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

Reuter, Marvin and Rigo, Mariann and Formazin, Maren and Liebers, Falk and Latza, Ute and Castell, Stefanie and Joeckel, Karl-Heinz and Greiser, Karin Halina and Michels, Karin B. and Krause, Gerard and Albrecht, Stefan and Oeztuerk, Ilter and Kuss, Oliver and Berger, Klaus and Lampl, Benedikt M. J. and Leitzmann, Michael and Zeeb, Hajo and Starke, Karla Romero and Schipf, Sabine and Meinke-Franze, Claudia and Ahrens, Wolfgang and Seidler, Andreas and Klee, Bianca and Pischon, Tobias and Deckert, Andreas and Schmidt, Boerge and Mikolajczyk, Rafael and Karch, Andre and Bohn, Barbara and Brenner, Hermann and Holleczek, Bernd and Dragano, Nico (2022) Occupation and SARS-CoV-2 infection risk among 108 960 workers during the first pandemic wave in Germany. SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, 48 (6). pp. 446-456. ISSN 0355-3140, 1795-990X

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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.

Item Type: Article
Uncontrolled Keywords: ; COVID-19; cohort study; infection risk at work; ISCO-08; KldB 2010; workplace
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Institut für Epidemiologie und Präventivmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 01 Feb 2024 10:59
Last Modified: 01 Feb 2024 10:59
URI: https://pred.uni-regensburg.de/id/eprint/58442

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