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Preventing Occupational Skin Disease: A Review of Training Programs
Bethany Zack1, Victoria H Arrandale, D Linn Holness
1From the *Dalla Lana School of Public Health, University of Toronto, †Department of Occupational Health and Centre for Urban Health Solutions, Li Ka Shing, Knowledge Institute, St Michael's Hospital; ‡Occupational Cancer Research Centre, Cancer Care Ontario; and §Department of Medicine, University of Toronto, Canada.
Abstract:
Occupational contact dermatitis (OCD) is a common occupational disease that impacts a variety of worker groups. Skin protection and disease prevention training programs have shown promise for improving prevention practices and reducing the incidence of OCD. This review details the features of training programs for primary prevention of OCD and identifies gaps in the literature. Twelve studies were identified for in-depth review: many studies included wet workers employed in health care, hairdressing, cleaning, and food preparation; 1 program featured manufacturing workers. Few programs provided content on allergic contact dermatitis, and only 1 was evaluated for long-term effectiveness. Effective programs were similar in content, delivery method, and timing and were characterized by industry specificity, multimodal learning, participatory elements, skin care resource provision, repeated sessions, and management engagement. Long-term effectiveness, generalizability beyond OCD, workplace health and safety culture impact, and translation of programs in the North American context represent areas for future research.
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