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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Marvin Reuter - , Heinrich Heine University Düsseldorf (Author)
  • Mariann Rigó - , Heinrich Heine University Düsseldorf (Author)
  • Maren Formazin - , Federal Institute for Occupational Safety and Health (Author)
  • Falk Liebers - , Federal Institute for Occupational Safety and Health (Author)
  • Ute Latza - , Federal Institute for Occupational Safety and Health (Author)
  • Stefanie Castell - , Helmholtz Centre for Infection Research (Author)
  • Karl Heinz Jöckel - , University of Duisburg-Essen (Author)
  • Karin Halina Greiser - , German Cancer Research Center (DKFZ) (Author)
  • Karin B. Michels - , University of Freiburg (Author)
  • Gérard Krause - , Helmholtz Centre for Infection Research, TWINCORE Zentrum für Experimentelle und Klinische Infektionsforschung GmbH (Author)
  • Stefan Albrecht - , Robert Koch-Institut (Author)
  • Ilter Öztürk - , Robert Koch-Institut (Author)
  • Oliver Kuss - , German Diabetes Center Düsseldorf (Author)
  • Klaus Berger - , University of Münster (Author)
  • Benedikt M.J. Lampl - , University of Regensburg (Author)
  • Michael Leitzmann - , University of Regensburg (Author)
  • Hajo Zeeb - , Leibniz Institute for Prevention Research and Epidemiology (Author)
  • Karla Romero Starke - , University Medicine (Faculty of Medicine and University Hospital), Institute and Policlinic of Occupational and Social Medicine (Author)
  • Sabine Schipf - , University of Greifswald (Author)
  • Claudia Meinke-Franze - , University of Greifswald (Author)
  • Wolfgang Ahrens - , Leibniz Institute for Prevention Research and Epidemiology (Author)
  • Andreas Seidler - , University Medicine (Faculty of Medicine and University Hospital), Institute and Policlinic of Occupational and Social Medicine (Author)
  • Bianca Klee - , Martin Luther University Halle-Wittenberg (Author)
  • Tobias Pischon - , Max Delbrück Center for Molecular Medicine (MDC) (Author)
  • Andreas Deckert - , Heidelberg University  (Author)
  • Börge Schmidt - , University of Duisburg-Essen (Author)
  • Rafael Mikolajczyk - , Martin Luther University Halle-Wittenberg (Author)
  • André Karch - , University of Münster (Author)
  • Barbara Bohn - , NAKO e.V (Author)
  • Hermann Brenner - , German Cancer Research Center (DKFZ) (Author)
  • Bernd Holleczek - , Federal state cancer register Saarland (Author)
  • Nico Dragano - , Heinrich Heine University Düsseldorf (Author)

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 adminis-tration (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 profes-sions (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.

Details

Original languageEnglish
Pages (from-to)446-456
Number of pages11
JournalScandinavian Journal of Work, Environment and Health
Volume48
Issue number6
Publication statusPublished - 1 Sept 2022
Peer-reviewedYes

External IDs

PubMed 35670286

Keywords

Sustainable Development Goals

Keywords

  • cohort study, COVID-19, infection risk at work, ISCO-08, KldB 2010, workplace

Library keywords