Domingos Ana Beatriz Dos Santos, Chaves Leonardo do Vale Carvalho, Silva-Costa Aline, Rotenberg Lúcia
Social Work, Hospital Municipal Ronaldo Gazolla, Rio de Janeiro, RJ, Brazil.
Department of Epidemiology and Biostatistics, Institute of Collective Health, Universidade Federal Fluminense, Niterói, RJ, Brazil.
Rev Bras Med Trab. 2025 Aug 25;23(1):e20241312. doi: 10.47626/1679-4435-2024-1312. eCollection 2025 Jan-Mar.
Among the inequalities heightened by the COVID-19 pandemic are those linked to work. Informal workers and the unemployed - already vulnerable before the pandemic - had greater difficulty adopting social distancing. This study analyzes occupational data from patients at a referral hospital for COVID-19 in the city of Rio de Janeiro, Brazil, considering the scarcity of information on workers' health during the pandemic.
This research sought (i) to investigate the relationships between the type of employment relationship and deaths and (ii) to describe the most frequent occupations according to the type of employment relationship and the percentage of deaths.
One thousand four hundred and four medical records of hospitalizations that occurred between August 2021 and November 2021 were analyzed.
The most represented professions were vendors/sellers, masons/bricklayers, doormen, security guards, drivers, and rideshare drivers. Compared to formal workers, the relative risk of death was 77% higher among homemakers, after adjusting for age. The relative risk of death was 11 and 29% higher among informal workers and the unemployed, respectively, compared to formal workers, but this difference was not statistically significant. Doormen, administrative assistants, salespersons, janitors/custodians, and cleaners had the highest rates of death.
Attention should be given to the increased severity of COVID-19 among homemakers, possibly resulting from an unfavorable health profile in terms of comorbidities in this group.
2019年冠状病毒病（COVID-19）大流行加剧的不平等现象中，有一些与工作相关。非正规工人和失业者——在大流行之前就已处于弱势地位——在采取社交距离措施方面面临更大困难。考虑到疫情期间工人健康信息的匮乏，本研究分析了巴西里约热内卢市一家COVID-19转诊医院患者的职业数据。
本研究旨在（i）调查雇佣关系类型与死亡之间的关系，以及（ii）根据雇佣关系类型和死亡百分比描述最常见的职业。
分析了2021年8月至2021年11月期间发生的1404份住院病历。
最具代表性的职业是摊贩/销售人员、泥瓦匠/砌砖工、门卫、保安、司机和拼车司机。在调整年龄后，家庭主妇的死亡相对风险比正式工人高77%。与正式工人相比，非正规工人和失业者的死亡相对风险分别高11%和29%，但这种差异无统计学意义。门卫、行政助理、销售人员、门卫/管理员和清洁工的死亡率最高。
应关注家庭主妇中COVID-19病情加重的情况，这可能是由于该群体在合并症方面的健康状况不佳所致。
