Yonsei Med J.  2020 Jan;61(1):64-72. 10.3349/ymj.2020.61.1.64.

Prevalence and Risk Factors of Occupational Skin Disease in Korean Workers from the 2014 Korean Working Conditions Survey

Affiliations
  • 1Occupational Safety and Health Research Institute , Korea Occupational Safety and Health Agency, Ulsan, Korea.
  • 2Department of Medical Humanities and Social Medicine, Kosin University College of Medicine, Busan, Korea.
  • 3Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. soonichoi@gmail.com

Abstract

PURPOSE
Occupational skin disease (OSD) is a commonly known occupational disease. However, epidemiological data about this condition in Korea are limited. We aimed to estimate the prevalence and risk factors of OSD using nationally representative data.
MATERIALS AND METHODS
We used data from the large-scale, cross-sectional, nationwide 4th Korean Working Conditions Survey conducted in 2014. OSD was defined as skin diseases caused or aggravated by working environments as indicated in a self-reported questionnaire. Factors affecting the occurrences of OSD were investigated using logistic regression analysis.
RESULTS
The prevalence rates of OSD were 1.35% in all workers and 62.2% in workers with skin diseases. The workers with OSD were older, had lower educational levels, and had longer working times per week than those without OSD (p<0.001). Furthermore, OSDs occurred more frequently in self-employed workers (p=0.002), those with small-sized businesses (p=0.008), those with longer working durations (p<0.001), and manual and service workers (p<0.001). Although the workers with OSD had greater exposure to various hazardous factors, logistic multivariate analysis showed that high temperatures and skin contact with chemical products were significantly correlated (odds ratios: 2.096 and 2.326, respectively). High prevalence rates of OSD were observed in membership organizations/repair/other personal services (3.2%), agriculture/forestry/fishing (2.7%), manufacturing (2.0%), and construction (1.6%) industries. Additionally, depression/anxiety problems were significantly more prevalent in workers with OSD than in those without (p<0.001).
CONCLUSION
This is the first study to present large-scale epidemiological data on OSD prevalence in Korean workers. Our results highlight modifiable factors contributing to the development of OSDs.

Keyword

Occupational skin disease; occupational dermatitis; epidemiology

MeSH Terms

Commerce
Dermatitis, Occupational
Epidemiology
Humans
Korea
Logistic Models
Multivariate Analysis
Occupational Diseases
Prevalence*
Risk Factors*
Skin Diseases*
Skin*

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