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- Title
Occupation and SARS-CoV-2 infection risk among 108 960 workers during the first pandemic wave in Germany.
- Authors
Reuter, Marvin; Rigó, Mariann; Formazin, Maren; Liebers, Falk; Latza, Ute; Castell, Stefanie; Jöckel, Karl-Heinz; Halina Greiser, Karin; Michels, Karin B.; Krause, Gérard; Albrecht, Stefan; Öztürk, Ilter; Kuss, Oliver; Berger, Klaus; Lampl, Benedikt M. J.; Leitzmann, Michael; Zeeb, Hajo; Starke, Karla Romero; Schipf, Sabine; Meinke-Franze, Claudia
- 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.
- Subjects
GERMANY; PANDEMICS; SARS-CoV-2; GERMANS; JOB classification; COVID-19; POISSON regression; COVID-19 pandemic
- Publication
Scandinavian Journal of Work, Environment & Health, 2022, Vol 48, Issue 6, p445
- ISSN
0355-3140
- Publication type
Article
- DOI
10.5271/sjweh.4037