Not AvailableSkin diseases among farmers is usually under reported and it is ignored by farmers as most of them consider it as "part of their job". Skin being the most exposed organ while farming, the farmers are predisposed to skin diseases among other health hazards. Objective: This study aims at finding out the prevalence of skin disease and associated risk factors among farmers. Methodology: Multistage cluster random sampling using PPS (Probability Proportional to Size) was used to select farmers in a coastal block of Odisha. A total of 200 farmers were selected for the study. Complete dermatological examination was conducted in a well lit area. Results: The prevalence of skin diseases was found to be 63% among farmers in rural settings. The common skin diseases reported among pesticide handlers were hyperkeratosis, paronychia, fungal infections, nail dystrophy, dermatitis, melasma, freckles, PLE and others. Lower socioeconomic status, illiteracy, longer exposure to pesticides, non usage of PPE were found to be risk factors for skin diseases among farmers. Conclusion: Health education among the farmers along with appropriate PPE should be encouraged to prevent skin diseases in this group of population. An integrated approach and further research is required to find out a casual association between different risk factors and skin diseases among farmers.Not Availabl