1510Development and validation of a Job Exposure Matrix for work related risk factors for COVID-19
1510Development and validation of a Job Exposure Matrix for work related risk factors for COVID-19
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1510针对与工作相关的 COVID-19 风险因素制定和验证工作暴露矩阵
DOI：
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发表时间：
2021
影响因子：
7.7
通讯作者：
M. V. van Tongeren
中科院分区：
文献类型：
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作者：
K. van Veldhoven;I. Basinas;K. O. Hengel;A. Burdorf;A. Pronk;S. Peters;V. Schlünssen;Zara Ann Stockholm;H. Kolstad;M. V. van Tongeren
摘要背景研究表明，在某些职业中，COVID-19导致的死亡率较高。感染SARS-CoV-2的风险以及与此相关的职业条件尚未得到广泛研究。这项研究旨在开发和验证工作暴露矩阵（JEM），以评估工作场所的COVID-19风险。方法来自欧洲3个国家的研究人员定义了6个维度（4个传播决定因素，2个缓解措施）来分类职业风险。结合国家统计数据和专家判断，对ISCO-08编码的每个维度进行无、低、高或高风险分类。两个数据驱动方面的不稳定的工作也包括和分类为四个类别。将JEM转换为SOC 2010代码，并通过将其与英国感染调查数据和基于ONET数据的ONS暴露估计值进行比较进行验证。结果随着JEM各维度风险评分的增加，COVID-19病例比例略有增加。JEM和ONS估计的物理接近度（r = 0.71）和暴露于COVID-19或SARS-CoV-2感染（r = 0.80）之间存在高度相关性。结论JEM的成功开发和初步验证为工作场所COVID-19风险评估提供了有用的工具。将继续进行进一步的验证工作。关键信息这一公开可用的JEM可在对COVID-19大流行总负担的职业贡献进行必要评估方面发挥关键作用。
Abstract Background Studies have shown a higher mortality due to COVID-19 amongst certain professions. The risk of becoming infected with SARS-CoV-2 and the occupational conditions associated with this, have not been studied extensively. This study aimed to develop and validate a Job Exposure Matrix (JEM) to assess the risk of COVID-19 in the workplace. Methods Researchers from three European countries defined six dimensions (four transmission determinants, two mitigation measures) to classify occupational risk. A combination of national statistics and expert judgement was used to classify ISCO-08 codes in no, low, elevated, or high risk for each dimension. Two data driven aspects of precarious work were also included and classified in four categories. The JEM was translated to SOC2010-codes and validated by comparing it to UK infection survey data and ONS estimates of exposure based on ONET data. Results A slightly increasing proportion of COVID-19 cases was observed with increasing risk scores in each dimension of the JEM. There was a high correlation between the JEM and the ONS estimates for physical proximity (r = 0.71) and exposure to COVID-19 or SARS-CoV-2 infection (r = 0.80) Conclusions Successful development and initial validation of this JEM has resulted in a useful tool for risk assessment of COVID-19 in the workplace. Further validation exercises will continue. Key messages This publicly available JEM can play a key role in the essential assessment of occupational contribution to the total burden of the COVID-19 pandemic.