title: High prevalence of skin symptoms among bakery workers.
abstract: BACKGROUND
  Occupational skin disease is common and bakery workers are at increased risk of hand dermatitis.
  
  
  OBJECTIVE
  To explore the frequency of, and to identify risk factors for, skin symptoms in a small bakery.
  
  
  METHODS
  A cross-sectional survey of workers in a small bakery in Scotland, using a self-completed questionnaire regarding skin symptoms over the last 12 months. Additionally, data on self-reported atopy status, glove use and daily hand washing frequencies were obtained. Workers were classed as being at low, medium or high risk of occupational skin disease based on their job titles.
  
  
  RESULTS
  The overall response rate was 85% (52 women, 41 men) with a mean age of 41 (range 17-72). Eleven per cent of bakers, confectioners and packers and 31% of cleaners, cooks and food production workers reported at least one skin symptom. Thirty-three per cent of symptomatic low-risk workers, 50% of symptomatic medium-risk workers and 75% of symptomatic high-risk workers stated their symptoms usually improved away from work. While washing hands more frequently than 20 times a day had an increased risk of skin symptoms, this was not significant [OR 3.5 (95% CI 0.9-13.2)].
  
  
  CONCLUSIONS
  There was a high prevalence of skin symptoms among these bakery workers which was more than double that previously reported in UK bakeries. Frequent washing of hands as a risk factor for skin symptoms may warrant further investigation in bakery workers.
authors.affiliation: Department of Environmental and Occupational Medicine, Division of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
authors.forename: M F C
authors.initials: MF
authors.lastname: Steiner
authors.forename: F D
authors.initials: FD
authors.lastname: Dick
authors.forename: A R
authors.initials: AR
authors.lastname: Scaife
authors.forename: S
authors.initials: S
authors.lastname: Semple
authors.forename: P
authors.initials: P
authors.lastname: Paudyal
authors.forename: J G
authors.initials: JG
authors.lastname: Ayres
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001939:Bread; D009783:Dermatitis, Occupational / Q000453:epidemiology*; D004812:Epidemiologic Methods; D005260:Female; D005511:Food Handling; D006801:Humans; D006920:Hygiene; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects; D011481:Protective Clothing / Q000706:statistics & numerical data; D012606:Scotland / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult