Biarnés-Martínez Marta, Fàbregas Mireia, Coma Ermengol, Pera Guillem, Fina Francesc, Rivera-Arco Alejandro, Guiriguet Carolina, Méndez-Boo Leonardo, Medina Manuel
Unidad Docente de Medicina Preventiva y Salud Pública Parc de Salut Mar. Universitat Pompeu Fabra. Agència de Salut Pública de Barcelona. Barcelona. España.
Sistemes d'Informació dels serveis d'Atenció Primària (SISAP). Institut Català de la Salut (ICS). Barcelona. España.
Rev Esp Salud Publica. 2022 May 4;96:e202205040.
The aim of this paper was to estimate the SARS-CoV-2 infection incidence regarding the occupation in Catalonia, globally and in the different waves of the pandemic.
We performed a retrospective cohort study. We included all people between 16 and 65 years old with an occupation identified from the sick leave recorded in the primary care electronic health records of the Institut Català de la Salut (ICS) (total n=2,199,745 people). The study period was from March 1, 2020 to September 16, 2021.
Healthcare workers had the highest incidence, with an age and sex adjusted cumulative rate of 27.7% [95% CI: 27.3%-28.1%]: 29.4% in nursing assistants, 27.3% in medical professions and 26.3% in nursing professionals; followed by the elementary occupations group with an adjusted incidence of 16.9% [95% CI: 16.7%-17%], such as the agricultural laborers (23% [95% CI: 21%-25.1%]) and rural occupations (19.1% [95% CI: 18.3%-19.8%) -especially during the 2020 summer period-, the domestic employees (20.5% [95% CI: 18.9%-22.2%]) and cleaning professionals (17.5% [95% CI: 17.2%-17.9%]).
Healthcare workers are the hardest hit during the pandemic. On the other hand, the less qualified professions have high incidences, highlighting the different inequities in access to telework, working conditions and other social determinants of health.
本文旨在评估加泰罗尼亚地区按职业划分的新冠病毒感染发病率，包括全球范围以及疫情不同阶段的情况。
我们开展了一项回顾性队列研究。纳入了所有年龄在16至65岁之间、职业信息可从加泰罗尼亚卫生研究所（ICS）初级保健电子健康记录中的病假记录中识别出来的人员（总计n = 2,199,745人）。研究时间段为2020年3月1日至2021年9月16日。
医护人员的发病率最高，年龄和性别调整后的累积发病率为27.7% [95%置信区间：27.3% - 28.1%]：护理助理为29.4%，医疗行业人员为27.3%，护理专业人员为26.3%；其次是基础职业组，调整后的发病率为16.9% [95%置信区间：16.7% - 17%]，如农业劳动者（23% [95%置信区间：21% - 25.1%]）和农村职业者（19.1% [95%置信区间：18.3% - 19.8%]——尤其是在2020年夏季期间）、家政雇员（20.5% [95%置信区间：18.9% - 22.2%]）以及清洁专业人员（17.5% [95%置信区间：17.2% - 17.9%]）。
医护人员在疫情期间受影响最大。另一方面，资质较低的职业发病率较高，凸显了在远程工作机会、工作条件以及其他健康社会决定因素方面存在的不同程度的不平等。
