{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T05:47:33Z","timestamp":1776318453112,"version":"3.50.1"},"reference-count":23,"publisher":"BMJ","issue":"10","funder":[{"name":"Danish Hairdressers and Beauticians Union","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Occup Environ Med"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Occupational hand eczema (OHE) is common in hairdressers, and many leave the trade because of the disease. However, the exact impact of OHE on career length is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effect of OHE on career length and risk factors associated with leaving the trade because of OHE in hairdressers followed-up for up to 35 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective cohort study of Danish hairdressers graduating between 1985 and 2007 (n=5219) was performed. A questionnaire was sent in 2009 and 2020. The Danish Labor Marked Supplementary Pension Scheme provided information on affiliation to the hairdressing profession. Career length was assessed by Kaplan-Meier analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median survival time was 12.0 (95% CI 11.0 to 13.0) years in graduates with OHE and 14.0 (95% CI 12.6 to 15.4) years in graduates without OHE (p&lt;0.001). Graduates with a frequency of hand eczema (HE) of \u2018once\u2019, \u2018several times\u2019 and \u2018almost all the time\u2019 had a median survival time of 20.0 (95% CI 14.6 to 25.4), 12.0 (95% CI 10.7 to 13.3) and 7.0 (95% CI 5.6 to 8.4) years, respectively. Graduates with OHE that left the trade (partly) because of HE constituted 11.7% of the study population. Factors associated with leaving the trade because of HE included a history of atopic dermatitis (adjusted OR (aOR) 2.2 (95% CI 1.2 to 4.0), a history of a positive patch test (aOR 5.1 (95% CI 2.3 to 11.0) and allergy to hair dyes (aOR 9.4 (95% CI 3.4 to 25.6).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Career length is reduced in hairdressers with OHE, especially if frequently relapsing or caused by contact allergy, for example, to hair dyes.<\/jats:p><\/jats:sec>","DOI":"10.1136\/oemed-2022-108230","type":"journal-article","created":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T17:21:23Z","timestamp":1656004883000},"page":"649-655","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Occupational hand eczema reduces career length in hairdressers: a prospective cohort study of Danish hairdressers graduating from 1985 to 2007"],"prefix":"10.1136","volume":"79","author":[{"given":"Martin","family":"Havmose","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob Pontoppidan","family":"Thyssen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claus","family":"Zachariae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Uter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanne Duus","family":"Johansen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,6,23]]},"reference":[{"key":"2023050500501018000_79.10.649.1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13910"},{"key":"2023050500501018000_79.10.649.2","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12231"},{"key":"2023050500501018000_79.10.649.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2008.01362.x"},{"key":"2023050500501018000_79.10.649.4","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17794"},{"key":"2023050500501018000_79.10.649.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.1999.tb06162.x"},{"key":"2023050500501018000_79.10.649.6","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2005.026211"},{"key":"2023050500501018000_79.10.649.7","doi-asserted-by":"publisher","DOI":"10.1007\/s004200050310"},{"key":"2023050500501018000_79.10.649.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2006.00266.x"},{"key":"2023050500501018000_79.10.649.9","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12744"},{"key":"2023050500501018000_79.10.649.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2011.01935.x"},{"key":"2023050500501018000_79.10.649.11","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12315"},{"key":"2023050500501018000_79.10.649.12","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12588"},{"key":"2023050500501018000_79.10.649.13","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12869"},{"key":"2023050500501018000_79.10.649.14","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.13371"},{"key":"2023050500501018000_79.10.649.15","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12176"},{"key":"2023050500501018000_79.10.649.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2012.02050.x"},{"key":"2023050500501018000_79.10.649.17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2009.01624.x"},{"key":"2023050500501018000_79.10.649.18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2009.01668.x"},{"key":"2023050500501018000_79.10.649.19","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12196"},{"key":"2023050500501018000_79.10.649.20","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13717"},{"key":"2023050500501018000_79.10.649.21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2005.06494.x"},{"key":"2023050500501018000_79.10.649.22","first-page":"227","article-title":"Epidemiology of different types of hand eczema in an industrial City","volume":"69","author":"Meding","year":"1989","journal-title":"Acta Derm Venereol"},{"key":"2023050500501018000_79.10.649.23","unstructured":"Hver anden selvst\u00e6ndig glemmer pensionen. faktum, 2012. 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