考察工作场所行业与 COVID-19 感染之间的关系：对加拿大最大的快速抗原筛查计划的横断面研究。
Examining the Relationship Between Workplace Industry and COVID-19 Infection: A Cross-sectional Study of Canada's Largest Rapid Antigen Screening Program.
机构信息
From the Creative Destruction Lab, Rotman School of Management, University of Toronto, Toronto, Canada (E.G., S.S., A.G., J.G., A.A.); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada (E.G.); Rotman School of Management, University of Toronto, Toronto, Canada (A.G., J.G., A.A.); Munk School of Global Affairs and Public Policy, University of Toronto, Toronto, Canada (J.S.); and Dalla Lana School of Public Health, University of Toronto, Toronto, Canada (L.R.).
出版信息
J Occup Environ Med. 2024 Feb 1;66(2):e68-e76. doi: 10.1097/JOM.0000000000003028. Epub 2023 Dec 14.
OBJECTIVES
To control virus spread while keeping the economy open, this study aimed to identify individuals at increased risk of COVID-19 transmission in the workplace using rapid antigen screening data.
METHODS
Among adult participants in a large Canadian rapid antigen screening program (January 2021-March 2022), we examined screening, personal, and workplace characteristics and conducted logistic regressions, adjusted for COVID-19 wave, screening frequency and location, role, age group, and geography.
RESULTS
Among 145,814 participants across 2707 worksites, 6209 screened positive at least once. Workers in natural resources (odds ratio [OR] = 2.1 [1.73-2.55]), utilities (OR = 1.67 [1.38-2.03]), construction (OR = 1.35 [1.06-1.71]), and transportation/warehousing (OR = 1.32 [1.12-1.56]) had increased odds of screening positive; workers in education/health (OR = 0.62 [0.52-0.73]), leisure/hospitality (OR = 0.71 [0.56-0.90]), and finance (OR = 0.84 [0.71-0.99]) had lesser odds of screening positive, compared with professional/business services.
CONCLUSIONS
Certain industries involving in-person work in close quarters are associated with elevated COVID-19 transmission. Continued reliance on rapid screening in these sectors is warranted.
目的
为了在保持经济开放的同时控制病毒传播，本研究旨在利用快速抗原筛查数据，确定工作场所中 COVID-19 传播风险增加的个体。
方法
在一项大型加拿大快速抗原筛查计划（2021 年 1 月至 2022 年 3 月）的成年参与者中，我们检查了筛查、个人和工作场所特征，并进行了逻辑回归分析，调整了 COVID-19 波次、筛查频率和地点、角色、年龄组和地理位置。
结果
在 2707 个工作场所的 145814 名参与者中，有 6209 人至少筛查阳性一次。在自然资源（优势比 [OR] = 2.1 [1.73-2.55]）、公用事业（OR = 1.67 [1.38-2.03]）、建筑（OR = 1.35 [1.06-1.71]）和运输/仓储（OR = 1.32 [1.12-1.56]）领域工作的工人筛查阳性的几率增加；在教育/卫生（OR = 0.62 [0.52-0.73]）、休闲/酒店（OR = 0.71 [0.56-0.90]）和金融（OR = 0.84 [0.71-0.99]）领域工作的工人筛查阳性的几率较低，与专业/商业服务相比。
结论
某些涉及近距离面对面工作的行业与 COVID-19 传播风险增加有关。在这些部门继续依赖快速筛查是合理的。
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