Improving the knowledge and behavior of workplace chemical exposures in Vietnamese-American nail salon workers: a randomized controlled trial

Int Arch Occup Environ Health. 2018 Nov;91(8):1041-1050. doi: 10.1007/s00420-018-1343-2. Epub 2018 Aug 11.

Abstract

Objectives: We assessed the efficacy of trainings with Vietnamese nail salon owners and workers on knowledge and behaviors that could reduce exposures to toxic chemicals in nail products.

Methods: We trained Vietnamese salon owners in California (n = 77) who then trained their workers (n = 200) on best practices. In a cluster randomized controlled trial, we assessed the efficacy of the training on change in knowledge and self-reported behaviors. Data were collected from 2013 to 2016 and analyzed from 2016 to 2017.

Results: Compared to the control group, the intervention group had significantly greater increases in knowledge about: safer nail polishes [odds ratio (OR) 3.7 (95% confidence interval (CI) 1.9, 7.2)]; proper ventilation methods (OR 4.2; 95% CI 2.2, 8.1); recommended glove types (OR 3.4; 95% CI 1.9, 6.3); and recommended product handling and storage (OR 4.1; 95% CI 1.7, 9.9). The intervention also increased best practices: using safer nail polishes (OR 3.6; 95% CI 1.9, 6.8); reading product labels (OR 2.6; 95% CI 1.3, 5.0); and wearing long sleeves (OR 2.4; 95% CI 1.3, 4.2).

Conclusions: The owner-to-worker intervention with culturally and linguistically appropriate training for salon owners who then trained workers was effective in promoting knowledge and self-reported behaviors that can reduce workplace chemical exposures.

Keywords: Asian Americans; California; Knowledge; Nails; Small business; Surveys and questionnaires; Workplace.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Air Pollutants, Occupational
  • Asian / psychology
  • Beauty Culture*
  • California
  • Female
  • Gloves, Protective
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice / ethnology*
  • Humans
  • Male
  • Middle Aged
  • Nails
  • Occupational Exposure / prevention & control*
  • Program Evaluation
  • Vietnam / ethnology
  • Volatile Organic Compounds / toxicity
  • Workplace / psychology*

Substances

  • Air Pollutants, Occupational
  • Volatile Organic Compounds