title: Awareness of occupational skin disease in the service sector.
abstract: BACKGROUND
  Occupational skin disease (OSD) is a common occupational disease. Although primary prevention strategies are known, OSDs remain prevalent in a variety of work environments including the service sector (restaurant/food services, retail/wholesale, tourism/hospitality and vehicle sales and service).
  
  
  OBJECTIVE
  To obtain information about awareness and prevention of OSD in the service sector.
  
  
  METHODS
  Focus groups and a survey were conducted with two groups. The first consisted of staff of the provincial health and safety association for the service sector and the second group comprised representatives from sector employers. Focus groups highlighted key issues to inform the survey that obtained information about perceptions of awareness and prevention of OSD and barriers to awareness and prevention.
  
  
  RESULTS
  Both provincial health and safety association staff and sector employer representatives highlighted low awareness and a low level of knowledge of OSD in the sector. Barriers to awareness and prevention included a low reported incidence of OSD, low priority, lack of training materials, lack of time and cost of training, lack of management support and workplace culture.
  
  
  CONCLUSIONS
  A starting point for improving prevention of OSD in the service sector is increased awareness. Identification of the barriers to awareness and prevention will help to shape an awareness campaign and prevention strategies. Building on existing experience in Europe will be important.
authors.affiliation: Department of Occupational and Environmental Health, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada.|Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario M5B 1W8, Canada.|Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 1R4, Canada.|Department of Medicine, University of Toronto, Toronto, Ontario M5G 2C4, Canada.|Centre for Research Expertise in Occupational Disease, Toronto, Ontario M5T 1R4, Canada.
authors.forename: D L
authors.initials: DL
authors.lastname: Holness
authors.affiliation: Department of Occupational and Environmental Health, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada.|Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 1R4, Canada.|Centre for Research Expertise in Occupational Disease, Toronto, Ontario M5T 1R4, Canada.
authors.forename: I
authors.initials: I
authors.lastname: Kudla
authors.affiliation: Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario M5B 1W8, Canada.|Centre for Research Expertise in Occupational Disease, Toronto, Ontario M5T 1R4, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Brown
authors.affiliation: Workplace Safety and Prevention Services, Mississauga, Ontario L4W 0A1, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Miller
mesh_terms: D003132:Commerce; D009783:Dermatitis, Occupational / Q000453:epidemiology* / Q000517:prevention & control; D017144:Focus Groups; D005522:Food Services; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans
keywords: Dermatitis; occupational contact dermatitis; occupational disease; occupational exposure; occupational skin disease; services; skin disease; skin protection.