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Meta-Analysis
. 2022 Apr;86(4):254-265.
doi: 10.1111/cod.14048. Epub 2022 Jan 31.

Prevalence and incidence of hand eczema in hairdressers-A systematic review and meta-analysis of the published literature from 2000-2021

Martin S Havmose  1 , Sanja Kezic  2 , Wolfgang Uter  3 , Cara Symanzik  4   5 , Sarah Hallmann  3 , Julia Strahwald  3 , Patricia Weinert  5 , Marija Macan  6 , Rajka Turk  6 , Henk F van der Molen  2 , Željka Babić  6 , Jelena Macan  6 , Swen M John  4   5 , Jeanne D Johansen  1
Affiliations
Meta-Analysis

Prevalence and incidence of hand eczema in hairdressers-A systematic review and meta-analysis of the published literature from 2000-2021

Martin S Havmose et al. Contact Dermatitis. 2022 Apr.

Abstract

Background: Hairdressers are commonly affected by hand eczema (HE) due to skin hazardous exposure such as irritants and allergens in the work environment.

Objective: To give an overview of the current prevalence, incidence, and severity, as well as the pattern of debut and the contribution of atopic dermatitis on HE in hairdressers.

Methods: A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines was performed. Studies published from 2000 to April 2021 that fulfilled predefined eligibility criteria were retrieved.

Results: A pooled lifetime prevalence of 38.2% (95% confidence interval [CI] 32.6-43.8), a pooled 1-year prevalence of 20.3% (95% CI 18.0-22.6), and a pooled point prevalence of 7.7% (95% CI 5.8-9.6) of HE was observed in hairdressers. The lifetime prevalence in fully trained hairdressers and hairdressing apprentices was almost identical. The pooled incidence rate of HE was 51.8 cases/1000 person-years (95% CI 42.6-61.0) and the pooled prevalence of atopic dermatitis was 18.1% (95% CI 13.6-22.5).

Conclusion: HE is common in hairdressers and most hairdressers have debut during apprenticeship. The prevalence of atopic dermatitis in hairdressers is comparable with estimates in the general population, indicating that occupational exposures are the main factor in the increased prevalence of HE in hairdressers. This warrants a strategic and collective effort to prevent HE in hairdressers.

Keywords: dermatosis; hairdressers; hand eczema; incidence; prevalence; severity; skin disease.

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References

REFERENCES

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