SARS-CoV-2 infection in occupational settings in Catalonia
e202205040
Keywords:
Severe acute respiratory syndrome coronavirus 2, SARS-CoV-2, COVID-19, Occupation, Occupational Groups, Health Occupations, Social determinants of health, Socioeconomic inequalitiesAbstract
BACKGROUND // The aim of this paper was to estimate the SARS-CoV-2 infection incidence regarding the occupation in Catalonia, globally and in the different waves of the pandemic.
METHODS // We performed a retrospective cohort study. We included all people between 16 and 65 years old with an occupation identified from the sick leave recorded in the primary care electronic health records of the Institut Català de la Salut (ICS) (total n=2,199,745 people). The study period was from March 1st, 2020 to September 16th, 2021.
RESULTS // Healthcare workers had the highest incidence, with an age and sex adjusted cumulative rate of 27.7% [95% CI: 27.3%-28.1%]: 29.4% in nursing assistants, 27.3% in medical professions and 26.3% in nursing professionals; followed by the elementary occupations group with an adjusted incidence of 16.9% [95% CI: 16.7%-17%], such as the agricultural laborers (23% [95% CI: 21%-25.1%]) and rural occupations (19.1% [95% CI: 18.3%-19.8%) —especially during the 2020 summer period—, the domestic employees (20.5% [95% CI: 18.9%-22.2%]) and cleaning professionals (17.5% [95% CI: 17.2%-17.9%]).
CONCLUSIONS // Healthcare workers are the hardest hit during the pandemic. On the other hand, the less qualified professions have high incidences, highlighting the different inequities in access to telework, working conditions and other social determinants of health.
Downloads
References
Habas K, Nganwuchu C, Shahzad F et al. Resolution of coronavirus disease 2019 (COVID-19). Expert Rev Anti Infect Ther 2020;18(12):1201–1211.
Burdorf A, Porru F, Rugulies R. The COVID-19 (Coronavirus) pandemic: consequences for occupational health. Scand J Work Environ Health 2020;46(3):229–230.
Harrison D, Muradali K, El Sahly H et al. Impact of the SARS-CoV-2 pandemic on health-care workers. Hosp Pract 2020;48(4):161–164.
Public Health England (PHE) Transmission Group. Factors contributing to risk of SARS-CoV-2 transmission associated with various settings. England: Scientific Advisory Group for Emergencies and Public Health; 2020.
Baena-Díez JM, Barroso M, Cordeiro-Coelho SI et al. Impact of COVID-19 outbreak by income: hitting hardest the most deprived. J Public Health 2020;42(4):698–703.
Amengual-Moreno M, Calafat-Caules M, Carot A et al. Determinantes sociales de la incidencia de la COVID-19 en Barcelona: un estudio ecológico preliminar usando datos públicos. Rev Esp Salud Publica 2020;16;94:e202009101.
Burström B, Tao W. Social determinants of health and inequalities in COVID-19. Eur J Public Health 2020;30(4):617.
Ministerio de Sanidad. Estudio ENE-COVID: Cuarta ronda. Madrid: Ministerio de Sanidad, Ministerio de Ciencia e Innovación, Consejo Interterritorial, Instituto de Salud Carlos III; 2020.
European Centre for Disease Prevention and Control (ECDC). COVID-19 clusters and outbreaks in occupational settings in the EU/EEA and the UK. Stockholm: ECDC; 2020.
Pérez-Gómez B, Pastor-Barriuso R, Pérez-Olmeda M et al. ENE-COVID nationwide serosurvey served to characterize asymptomatic infections and to develop a symptom-based risk score to predict COVID-19. J Clin Epidemiol 2021;S0895-4356(21)00183-9.
Cabezas C, Coma E, Mora-Fernandez N et al. Associations of BNT162b2 vaccination with SARS-CoV-2 infection and hospital admission and death with covid-19 in nursing homes and healthcare workers in Catalonia: prospective cohort study. BMJ 2021;374:1868.
#COVID19aldiaBCN. Dades diàries de la infecció per coronavirus SARS-CoV-2 (COVID-19) a Barcelona. https://aspb.shinyapps.io/COVID19_BCN/#Distribució_de_la_incidència_per_nivell_socioeconòmic; 2020 [consultada: 06/11/2021.]
Uribarri A, Núñez-Gil IJ, Aparisi A et al. Impact of renal function on admission in COVID-19 patients: an analysis of the international HOPE COVID-19 (Health Outcome Predictive Evaluation for COVID 19) Registry. J Nephrol 2020;33(4):737–745.
Koh J, Shah SU, Chua PEY et al. Epidemiological and Clinical Characteristics of Cases During the Early Phase of COVID-19 Pandemic: A Systematic Review and Meta-Analysis. 2020;7:295.
Aguilar-Palacio I, Martinez-Beneito MA, Rabanaque MJ et al. Diabetes mellitus mortality in Spanish cities: Trends and geographical inequalities. Prim Care Diabetes 2017;11(5):453–460.
Sivén SS, Niiranen TJ, Aromaa A et al. Social, lifestyle and demographic inequalities in hypertension care. Scand J Public Health 2015;43(3):246–253.
Idescat. Anuario estadístico de Cataluña. Población activa e inactiva por sexo y provincias. https://www.idescat.cat/pub/?id=aec&n=293&lang=es; 2020 [consultada: 06/11/2021].
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Marta Biarnés-Martínez, Mireia Fàbregas, Ermengol Coma, Guillem Pera, Francesc Fina, Alejandro Rivera-Arco, Carolina Guiriguet, Leonardo Méndez-Boo, Manuel Medina
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.