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Occupation and SARS-CoV-2 infection risk among 108 960 workers during the first pandemic wave in Germany

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Item Type:Article
Title:Occupation and SARS-CoV-2 infection risk among 108 960 workers during the first pandemic wave in Germany
Creators Name:Reuter, M., Rigó, M., Formazin, M., Liebers, F., Latza, U., Castell, S., Jöckel, K.H., Greiser, K.H., Michels, K.B., Krause, G., Albrecht, S., Öztürk, I., Kuss, O., Berger, K., Lampl, B.M.J., Leitzmann, M., Zeeb, H., Starke, K.R., Schipf, S., Meinke-Franze, C., Ahrens, W., Seidler, A., Klee, B., Pischon, T., Deckert, A., Schmidt, B., Mikolajczyk, R., Karch, A., Bohn, B., Brenner, H., Holleczek, B. and Dragano, N.
Abstract:OBJECTIVE: The aim of this study was to identify the occupational risk for a SARS-CoV-2 infection in a nationwide sample of German workers during the first wave of the COVID-19 pandemic (1 February-31 August 2020). METHODS: We used the data of 108 960 workers who participated in a COVID follow-up survey of the German National Cohort (NAKO). Occupational characteristics were derived from the German Classification of Occupations 2010 (Klassifikation der Berufe 2010). PCR-confirmed SARS-CoV-2 infections were assessed from self-reports. Incidence rates (IR) and incidence rate ratios (IRR) were estimated using robust Poisson regression, adjusted for person-time at risk, age, sex, migration background, study center, working hours, and employment relationship. RESULTS: The IR was 3.7 infections per 1000 workers [95% confidence interval (CI) 3.3-4.1]. IR differed by occupational sector, with the highest rates observed in personal (IR 4.8, 95% CI 4.0-5.6) and business administration (IR 3.4, 95% CI 2.8-3.9) services and the lowest rates in occupations related to the production of goods (IR 2.0, 95% CI 1.5-2.6). Infections were more frequent among essential workers compared with workers in non-essential occupations (IRR 1.95, 95% CI 1.59-2.40) and among highly skilled compared with skilled professions (IRR 1.36, 95% CI 1.07-1.72). CONCLUSIONS: The results emphasize higher infection risks in essential occupations and personal-related services, especially in the healthcare sector. Additionally, we found evidence that infections were more common in higher occupational status positions at the beginning of the pandemic.
Keywords:COVID-19, Cohort Study, Infection Risk at Work, ISCO-08, KldB 2010, Workplace
Source:Scandinavian Journal of Work Environment & Health
ISSN:0355-3140
Publisher:Nordic Association of Occupational Safety and Health
Volume:48
Number:9
Page Range:446-456
Date:1 September 2022
Additional Information:Authors Reply: Scand J Work Environ Health 48(7): 588-590
Official Publication:https://doi.org/10.5271/sjweh.4037
PubMed:View item in PubMed

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