Low sensitivity of a self-report questionnaire for hand eczema in hairdressing apprentices

IF 4.8 1区医学 Q2 ALLERGY Contact Dermatitis Pub Date : 2024-09-10 DOI:10.1111/cod.14686

Jelena Kovačić, Zrinka Franić, Adrijana Bjelajac, Jelena Macan

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Abstract

Background

The validity of the self-report questionnaire for hand eczema (HE) among Croatian hairdressers was not investigated previously, leading to uncertainty in the prevalence estimated from self-reported data.

Objectives

To (1) investigate the validity of the self-report questionnaire for HE in hairdressing apprentices and (2) examine the differences between apprentices who recognised their HE symptoms and those who did not.

Methods

Clinical examination for HE signs on hands and wrists was performed by the Osnabrueck Hand Eczema Severity Index for 408 apprentices at four visits covering the entire schooling period. Self-report HE was based on the Nordic Occupational Skin Questionnaire.

Results

Low sensitivity (7%–37%) with high specificity (≥95%) was observed, with both measures improving from baseline to last visit. The severity of HE signs was the only factor associated with the correct identification of HE signs in analyses adjusted for previous HE signs, health-related quality of life, and atopic dermatitis (adjusted odds ratios of 1.58 with 95% confidence interval [1.06–2.35] and 1.74[1.38–2.19] at second and third follow-up visit, respectively).

Conclusions

Self-report questionnaire for HE showed low sensitivity in hairdressing apprentices, especially at the beginning of training and in those with mild symptoms. Further validation studies following questionnaire modifications aimed at adolescent population are advised.

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美发学徒手部湿疹自我报告问卷的灵敏度较低

背景以前没有调查过克罗地亚美发师手部湿疹（HE）自我报告问卷的有效性，因此根据自我报告数据估算的患病率存在不确定性。方法采用奥斯纳布吕克手部湿疹严重程度指数（Osnabrueck Hand Eczema Severity Index）对 408 名学徒的手部和腕部湿疹症状进行临床检查，共进行了四次检查，涵盖整个在校学习期间。结果观察到的灵敏度较低（7%-37%），特异性较高（≥95%），从基线到最后一次就诊，这两项指标均有所改善。在对以往的 HE 征兆、健康相关生活质量和特应性皮炎进行调整后的分析中，HE 征兆的严重程度是唯一与正确识别 HE 征兆相关的因素（第二次和第三次随访时的调整赔率分别为 1.58，95% 置信区间为 [1.06-2.35] 和 1.74[1.38-2.19]）。建议在针对青少年群体修改问卷后，进一步开展验证研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contact Dermatitis 医学-过敏

CiteScore

4.60

自引率

30.90%

发文量

227

审稿时长

4-8 weeks

期刊介绍： Contact Dermatitis is designed primarily as a journal for clinicians who are interested in various aspects of environmental dermatitis. This includes both allergic and irritant (toxic) types of contact dermatitis, occupational (industrial) dermatitis and consumers" dermatitis from such products as cosmetics and toiletries. The journal aims at promoting and maintaining communication among dermatologists, industrial physicians, allergists and clinical immunologists, as well as chemists and research workers involved in industry and the production of consumer goods. Papers are invited on clinical observations, diagnosis and methods of investigation of patients, therapeutic measures, organisation and legislation relating to the control of occupational and consumers".