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).
CONCLUSIONS: 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.
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).
CONCLUSIONS: 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.
摘要：
背景：由于皮肤危险暴露，例如工作环境中的刺激物和过敏原，理发师通常会受到手部湿疹（HE）的影响。
目的：为了概述当前的患病率，发病率,和严重性，以及首次亮相的模式和特应性皮炎对理发师HE的贡献。
方法：根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行系统评价。检索了2000年至2021年4月发表的符合预定义资格标准的研究。
结果：合并的终生患病率为38.2％（95％置信区间[CI]32.6-43.8），合并的1年患病率为20.3%（95%CI18.0-22.6），在理发师中观察到HE的合并点患病率为7.7％（95％CI5.8-9.6）。训练有素的理发师和美发学徒的终生患病率几乎相同。HE的合并发生率为51.8例/1000人年（95％CI42.6-61.0），特应性皮炎的合并患病率为18.1％（95％CI13.6-22.5）。
结论：HE在理发师中很常见，大多数理发师在学徒期间首次亮相。理发师特应性皮炎的患病率与普通人群的估计值相当，表明职业暴露是理发师HE患病率增加的主要因素。这需要采取战略性和集体的努力来防止理发师中的HE。
目的：为了概述当前的患病率，发病率,和严重性，以及首次亮相的模式和特应性皮炎对理发师HE的贡献。
方法：根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行系统评价。检索了2000年至2021年4月发表的符合预定义资格标准的研究。
结果：合并的终生患病率为38.2％（95％置信区间[CI]32.6-43.8），合并的1年患病率为20.3%（95%CI18.0-22.6），在理发师中观察到HE的合并点患病率为7.7％（95％CI5.8-9.6）。训练有素的理发师和美发学徒的终生患病率几乎相同。HE的合并发生率为51.8例/1000人年（95％CI42.6-61.0），特应性皮炎的合并患病率为18.1％（95％CI13.6-22.5）。
结论：HE在理发师中很常见，大多数理发师在学徒期间首次亮相。理发师特应性皮炎的患病率与普通人群的估计值相当，表明职业暴露是理发师HE患病率增加的主要因素。这需要采取战略性和集体的努力来防止理发师中的HE。
