Factors Affecting Use of Personal Protective Equipment and the Risk of Contact Dermatitis among Scavengers in Surakarta, Central Java: Application Of Health Belief Model

Abstract

Background: Contact dermatitis is triggered by contact with an allergen or substance that causes skin inflammation. Personal protective equipment (PPE) is important to protect individual against health risks while working. The purpose of this study was to determine factors affecting use of PPE and the risk of contact dermatitis among scavengers using health belief model (HBM). Subjects and Method: A cross-sectional study was carried out at Putri Cempo landfill, Mojosongo, Surakarta, Central Java, from March to April 2019. A sample of 203 scavengers was selected by total sampling. The dependent variable was contact dermatitis. The independent variables were age, education, perceived susceptibility, perceived benefit, and PPE use. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: The risk of dermatitis in scavengers increased with age 15-35 years old (OR= 28.71: 95% CI= 2.75 to 302.54; p= 0.005), education

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影响个人防护装备使用及接触性皮炎风险的因素:健康信念模型的应用

背景:接触性皮炎是由接触引起皮肤炎症的过敏原或物质引起的。个人防护装备(PPE)对于保护个人在工作时免受健康风险至关重要。本研究的目的是利用健康信念模型(health belief model, HBM)确定影响清道夫使用个人防护用品和接触性皮炎风险的因素。对象和方法:于2019年3月至4月在中爪哇省苏拉arta Mojosongo的Putri Cempo垃圾填埋场进行了一项横断面研究。采用全抽样法，选取清道夫203人。因变量为接触性皮炎。自变量为年龄、教育程度、感知易感性、感知获益和个人防护装备的使用。采用问卷调查法收集资料，采用多元logistic回归分析。结果:15-35岁清道夫患皮炎的风险增加(OR= 28.71: 95% CI= 2.75 ~ 302.54;p= 0.005)，学历<初中(OR= 32.72;95% CI= 2.81 ~ 380.27;p= 0.005)， PPE使用不完全(OR= 251.10;95% CI= 10.79 ~ 5843.82;p= 0.001)，低感知易感性(OR= 7.64;95% CI= 1.10 ~ 53.12;p= 0.040)，感知获益低(OR= 18.97;95% CI= 2.08 ~ 172.81;p = 0.009)。结论:15 ~ 35岁、学历<初中、PPE不完整、易感性认知低、获益认知低，发生皮炎的风险增加。关键词:接触性皮炎，个人防护用品，清除剂

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