-sectional-analytical study, 244 patients with occupational hand eczema were examined through convenience sampling. The tools of data collection included the standard questionnaire of quality of life index in skin diseases (DLQI) and visual analog scale (VAS). Data analysis was done by Stata14 and the raw and adjusted odds ratio (OR) with a 95% confidence interval (95% CI) was reported.
Results: 46.7% had severe eczema. Multivariable logistic regression model showed the age over 30 (OR=5.40; CI 95%: 2.92 – 9.98), female gender (OR=2.02 ; ; CI 95% : 1.14 – 3.06), housekeeping (OR=5.25 ; CI 95% : 1.94 – 14.24), work experience over 5 years (OR=4.59 ; CI 95% : 2.13 – 9.85), working more than 8 hours (OR=4.71 ; CI 95% : 2.57 – 8.62) and severity of hand eczema (OR=2.14 ; ; CI 95% : 1.28 – 2.56) were the most important predictors of low life quality in patients with hand eczema (P-value>0.05).
Conclusion: Hand eczema has a significant effect on the life quality of most patients; therefore, designing and implementing care and preventive programs considering the above-mentioned factors are necessary to improve the quality of life regarding these patients.
Keywords: Hand Eczema, Quality of Life, Predictive Factors, Cross-sectional Study, Professional Health
Reference
1-Chan LN, Magyari A, Ye M, Al-Alusi NA, et al. The epidemiology of atopic dermatitis in older adults: A population-based study in the United Kingdom. PloS one. 2021;16(10):e0258219.
2-Ferrandiz‐Mont D, Wahyuniati N, Chen HJ, Mulyadi M, Zanaria TM, Ji DD. Hygiene practices: Are they protective factors for eczema symptoms? Immunity, Inflammation and Disease. 2018;6(2):297-306.
3-Diepgen TL, Agner T, Aberer W, Berth‐Jones J, Cambazard F, Elsner P, et al. Management of chronic hand eczema. Contact dermatitis. 2007;57(4):203-10.
4-Sasaki M, Yoshida K, Adachi Y, Furukawa M, Itazawa T, Odajima H, et al. Environmental factors associated with childhood eczema: findings from a national web-based survey. Allergology International. 2016;65(4):420-4.
5-Li F, Zhou Y, Li S, Jiang F, Jin X, Yan C, et al. Prevalence and risk factors of childhood allergic diseases in eight metropolitan cities in China: a multicenter study. BMC public health. 2011;11(1):1-9.
6-Gooya M, Shirkani A, Tahmasebi R, Omrani A, Gheybi MK, Darabi H, et al. Prevalence of asthma and allergic diseases and its risk factors in school children aged (6-7 and 13-14 years) in Assalouyeh city, Bushehr province based on III ISAAC protocol phase I, in 2014. ISMJ. 2017;20(1):57-69.
7-Warshaw EM, Ahmed RL, Belsito DV, DeLeo VA, Fowler Jr JF, Maibach HI, et al. Contact dermatitis of the hands: cross-sectional analyses of North American Contact Dermatitis Group Data, 1994-2004. Journal of the American Academy of Dermatology. 2007;57(2):301-14.
8-Elston DM, Ahmed DD, Watsky KL, Schwarzenberger K. Hand dermatitis. Journal of the American Academy of Dermatology. 2002;47(2):291-9.
9-Astner S, Burnett N, Rius-Díaz F, Doukas AG, González S, Gonzalez E. Irritant contact dermatitis induced by a common household irritant: a noninvasive evaluation of ethnic variability in skin response. Journal of the American Academy of Dermatology. 2006;54(3):458-65.
10- alamonti M, Galluzzo M, Silvaggio D, Lombardo P, Tartaglia C, Bianchi L. Quality of Life and Psychological Impact in Patients with Atopic Dermatitis. J Clin Med. 2021;10(6):1298. .
11-Ghalenoei AA, Ansari H, Payandeh A, Arbabi Sarjou A, Soleimani G, Meshkinian A. Prevalence and Determinants of Eczema Among Elementary School Children, Southeast of Iran, 2019. Journal of Arak University of Medical Sciences. 2021;24(3):438-49.
12-Jayaprakasam A, Darvay A, Osborne G, McGibbon D. Comparison of assessments of severity and quality of life in cutaneous disease. Clinical and Experimental Dermatology.2002; 20(4):27.
13-Panahi Y, Davood SM, Naghizadeh MM. Dermatology related quality of life in sulfur mustard exposed veterans. Journal of behavioral sciences. 2008; 3: 237-44.
14-Finlay AY, Khan G. Dermatology Life Quality Index (DLQI)—a simple practical measure for routine clinical use. Clinical and experimental dermatology. 1994;19(3):210-6.
15-Aghaei S, Sodaifi M, Jafari P, Mazharinia N, Finlay AY. DLQI scores in vitiligo: reliability and validity of the Persian version. BMC dermatology.2004;4(1(:1-5.
16-Holm E, Wulf H, Stegmann H, Jemec G. Life quality assessment among patients with atopic eczema. British Journal of Dermatology. 2006;154(4):719-25.
17-Thyssen JP, Johansen JD, Linneberg A, Menné T. The epidemiology of hand eczema in the general population--prevalence and main findings. Contact Dermatitis. 2010;62(2):75-87. .
18-Held E, Skoet R, Johansen J, Agner T. The hand eczema severity index (HECSI): a scoring system for clinical assessment of hand eczema. A study of inter‐and intraobserver reliability. British Journal of Dermatology. 2005;152(2):302-7.
19-Cvetkovski RS, Zachariae R, Jensen H, Olsen J, Johansen JD, Agner T. Quality of life and depression in a population of occupational hand eczema patients. Contact dermatitis.2006;54(2):11-106.
20-Hald M, Agner T, Blands J, Johansen JD. Quality of life in a population of patients with hand eczema: a six-month follow-up study. Acta dermato-venereologica. 2011;91(4):484-6.
21-Wallenhammar L-M, Nyfjäll M, Lindberg M, Meding B. Health-related quality of life and hand eczema—a comparison of two instruments, including factor analysis. Journal of investigative dermatology. 2004;122(6):1381-9.
22-Boehm D, Schmid‐Ott G, Finkeldey F, John SM, Dwinger C, Werfel T, et al. Anxiety, depression and impaired health‐related quality of life in patients with occupational hand eczema. Contact dermatitis. 2012;67(4):184-92.
23-Safizadeh H, Shamsi-Meymandy S, Nasri L, Shamsi-Meymandy M. Quality of life among patients with hand eczema in Iran. Russian Open Medical Journal. 2013;2(3): 305-8.
24-Agner T, Andersen KE, Brandao FM, Bruynzeel DP, Bruze M, Frosch P, et al. Hand eczema severity and quality of life: a cross‐sectional, multicentre study of hand eczema patients. Contact Dermatitis. 2008;59(1):43-7.
25-Charan UP, Peter CD, Pulimood SA. Impact of hand eczema severity on quality of life. Indian Dermatology Online Journal. 2013;4(2):102.
26-Bingefors K, Lindberg M, Isacson D. Quality of life, use of topical medications and socio-economic data in hand eczema: a Swedish nationwide survey. Acta dermato-venereologica. 2011;91(4).
27-Moberg C, Alderling M, Meding B. Hand eczema and quality of life: a population‐based study. British Journal of Dermatology. 2009;161(2):397-403.
28-Varma R, Devi K, Asokan N. A cross-sectional analysis on hand eczema: Severity and quality of life. Indian Dermatology Online Journal. 2021;12(6):952.
Type of Study: Research |
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Received: 2022/08/20 | Accepted: 2022/07/16 | Published: 2022/12/1
Received: 2022/08/20 | Accepted: 2022/07/16 | Published: 2022/12/1
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