Was the risk of death among the population of teachers and other school workers in England and Wales due to COVID-19 and all causes higher than other occupations during the pandemic in 2020? An ecological study using routinely collected data on deaths from the Office for National Statistics.

Was the risk of death among the population of teachers and other school workers in England and Wales due to COVID-19 and all causes higher than other occupations during the pandemic in 2020? An ecological study using routinely collected data on deaths from the Office for National Statistics.
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DOI:
10.1136/bmjopen-2021-050656
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发表时间:
2021-11-23
期刊:
影响因子:
2.9
通讯作者:
Davey Smith G
Davey Smith G
中科院分区:
医学3区
文献类型:
--
作者:
Lewis SJ;Dack K;Relton CL;Munafo MR;Davey Smith G

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使用英格兰和威尔士可公开获得的死亡率数据,估计新冠肺炎对教师和其他学校工作人员的职业风险。国家统计局的全国死亡登记数据分析。英格兰和威尔士,2020年3月8日至12月28日,新冠肺炎大流行期间。英格兰和威尔士的总劳动年龄人口加上65岁以上仍在工作的人口。死亡以新冠肺炎为主,全死因死亡为次要结局。在职业分组中,新冠肺炎死亡率与非新冠肺炎死亡率和全因死亡率之间存在很强的相关性。与许多其他职业相比,在学校工作的人中死于新冠肺炎的绝对死亡率较低(小学女教师为10/10万 000,中学男教师为39/10万 000)(范围:女性为9-50‰;男性为10-143‰)。有薄弱证据表明,与所有劳动年龄人口的平均水平相比,中学教师死于新冠肺炎的风险略高;但与所有专业人员的平均水平相比,更有力的证据表明,中学教师死于新冠肺炎的风险更高;小学教师的风险更低。与所有专业人员相比,所有教师的全因死亡率也更高。与所有工作年龄的人相比,教学助理和午餐助理死于新冠肺炎的风险并不高。有微弱证据表明,中学教师的新冠肺炎死亡风险高于预期,但总体上,学校工作人员存在新冠肺炎死亡风险,且与他们的非新冠肺炎死亡风险成比例。
To estimate occupation risk from COVID-19 among teachers and others working in schools using publicly available data on mortality in England and Wales. Analysis of national death registration data from the Office for National Statistics. England and Wales, 8 March–28 December 2020, during the COVID-19 pandemic. The total working age population in England and Wales plus those still working aged over 65 years. Death with COVID-19 as a primary outcome and death from all causes as a secondary outcome. Across occupational groups, there was a strong correlation between COVID-19 mortality and both non-COVID-19 and all-cause mortality. The absolute mortality rates for deaths with COVID-19 were low among those working in schools (from 10 per 100 000 in female primary school teachers to 39 per 100 000 male secondary school teachers) relative to many other occupations (range: 9–50 per 100 000 in women; 10–143 per 100 000 in men). There was weak evidence that secondary school teachers had slightly higher risks of dying with COVID-19 compared with the average for all working-aged people, but stronger evidence of a higher risk compared with the average for all professionals; primary school teachers had a lower risk. All-cause mortality was also higher among all teachers compared with all professionals. Teaching and lunchtime assistants were not at higher risk of death from COVID-19 compared with all working-aged people. There was weak evidence that COVID-19 mortality risk for secondary school teachers was above expectation, but in general school staff had COVID-19 mortality risks which were proportionate to their non-COVID-19 mortality risk.
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