Journal
ACTA DERMATO-VENEREOLOGICA
Volume 95, Issue 3, Pages 298-302Publisher
ACTA DERMATO-VENEREOLOGICA
DOI: 10.2340/00015555-1901
Keywords
epidemiology; general population; psoriasis; smoking; snuff; tobacco
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Funding
- FORTE: The Swedish Research Council for Health, Working Life and Welfare
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A possible association between use of snus (Swedish moist snuff) and hand eczema was studied. 27,466 individuals responded to questions regarding hand eczema, tobacco use and other life style factors in a Swedish Public Health Survey in 2006, response rate 58%. Of these persons, 12.2% reported daily snus use (men 22.0%, women 4.3%), 15.5% daily smoking (men 14.4%, women 16.5%). Of snus users 7.5% reported hand eczema (men 6.5%, women 11.8%), of smokers 11.7% (men 8.6%, women 13.6%) and of non-tobacco-users 9.7% (men 7.9%, women 11.0%). In multivariate analysis hand eczema was significantly less common in snus users, in total prevalence proportion ratio (PPR) = 0.813, in men PPR = 0.820, but significantly more common in smoking women, PPR=1.238. Physical exercise was a confounder; sex an effect modifier. No positive association was demonstrated between snus use and hand eczema in contrast to the positive association found between smoking and hand eczema in women.
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