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

Christiansen, Alexandra Golabek ; Kinnerup, Martin Byskov ; Carstensen, Ole ; Sommerlund, Mette ; Clausen, Per Axel ; Bønløkke, Jakob Hjort ; Schlünssen, Vivi ; Isaksson, Marléne LU ; Schmidt, Sigrun Alba Johannesdottir and Kolstad, Henrik Albert (2024) In Contact Dermatitis 90(1). p.32-40
Abstract

Background: Allergic contact allergy and dermatitis are frequently reported among epoxy-exposed workers. Objectives: To determine the risk of dermatitis associated with epoxy exposure. 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... (More)

Background: Allergic contact allergy and dermatitis are frequently reported among epoxy-exposed workers. Objectives: To determine the risk of dermatitis associated with epoxy exposure. 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: 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: 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.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
allergic contact dermatitis, epidemiology, epoxy resin systems, occupational
in
Contact Dermatitis
volume
90
issue
1
pages
9 pages
publisher
Wiley-Blackwell
external identifiers
  • pmid:37795841
  • scopus:85173477914
ISSN
0105-1873
DOI
10.1111/cod.14431
language
English
LU publication?
yes
id
dd11e65a-8f76-4a71-a8e0-e2704df44e7c
date added to LUP
2023-12-19 14:02:50
date last changed
2024-04-18 00:24:38
@article{dd11e65a-8f76-4a71-a8e0-e2704df44e7c,
  abstract     = {{<p>Background: Allergic contact allergy and dermatitis are frequently reported among epoxy-exposed workers. Objectives: To determine the risk of dermatitis associated with epoxy exposure. 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: 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: 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.</p>}},
  author       = {{Christiansen, Alexandra Golabek and Kinnerup, Martin Byskov and Carstensen, Ole and Sommerlund, Mette and Clausen, Per Axel and Bønløkke, Jakob Hjort and Schlünssen, Vivi and Isaksson, Marléne and Schmidt, Sigrun Alba Johannesdottir and Kolstad, Henrik Albert}},
  issn         = {{0105-1873}},
  keywords     = {{allergic contact dermatitis; epidemiology; epoxy resin systems; occupational}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{32--40}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Contact Dermatitis}},
  title        = {{Occupational exposure to epoxy components and risk of dermatitis : A registry-based follow-up study of the wind turbine industry}},
  url          = {{http://dx.doi.org/10.1111/cod.14431}},
  doi          = {{10.1111/cod.14431}},
  volume       = {{90}},
  year         = {{2024}},
}