Source avec lien : Occupational and Environmental Medicine, 78(5), 5/1/2021. 10.1136/oemed-2020-106731
L’objectif de cette étude était d’examiner le risque de COVID-19 grave par groupe professionnel. Les données de base de la UK Biobank (2006-10) pour l’Angleterre ont été reliées aux résultats des tests de dépistage du SRAS-CoV-2 de Public Health England (du 16 mars au 26 juillet 2020). Sur 120 075 participants, 271 présentaient un COVID-19 sévère. Par rapport aux travailleurs non essentiels, les travailleurs de la santé (RR 7,43, IC 95 % 5,52 à 10,00), les travailleurs sociaux et éducatifs (RR 1,84, IC 95 % 1,21 à 2,82) et les autres travailleurs essentiels (RR 1,60, IC 95 % 1,05 à 2,45) présentaient un risque plus élevé de COVID-19 grave.
Objectives To investigate severe COVID-19 risk by occupational group. Methods Baseline UK Biobank data (2006–10) for England were linked to SARS-CoV-2 test results from Public Health England (16 March to 26 July 2020). Included participants were employed or self-employed at baseline, alive and aged <65 years in 2020. Poisson regression models were adjusted sequentially for baseline demographic, socioeconomic, work-related, health, and lifestyle-related risk factors to assess risk ratios (RRs) for testing positive in hospital or death due to COVID-19 by three occupational classification schemes (including Standard Occupation Classification (SOC) 2000). Results Of 120 075 participants, 271 had severe COVID-19. Relative to non-essential workers, healthcare workers (RR 7.43, 95% CI 5.52 to 10.00), social and education workers (RR 1.84, 95% CI 1.21 to 2.82) and other essential workers (RR 1.60, 95% CI 1.05 to 2.45) had a higher risk of severe COVID-19. Using more detailed groupings, medical support staff (RR 8.70, 95% CI 4.87 to 15.55), social care (RR 2.46, 95% CI 1.47 to 4.14) and transport workers (RR 2.20, 95% CI 1.21 to 4.00) had the highest risk within the broader groups. Compared with white non-essential workers, non-white non-essential workers had a higher risk (RR 3.27, 95% CI 1.90 to 5.62) and non-white essential workers had the highest risk (RR 8.34, 95% CI 5.17 to 13.47). Using SOC 2000 major groups, associate professional and technical occupations, personal service occupations and plant and machine operatives had a higher risk, compared with managers and senior officials. Conclusions Essential workers have a higher risk of severe COVID-19. These findings underscore the need for national and organisational policies and practices that protect and support workers with an elevated risk of severe COVID-19. Lisez l’article