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Occupational risk o...
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Bonde, J. P. E.Bispebjerg Hospital
(author)
Occupational risk of SARS-CoV-2 infection: a nationwide register-based study of the Danish workforce during the COVID-19 pandemic, 2020-2021
- Article/chapterEnglish2023
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LIBRIS-ID:oai:gup.ub.gu.se/325979
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https://gup.ub.gu.se/publication/325979URI
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https://doi.org/10.1136/oemed-2022-108713DOI
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https://lup.lub.lu.se/record/4af3788a-5f6a-41cc-be9c-a8a44e018088URI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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ObjectiveMost earlier studies on occupational risk of COVID-19 covering the entire workforce are based on relatively rare outcomes such as hospital admission and mortality. This study examines the incidence of SARS-CoV-2 infection by occupational group based on real-time PCR (RT-PCR) tests. MethodsThe cohort includes 2.4 million Danish employees, 20-69 years of age. All data were retrieved from public registries. The incidence rate ratios (IRRs) of first-occurring positive RT-PCR test from week 8 of 2020 to week 50 of 2021 were computed by Poisson regression for each four-digit Danish Version of the International Standard Classification of Occupations job code with more than 100 male and 100 female employees (n=205). Occupational groups with low risk of workplace infection according to a job exposure matrix constituted the reference group. Risk estimates were adjusted by demographic, social and health characteristics including household size, completed COVID-19 vaccination, pandemic wave and occupation-specific frequency of testing. ResultsIRRs of SARS-CoV-2 infection were elevated in seven healthcare occupations and 42 occupations in other sectors, mainly social work activities, residential care, education, defence and security, accommodation and transportation. No IRRs exceeded 2.0. The relative risk in healthcare, residential care and defence/security declined across pandemic waves. Decreased IRRs were observed in 12 occupations. DiscussionWe observed a modestly increased risk of SARS-CoV-2 infection among employees in numerous occupations, indicating a large potential for preventive actions. Cautious interpretation of observed risk in specific occupations is needed because of methodological issues inherent in analyses of RT-PCR test results and because of multiple statistical tests.
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Begtrup, L. M.Bispebjerg Hospital
(author)
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Jensen, J. H.Bispebjerg Hospital
(author)
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Flachs, E. M.Bispebjerg Hospital
(author)
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Schlunssen, V.Aarhus University Hospital
(author)
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Kolstad, H. A.Aarhus University Hospital
(author)
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Jakobsson, KristinaUniversity of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:lu)ymed-kja
(author)
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Nielsen, ChristelLund University,Lunds universitet,Epidemiologi,Forskargrupper vid Lunds universitet,Epidemiology,Lund University Research Groups(Swepub:lu)med-cin
(author)
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Nilsson, KerstinLund University,Lunds universitet,Metalund,Annan verksamhet, LTH,Lunds Tekniska Högskola,Arbetsrelaterade besvär i rörelseorganen,Forskargrupper vid Lunds universitet,Other operations, LTH,Faculty of Engineering, LTH,Work-related musculoskeletal disorders,Lund University Research Groups(Swepub:lu)med-kin
(author)
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Rylander, LarsLund University,Lunds universitet,Metalund,Annan verksamhet, LTH,Lunds Tekniska Högskola,Miljöepidemiologi,Forskargrupper vid Lunds universitet,Other operations, LTH,Faculty of Engineering, LTH,Environmental Epidemiology,Lund University Research Groups(Swepub:lu)ymed-lry
(author)
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Vilhelmsson, AndreasLund University,Lunds universitet,Miljöepidemiologi,Forskargrupper vid Lunds universitet,Environmental Epidemiology,Lund University Research Groups(Swepub:lu)an0755vi
(author)
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Petersen, K. K. U.Bispebjerg Hospital
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Toettenborg, S. S.Bispebjerg Hospital
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Bispebjerg HospitalAarhus University Hospital
(creator_code:org_t)
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In:Occupational and Environmental Medicine: BMJ80:4, s. 202-2081351-07111470-7926
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Bonde, J. P. E.
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Begtrup, L. M.
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Jensen, J. H.
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Flachs, E. M.
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Schlunssen, V.
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Kolstad, H. A.
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Jakobsson, Krist ...
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Nielsen, Christe ...
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Nilsson, Kerstin
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Rylander, Lars
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Petersen, K. K. ...
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Toettenborg, S. ...
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