Use of aromatherapy products and increased risk of hand dermatitis in massage therapists.
OBJECTIVE
To determine the 12-month prevalence of hand dermatitis among massage therapists, to investigate a potential association between hand dermatitis and the use of aromatherapy products, and to study potential associations with other known risk factors for hand dermatitis.


METHODS
Mailed survey.


METHODS
Philadelphia, Pa.


METHODS
Members of a national massage therapy organization who live in the greater Philadelphia region.


METHODS
Self-reported and symptom-based prevalences of hand dermatitis.


RESULTS
The number of respondents was 350 (57%). The 12-month prevalence of hand dermatitis in subjects was 15% by self-reported criteria and 23% by a symptom-based method. In multivariate analysis, statistically significant independent risk factors for self-reported hand dermatitis included use of aromatherapy products in massage oils, lotions, or creams (odds ratio, 3.27; 95% confidence interval, 1.53-7.02; P =.002) and history of atopic dermatitis (odds ratio, 8.06; 95% confidence interval, 3.39-19.17; P<.001).


CONCLUSIONS
The prevalence of hand dermatitis in massage therapists is high. Significant independent risk factors include use of aromatherapy products in massage oils, creams, or lotions and history of atopic dermatitis.
Crawford
Glen H
GH
Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, USA. glen.crawford@uphs.upenn.edu
Katz
Kenneth A
KA
Ellis
Elliot
E
James
William D
WD
D000328:Adult; D019341:Aromatherapy / Q000009:adverse effects*; D009783:Dermatitis, Occupational / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology; D005260:Female; D006229:Hand Dermatoses / Q000139:chemically induced / Q000453:epidemiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008405:Massage; D015143:Philadelphia / Q000453:epidemiology; D010938:Plant Oils / Q000009:adverse effects*; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires
D010938:Plant Oils