Beale, Sarah; Patel, Parth; Rodger, Alison; Braithwaite, Isobel; Byrne, Thomas; Fong, Wing Lam Erica; Fragaszy, Ellen; Geismar, Cyril; Kovar, Jana; Navaratnam, Annalan; +6 more... Nguyen, Vincent; Shrotri, Madhumita; Aryee, Anna; Aldridge, Robert; Hayward, Andrew; Virus Watch Collaborative; (2022) Occupation, work-related contact and SARS-CoV-2 anti-nucleocapsid serological status: findings from the Virus Watch prospective cohort study. OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 79 (11). pp. 729-735. ISSN 1351-0711 DOI: https://doi.org/10.1136/oemed-2021-107920
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Abstract
OBJECTIVES: Risk of SARS-CoV-2 infection varies across occupations; however, investigation into factors underlying differential risk is limited. We aimed to estimate the total effect of occupation on SARS-CoV-2 serological status, whether this is mediated by workplace close contact, and how exposure to poorly ventilated workplaces varied across occupations. METHODS: We used data from a subcohort (n=3775) of adults in the UK-based Virus Watch cohort study who were tested for SARS-CoV-2 anti-nucleocapsid antibodies (indicating natural infection). We used logistic decomposition to investigate the relationship between occupation, contact and seropositivity, and logistic regression to investigate exposure to poorly ventilated workplaces. RESULTS: Seropositivity was 17.1% among workers with daily close contact vs 10.0% for those with no work-related close contact. Compared with other professional occupations, healthcare, indoor trade/process/plant, leisure/personal service, and transport/mobile machine workers had elevated adjusted total odds of seropositivity (1.80 (1.03 to 3.14) - 2.46 (1.82 to 3.33)). Work-related contact accounted for a variable part of increased odds across occupations (1.04 (1.01 to 1.08) - 1.23 (1.09 to 1.40)). Occupations with raised odds of infection after accounting for work-related contact also had greater exposure to poorly ventilated workplaces. CONCLUSIONS: Work-related close contact appears to contribute to occupational variation in seropositivity. Reducing contact in workplaces is an important COVID-19 control measure.
Item Type | Article |
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Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology & International Health (2023-) |
Research Centre | Covid-19 Research |
PubMed ID | 35450951 |
Elements ID | 177019 |
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Filename: Beale_etal_2022_Occupation-work-related-contact-and-SARS-CoV-2.pdf
Licence: Creative Commons: Attribution 4.0
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