| 1. |
- Diab, Kerstin
(författare)
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Female hairdressers - Respiratory symptoms, mechanisms, and health-related quality of life and their views on the work environment
- 2014
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Little is known of respiratory symptoms in female hairdressers, and of the impact on the health-related quality of life (HRQoL), nor of knowledge of their own views on preventive work. The aim of this thesis was to examine the occurrence of asthma, symptoms and mechanism of bleaching-associated nasal symptoms, the effects on HRQoL and how young hairdressers reason about the work environment. A moderate increased risk of asthma was found during active time in non-smoking hairdressers, and it was somewhat greater for those performing most bleaches and hair spraying. Childhood hay fever and smoking had no effect on this risk. Hairdressers with bleaching- associated nasal symptoms (S+) responded in a challenge study with increasing symptoms and albumin in nasal lavage at a nasal challenge with persulphate, and atopic females to a lesser intent. The reaction of the S+ did not seem to be IgE-mediated. After a month's work S+ reacted with increasing symptoms and an increase in ECP in nasal lavage. HRQoL decreased in S+ parallel to an increase in nasal symptoms. In an interview study young hairdressers had an awareness of the work environment and opportunities to influence it, but shortage of means and strategies made it not an active part of their business. Focus was on customers and working technique. Organization had an impact and teachers were crucial for the preventive work. Hairdressers saw the professional future as uncertain due to work-related health risks and their consequences.
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| 2. |
- Diab, Kerstin, et al.
(författare)
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Swedish Female Hairdressers' Views on Their Work Environment - A Qualitative Study.
- 2014
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Ingår i: Journal of Occupational Health. - 1348-9585. ; 56:2, s. 100-110
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Hairdressers have several work-related health hazards. Little is known of their strategies for the work environment. The aim of this study was to explore female hairdressers' own views on their physical, social and psychological work environment as possibilities of influencing it, implementation of their knowledge, financial impacts and how work-related symptoms affect their views. Methods: Fourteen hairdressers working for four years were subjected to open-ended interviews covering aspects of the physical, social and psychological work environment. Content analysis was applied. Results: An awareness of the impact of the work environment and the possibilities of influencing it emerged, but also an inability to achieve preventive improvements. This included reflections concerning ventilation, health issues, job strain, hair products, financial issues, knowledge from school and concern for having to leave the profession. The organization and acceptance of the work environment were important issues. Making the work environment an active part of their business was not common. Conclusions: Female hairdressers had an awareness of their work environment but lacked the means and strategies to make it an active part of their business. The main focus was on the customers and the work techniques. Having various symptoms did not alter this. Organizational and financial issues could put limitations on the work environment. Teachers were crucial in making the work environment interesting. Hairdressing was seen with advantages and disadvantages, and its future was seen as being insecure in terms of the occupational health risks. The hairdressers expressed a great pride in their profession providing possibilities for development.
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| 3. |
- Diab, Kerstin, et al.
(författare)
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Work-related airway symptoms, nasal reactivity and health-related quality of life in female hairdressers: a follow-up study during exposure.
- 2014
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Ingår i: International Archives of Occupational and Environmental Health. - : Springer Science and Business Media LLC. - 1432-1246 .- 0340-0131. ; 87:1, s. 61-71
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: Hairdressers often complain of work-related rhinitis (WR). They are infrequently sensitized to persulphates. The cause and mechanism of the symptoms and the effects on their health-related quality of life (HRQoL) remains unclear. The objectives were to follow female hairdressers with WR mainly from bleaching powder regarding nasal reactivity to persulphate and to evaluate symptoms, HRQoL and inflammatory markers in nasal lavage during a working period after vacation and compared with hairdressers without symptoms and pollen allergic women. METHODS: Skin prick tests to persulphate were performed in the hairdressers. Participants kept a diary of symptoms and of work tasks (hairdressers only). They completed HRQoL questionnaires. Eosinophil cationic protein (ECP) in nasal lavage fluid was examined. The symptomatic hairdressers performed nasal challenges with persulphate before and after the exposure. RESULTS: Skin prick tests were negative. Although the nasal reactivity to persulphate did not change a steady increase in nasal symptoms, especially blockage, and in ECP was noticed in the symptomatic hairdressers. The HRQoL deteriorated in the symptomatic hairdressers indicating an effect on their working situation and daily life. The atopics had more, but varying symptoms (itching, sneezing and secretion). CONCLUSIONS: The difference in the clinical picture between the symptomatic hairdressers and the pollen allergic women, the increase in symptoms and ECP in the nasal lavage support the view that a sensitization to hairdresser chemicals by a mechanism not yet understood is operating. The deterioration of the HRQoL in the symptomatic hairdressers indicates a considerable effect on their life.
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| 4. |
- Kalm-Stephens, Pia, et al.
(författare)
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Hypersensitivity and the working environment for allergy nurses in sweden.
- 2014
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Ingår i: Journal of Allergy. - : Hindawi Limited. - 1687-9783 .- 1687-9791. ; 2014:Apr 6
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Tidskriftsartikel (refereegranskat)abstract
- Background. Allergy nurses are exposed to allergens and respiratory irritants, and there are no national guidelines addressing personnel safety when working with these agents. Objective. To investigate the prevalence of allergies, asthma, and hypersensitivity symptoms among allergy nurses and the use of protective equipment and measures when working with allergen concentrates and respiratory irritants. Methods. A questionnaire survey was performed among the members of the Swedish Association of Allergy Nurses. Results. Diagnosed asthma was reported by 17%, while 18% had allergy to pets, 28% had allergy to pollens, and 26% reported nasal symptoms. Fifty-one percent reported a history of asthma, allergic diseases, or hypersensitivity symptoms in their family. Exhaust ventilation was used by 24% during skin prick tests, 17% during allergen specific immunotherapy, and 33% when performing methacholine challenge tests. Tightly closed containers for disposable waste were used by 58% during skin prick tests, by 60% during immunotherapy, and by 40% during Pc provocation tests. Conclusion. Allergy nurses had a tendency to increased prevalence of lower respiratory symptoms, asthma, and allergic rhinitis and more than half of the nurses had a family history of asthma, allergic diseases, or hypersensitivity symptoms. Additional studies are needed to evaluate the validity of these results.
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| 5. |
- Kåredal, Monica, et al.
(författare)
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Time-Dependent Proteomic iTRAQ Analysis of Nasal Lavage of Hairdressers Challenged by Persulfate.
- 2010
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Ingår i: Journal of Proteome Research. - : American Chemical Society (ACS). - 1535-3893 .- 1535-3907. ; okt, s. 5620-5628
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Tidskriftsartikel (refereegranskat)abstract
- Hairdressers are frequently exposed to bleaching powder containing persulfates, a group of compounds that may induce hypersensitivity in the airways. The mechanism causing this reaction is not clear. The aim of this study was to identify changes in the nasal lavage fluid proteome after challenge with potassium persulfate in hairdressers with bleaching powder-associated rhinitis. Furthermore, we aimed to compare their response to that of hairdressers without nasal symptoms, and atopic subjects with pollen-associated nasal symptoms. To study the pathogenesis of persulfate-associated rhinitis, the response in protein expression from the upper airway was assessed by time-dependent proteomic expression analysis of nasal lavage fluids. Samples were prepared by pooling nasal lavage fluids from the groups at different time points after challenge. Samples were depleted of high-abundant proteins, labeled with iTRAQ and analyzed by online 2D-nanoLC-MS/MS. Differences in the protein pattern between the three groups were observed. Most proteins with differentially expressed levels were involved in pathways of lipid transportation and antimicrobial activities. The major finding was increased abundance of apolipoprotein A-1, 20 min postchallenge, detected solely in the group of symptomatic hairdressers. Our results suggest there may be differences between the mechanisms responsible for the rhinitis in the symptomatic and atopic group.
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