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Seo JY, Han I, Au E, Li A, Tomas C, Chao YY. Evaluating Occupational Workforce and Practices in New York Metropolitan Nail Salons. New Solut 2024:10482911241290554. [PMID: 39397559 DOI: 10.1177/10482911241290554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2024]
Abstract
This study investigated workforce characteristics, work practices, protective measures, and health symptoms among nail salon workers in New York and New Jersey following the implementation of local exhaust ventilation (LEV) regulations in New York. An online survey conducted from 2022 to 2023 targeted registered nail salons and manicurists in both states (N = 146). The majority of respondents were Asian, primarily Korean (52.1%) and Chinese (26%). In New York, 79% of salons had a mechanical ventilation system, including LEV, while in New Jersey, where no ventilation regulation exists, only 52% of nail salons had mechanical ventilation systems. A substantial proportion of manicurists reported health-related concerns (40.5%) and symptoms related to chemical exposure (67.6%). The study emphasizes the need for continuous and improved illness prevention strategies, including the use of safer products, comprehensive health and safety training, and effective ventilation practices, to better protect nail salon workers.
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Affiliation(s)
| | - Inkyu Han
- Temple University College of Public Health, Philadelphia, PA, USA
| | - Elaine Au
- Hunter College CUNY, New York, NY, USA
| | - Anqi Li
- Hunter College CUNY, New York, NY, USA
| | | | - Ying-Yu Chao
- Rutgers The State of New Jersey, Newark, NJ, USA
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Huỳnh TB, Tina Nguyễn D, Vũ N, Carroll-Scott A, Wong C, Freeland C, Parvanta C. Perceived Benefits and Barriers to Implementing Occupational Health Recommendations Among Immigrant-Owned Nail Salons in the Greater Philadelphia Region. Health Promot Pract 2024; 25:77-86. [PMID: 36924273 DOI: 10.1177/15248399231160461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
Introduction. Immigrant nail salon owners and employees face multiple barriers to accessing occupational health training and services. We formed an academic-community-based organization-business owner partnership-unique in that all partners were culturally congruent-to develop a pilot intervention program for the nail salon community. Methods. Eighteen individuals (nine salon owners and nine employees) from the Greater Philadelphia region received the training in their native language and provided feedback through in-depth qualitative interviews. Interview guide was developed using the Consolidated Framework for Implementation Research (CFIR). Themes of perceived benefits and barriers were identified and aligned with relevant CFIR constructs to gain better understanding of the implementation challenges. Results. Reported benefits of program were improved knowledge of the workplace hazards and safety practices, and the potential to attract more customers and retain employees. Perceived barriers to implementing recommended practices were limited availability of safer products and high cost, challenges communicating with customers, lack of engagement from some owners, organizational management practices affecting employees' motivation, and limited partnership with local government to assist small immigrant-owned businesses. Conclusions. Our study revealed multiple factors that pit long-term health protection of nail salon workers against the economic viability of the businesses that employ them. Our research highlights the need to (1) advocate for federal policies making safer products to be more accessible to the masses, (2) establish local policy and culturally appropriate technical support programs that engage community-based organizations, and (3) develop economic opportunities and mentorship for immigrant entrepreneurs to operate profitable healthy salons.
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Affiliation(s)
| | | | - Nga Vũ
- VietLead, Philadelphia, PA, USA
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Pedersen JE, Hansen J. Employment and risk of female breast cancer in Denmark. Am J Ind Med 2022; 65:343-356. [PMID: 35267219 DOI: 10.1002/ajim.23342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 01/13/2022] [Accepted: 02/14/2022] [Indexed: 11/12/2022]
Abstract
BACKGROUND Occupational exposures may play a role in breast cancer etiology, and research focusing on identifying high-risk workplaces is important to advance the understanding and prevention of breast cancer. METHODS We undertook a population-based nested case-control study among women who were less than 70 years of age and born in Denmark, based on registry data including 38,375 breast cancer cases and 191,875 controls matched on year of birth, with information on lifetime work history. Odds ratios for women ever employed in a job branch were adjusted for socioeconomic status and reproductive variables. RESULTS Adjusted odds ratios of less than 0.75 were observed for several occupations in agriculture, hunting, forestry, and fishing, while increased risk patterns (odds ratios greater than 1.50) were noted for a number of production occupations, including employment in graphics and printing, and metal and machinery production. In services, several military professions were also associated with a high increased breast cancer risk. CONCLUSIONS The study shows a variation in the risk of female breast cancer by employment in different industrial and occupational sectors, and suggests that certain occupational exposures, for example, outdoor work, organic solvents, polycyclic aromatic hydrocarbons (PAHs), and night-shift work may play a role in the risk of breast cancer. Further hypothesis-testing studies focusing on these employments with a detailed assessment of specific occupational exposures are warranted.
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Affiliation(s)
- Julie E. Pedersen
- Danish Cancer Society Research Center Danish Cancer Society Copenhagen Denmark
| | - Johnni Hansen
- Danish Cancer Society Research Center Danish Cancer Society Copenhagen Denmark
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Fernández-Esquer ME, Nguyen FM, Atkinson JS, Le YC, Chen S, Huynh TN, Schick V. Sức Khỏe là Hạnh Phúc (Health is Happiness): promoting mammography and pap test adherence among Vietnamese nail salon workers. Women Health 2020; 60:1206-1217. [PMID: 32990199 DOI: 10.1080/03630242.2020.1811834] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Vietnamese nail salon workers have low cancer screening rates and confront multiple socioeconomic disparities as immigrants to the US. The Sức Khỏe là Hạnh Phúc (Vietnamese for "Health is Happiness") program was adapted to the cultural and work needs of this population and implemented at nail salons to increase cancer screening adherence. A total of 186 study participants were recruited from 59 nail salons in a neighborhood with mostly Asian population. After being pretested, workers were enrolled in a cancer education session delivered by Vietnamese lay health workers. Non-adherent cases were offered navigation to cancer screening services to a local federally qualified health center. Participants completed a posttest survey five months, on average. At posttest, navigated non-adherent participants were more likely to report a recent Pap test compared to cases not navigated (83.8% vs. 50.0%), an effect not observed for mammography uptake (77.3% vs. 71.4%). Time in the US, marital status, insurance status, having a primary care provider and/or a gynecologist were significantly associated with cancer screening adherence. Low rates of adherence to cancer screening among Vietnamese nail salons workers can be improved by community based programs addressing cultural and work-related barriers confronted by this population.
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Affiliation(s)
- Maria Eugenia Fernández-Esquer
- Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center , Houston, TX, USA
| | - Frances M Nguyen
- Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center , Houston, TX, USA
| | - John S Atkinson
- Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center , Houston, TX, USA
| | - Yen-Chi Le
- McGovern Medical School, The University of Texas Health Science Center , Houston, TX, USA
| | | | | | - Vanessa Schick
- Department of Management, Policy, and Community Health, The University of Texas Health Science Center , Houston, TX, USA
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Engel CL, Sharima Rasanayagam M, Gray JM, Rizzo J. Work and Female Breast Cancer: The State of the Evidence, 2002-2017. New Solut 2019; 28:55-78. [PMID: 29658425 DOI: 10.1177/1048291118758460] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The authors undertook a scoping review to assess the literature from 2002 to 2017 on the relationship between occupation and female breast cancer. Case-control, cohort, and meta-analytic studies suggest that women working as flight attendants, in medical professions, some production positions, sales and retail, and scientific technical staff are likely to have elevated risk of breast cancer. In addition, occupational exposures to night-shift work, ionizing radiation, some chemicals, job stress, and sedentary work may increase risk of breast cancer. Occupational physical activity appears to decrease risk. Workplace exposures to passive smoke and occupational exposure to nonionizing radiation do not appear to affect breast cancer risk. Some studies of occupational categories and workplace exposures indicate that risk may be modified by duration of exposure, timing of exposure, dose, hormone-receptor subtypes, and menopausal status at diagnosis. The compelling data from this review reveal a substantial need for further research on occupation and breast cancer.
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Affiliation(s)
- Connie L Engel
- 1 Breast Cancer Prevention Partners, San Francisco, CA, USA
| | | | - Janet M Gray
- 1 Breast Cancer Prevention Partners, San Francisco, CA, USA
| | - Jeanne Rizzo
- 1 Breast Cancer Prevention Partners, San Francisco, CA, USA
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Huynh TB, Doan N, Trinh N, Verdecias N, Stalford S, Caroll-Scott A. Factors influencing health and safety practices among Vietnamese nail salon technicians and owners: A qualitative study. Am J Ind Med 2019; 62:244-252. [PMID: 30658004 DOI: 10.1002/ajim.22947] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Accepted: 12/26/2018] [Indexed: 11/12/2022]
Abstract
OBJECTIVE This qualitative study explored factors that influence health and safety practices among Vietnamese nail salon technicians and owners. METHODS We conducted semi-structured focus group discussions and individual interviews with a sample of 17 Vietnamese nail salon technicians and owners in the Philadelphia metropolitan area, Pennsylvania. RESULTS Analysis of transcripts revealed perceived health benefits/concerns, knowledge about work-related hazards, salon's management and policies attributed to owners, client influence, external policies/regulations, and protective equipment-specific challenges were among factors affecting workplace health promotion practices at the salons. CONCLUSIONS The study highlighted a complex interplay among the various stakeholders including nail technicians, owners, clients, policy makers, and enforcers. Interventions addressing barriers at the personal and organizational levels, as well as public policy change and enforcement are needed to create sustainable behavioral and organizational change in nail salons.
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Affiliation(s)
- Tran B. Huynh
- Department of Environmental and Occupational Health; Dornsife School of Public Health; Drexel University; Philadelphia Pennsylvania
| | - Ngoc Doan
- College of Engineering; Drexel University; Philadelphia Pennsylvania
| | - Ngan Trinh
- College of Science and Technology; Temple University; Philadelphia Pennsylvania
| | - Niko Verdecias
- Community Health and Prevention; Dornsife School of Public Health; Drexel University; Philadelphia Pennsylvania
| | - Samantha Stalford
- Health Management and Policy; Dornsife School of Public Health; Drexel University; Philadelphia Pennsylvania
| | - Amy Caroll-Scott
- Community Health and Prevention; Dornsife School of Public Health; Drexel University; Philadelphia Pennsylvania
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Alaves VM, Sleeth DK, Thiese MS, Larson RR. Characterization of indoor air contaminants in a randomly selected set of commercial nail salons in Salt Lake County, Utah, USA. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2013; 23:419-433. [PMID: 23286453 DOI: 10.1080/09603123.2012.755152] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Air samples were collected in 12 randomly selected commercial nail salons in Salt Lake County, Utah. Measurements of salon physical/chemical parameters (room volume, CO2 levels) were obtained. Volatile organic compound (VOC) concentrations were collected using summa air canisters and sorbent media tubes for an 8-h period. Multivariate analyses were used to identify relationships between salon physical/chemical characteristics and the VOCs found in the air samples. The ACGIH(®) additive mixing formula was also applied to determine if there were potential overexposures to the combined airborne concentrations of chemicals monitored. Methyl methacrylate was detected in 58% of the establishments despite having been banned for use in nail products by the state of Utah. Formaldehyde was found above the NIOSH REL(®) (0.016 ppm) in 58% of the establishments. Given the assortment of VOCs to which nail salon workers are potentially exposed, a combination of engineering as well as personal protective equipment is recommended.
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Affiliation(s)
- Victor M Alaves
- a Salt Lake Valley Health Department, Environmental Health Division , Salt Lake City , UT , USA
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Weiderpass E, Labrèche F. Malignant tumors of the female reproductive system. Saf Health Work 2012; 3:166-80. [PMID: 23019529 PMCID: PMC3443692 DOI: 10.5491/shaw.2012.3.3.166] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2012] [Revised: 05/06/2012] [Accepted: 05/06/2012] [Indexed: 01/26/2023] Open
Abstract
This review summarizes the epidemiology of cancer of the female reproductive system and associated lifestyle factors. It also assesses the available evidence for occupational factors associated with these cancers. Cervical, endometrial, and ovarian cancers are relatively common, and cause significant cancer morbidity and mortality worldwide, whereas vulvar, vaginal, fallopian tube cancers, and choriocarcinomas are very rare. As several lifestyle factors are known to play a major role in the etiology of these cancers, very few published studies have investigated possible relationships with occupational factors. Some occupational exposures have been associated with increased risks of these cancers, but apart from the available evidence on the relationships between asbestos fibers and ovarian cancer, and tetrachloroethylene and cervical cancer, the data is rather scarce. Given the multifactorial nature of cancers of the female reproductive system, it is of the utmost importance to conduct occupational studies that will gather detailed data on potential individual confounding factors, in particular reproductive history and other factors that influence the body's hormonal environment, together with information on socio-economic status and lifestyle factors, including physical activity from multiple sources. Studies on the mechanisms of carcinogenesis in the female reproductive organs are also needed in order to elucidate the possible role of chemical exposures in the development of these cancers.
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Affiliation(s)
- Elisabete Weiderpass
- The Cancer Registry of Norway, Oslo, Norway. ; Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway. ; Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden. ; Public Health Research Center, Public Health Association, Helsinki, Finland
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