Work-related stress and atopic dermatitis: Results from the study on occupational allergy risks

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Tobias Weinmann - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Felix Forster - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Katharina Hell - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Jessica Gerlich - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Laura Wengenroth - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Wolff Schlotz - , Max Planck Institute for Empirical Aesthetics (Autor:in)
  • Christian Vogelberg - , Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus Dresden, Technische Universität Dresden (Autor:in)
  • Erika von Mutius - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Dennis Nowak - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Katja Radon - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)

Abstract

Chronic stress at work is ubiquitous in modern societies. However, its influence on atopic dermatitis (AD) has hardly been investigated. This study aimed to elucidate the association between work-related stress and AD via a longitudinal study. The analysis comprised data from three phases (2002–2003, 2007–2009, 2017–2018) of the prospective Study on Occupational Allergy Risks (SOLAR), including 1,240 young adults aged 16 to 18 years at baseline (61% female) who were originally recruited for the International Study of Asthma and Allergies in Childhood Phase II in 1995–1996. AD was assessed at all three phases based on self-reports of a physician’s diagnosis and symptoms. Work-related stress was measured at all three periods using the work discontent and work overload scales from the Trier Inventory for the Assessment of Chronic Stress with adaptions to school and university. Generalized estimating equations were used to analyze the association between stress and AD, treating work discontent and work overload first as continuous and then as categorical exposure variables. We observed 50 AD cases (4%) at SOLAR I, 48 (4%) at SOLAR II, and 42 (3%) at SOLAR III. A one-point increase in the work discontent score was associated with an odds ratio (OR) for AD of 1.05 (95% confidence interval [CI], 1.00–1.10). The respective increase in the work overload score led to an OR of 1.03 (95% CI, 0.99–1.06). In the categorical analysis, there was no clear indication of elevated odds of AD in the highest vs. lowest exposure group (4th vs. 1st quartile: OR, 1.53; 95% CI, 0.92–2.53 for work discontent; OR, 1.38, 95% CI, 0.83–2.27 for work overload). Altogether, we observed limited to no evidence for an association between work-related stress and AD. Our study’s ability to detect stronger evidence may have been compromised by shortcomings such as nondifferential misclassification of the outcome or insufficient statistical precision due to small numbers of AD cases. Another explanation could be that AD predominantly becomes evident in childhood, not in adulthood.

Details

OriginalspracheEnglisch
Seiten (von - bis)109-119
Seitenumfang11
Fachzeitschrift Journal of occupational and environmental hygiene
Jahrgang20
Ausgabenummer2
PublikationsstatusVeröffentlicht - 24 Jan. 2023
Peer-Review-StatusJa

Externe IDs

PubMed 36441057

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • Atopy, chronic stress, eczema, itchy skin, occupational stress, skin disease, Prospective Studies, Humans, Male, Occupational Stress/epidemiology, Asthma, Young Adult, Female, Dermatitis, Atopic/epidemiology, Longitudinal Studies

Bibliotheksschlagworte