268239 Self-reported health symptoms and injuries among drycleaners

Sunday, October 28, 2012

Sahar Nouredini, PHN, MSN, CNS , School of Nursing/Occupational Environmental Health Nursing, UCSF, San Francisco, CA
Heather Greysen, RN, NP, MSN , School of Nursing/Occupational Environmental Health Nursing Program, UCSF, San Francisco
Dal Lae Chin, PhD, RN , School of Nursing, Department of Community Health Systems, University of California, San Francisco, San Francisco, CA
OiSaeng Hong, PhD, RN, FAAN , School of Nursing, University of California, San Francisco, San Francisco, CA
Background: Approximately 204,820 drycleaners are employed within the US, many are at great risk for being exposed to chlorinated solvents, including Perchlorethylene (PERC). Several studies have demonstrated an association between exposure to chlorinated solvents and renal disease, cancer, neuropathies and hearing loss in drycleaners. Approximately 85% of drycleaners continue to use PERC. Drycleaners are also subjected to a fast paced work environment and encounter many ergonomic risks thus increasing risk for musculoskeletal injuries. Objectives: The purpose of the study was to identify the most common health symptoms associated with chemical exposure and injuries among workers in the drycleaning industry. Methods: A cross-sectional survey was conducted with 198 drycleaners from the American Midwest. The survey included validated questions on occupational exposures, demographic and job characteristics, symptoms and injuries, and health behaviors. Results: The participants were mid-aged (mean age= 46years), male (58%), and Korean-Americans (84%) with extended experience in the drycleaning sector (mean=11 years).. About 67% sustained at least one occupational injury and 42% of reported at least one symptom related to chemical exposure. The most common injuries were burns (49.2%) followed by fatigue/ heat exhaustion (30.4%) and low back injury (18.8%). The most common health symptoms related to chemical exposure include headache (42.2%), nose irritation (36.6%), and throat irritation (33.1%). Conclusion: There is a high prevalence of occupational injuries and health symptoms among drycleaners. Interventions targeted at reducing incidence of burns and fatigue are needed. Health symptoms from chemical exposure are common among drycleaners, suggesting the need for protection from chemicals.

Learning Areas:
Occupational health and safety
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
1. List three injuries for which drycleaners are at risk. 2. List three outcomes associated with exposure to dry-cleaning solvents. 3. Identify areas for worksite interventions that could potentially decrease the incidence of the most common symptoms and injuries in the drycleaner population.

Keywords: Occupational Exposure, Occupational Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctoral student in the Occupational Environmental Health Nursing Program at UCSF. My areas of research interest include: occupational chemical exposures, occupational health disparities, risk perception and safety climate.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.