Skin symptoms in bakery and auto body shop workers: associations with exposure and respiratory symptoms
- Victoria ArrandaleAffiliated withCentre for Research Expertise in Occupational Disease, University of Toronto Email author
- , Tim MeijsterAffiliated withTNO Quality and Safety
- , Anjoeka PronkAffiliated withTNO Quality and Safety
- , Gert DoekesAffiliated withEnvironmental Epidemiology Department, Institute for Risk Assessment Sciences, Utrecht University
- , Carrie A. RedlichAffiliated withYale University School of Medicine
- , D. Linn HolnessAffiliated withCentre for Research Expertise in Occupational Disease, University of Toronto
- , Dick HeederikAffiliated withEnvironmental Epidemiology Department, Institute for Risk Assessment Sciences, Utrecht University
Despite the importance of skin exposure, studies of skin symptoms in relation to exposure and respiratory symptoms are rare. The goals of this study were to describe exposure–response relationships for skin symptoms, and to investigate associations between skin and respiratory symptoms in bakery and auto body shop workers.
Data from previous studies of bakery and auto body shop workers were analyzed. Average exposure estimates for wheat allergen and isocyanates were used. Generalized linear models were constructed to describe the relationships between exposure and skin symptoms, as well as between skin and respiratory symptoms.
Data from 723 bakery and 473 auto body shop workers were analyzed. In total, 5.3 % of bakery and 6.1 % of auto body shop workers were female; subjects’ mean age was 39 and 38 years, respectively. Exposure–response relationships were observed in auto body shop workers for itchy or dry skin (PR 1.55, 95 % CI 1.2–2.0) and work-related itchy skin (PR 1.97, 95 % CI 1.2–3.3). A possible exposure–response relationship for work-related itchy skin in bakery workers did not reach statistical significance. In both groups, reporting skin symptoms was strongly and significantly associated with reporting respiratory symptoms, both work-related and non-work-related.
Exposure–response relationships were observed for skin symptoms in auto body shop workers. The lack of significant exposure–response associations in bakery workers should be interpreted cautiously. Workers who reported skin symptoms were up to four times more likely to report respiratory symptoms. Improved awareness of both skin and respiratory outcomes in exposed workers is needed.
KeywordsOccupational exposure Skin symptoms Respiratory symptoms Exposure–response relationships
- Skin symptoms in bakery and auto body shop workers: associations with exposure and respiratory symptoms
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
International Archives of Occupational and Environmental Health
Volume 86, Issue 2 , pp 167-175
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Occupational exposure
- Skin symptoms
- Respiratory symptoms
- Exposure–response relationships
- Industry Sectors
- Author Affiliations
- 1. Centre for Research Expertise in Occupational Disease, University of Toronto, 223 College St, Toronto, ON, M5T 1R4, Canada
- 2. TNO Quality and Safety, Zeist, The Netherlands
- 3. Environmental Epidemiology Department, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
- 4. Yale University School of Medicine, New Haven, CT, USA