Occupation, Worker Vulnerability, and COVID-19 Vaccination Uptake: Analysis of the Virus Watch prospective cohort study.
Occupation, Worker Vulnerability, and COVID-19 Vaccination Uptake: Analysis of the Virus Watch prospective cohort study.
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DOI：
10.1016/j.vaccine.2022.10.080
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发表时间：
2022-12-12
期刊：
影响因子：
5.5
通讯作者：
Virus Watch Collaborative
中科院分区：
文献类型：
--
作者：
Beale S;Burns R;Braithwaite I;Byrne T;Lam Erica Fong W;Fragaszy E;Geismar C;Hoskins S;Kovar J;Navaratnam AMD;Nguyen V;Patel P;Yavlinsky A;Van Tongeren M;Aldridge RW;Hayward A;Virus Watch Collaborative
COVID-19疫苗接种的职业差异可能会影响疫苗接种计划的有效性，并为弱势工人和工作场所高暴露者带来特别风险。本研究旨在调查按职业（包括弱势群体）和职业暴露状况划分的COVID-19疫苗接种情况。我们使用了受雇或自雇成年人的数据，这些成年人提供了职业信息，作为病毒观察前瞻性队列研究的一部分（n = 19，595），并将其与研究获得的关于工作能力相关特征（年龄，医疗条件，肥胖状况）和基于工作暴露矩阵的工作相关COVID-19暴露的信息联系起来。根据与国家记录和研究记录的联系，获得任何COVID-19疫苗第一剂、第二剂和第三剂的受试者接种状态。我们按职业总体、能力相关特征和工作暴露计算了疫苗接种的比例和Sison-Glaz多项式95%置信区间。各职业的疫苗接种率第一剂为89-96%，第二剂为87-94%，第三剂为75-86%，运输、贸易、服务和销售人员的接种率一直最低。与非脆弱工人相比，脆弱工人在摄取方面的职业间差异往往较少，尽管临床脆弱的运输工人（各剂量为76%-89%）的摄取率低于其他几个职业群体（各剂量最大值为86%-96%）。SARS-CoV-2暴露风险低的工人的疫苗接种率（各剂量为86%-96%）高于风险升高或高的工人（各剂量为81%-94%）。不同职业的疫苗接种率差异，特别是在脆弱和高度暴露的工人中，可能会加剧感染结果中的职业和相关社会经济不平等。需要进一步调查影响差异摄取的职业和非职业因素，以便为未来COVID-19加强剂推广和类似疫苗接种计划提供相关干预措施。
Occupational disparities in COVID-19 vaccine uptake can impact the effectiveness of vaccination programmes and introduce particular risk for vulnerable workers and those with high workplace exposure. This study aimed to investigate COVID-19 vaccine uptake by occupation, including for vulnerable groups and by occupational exposure status. We used data from employed or self-employed adults who provided occupational information as part of the Virus Watch prospective cohort study (n = 19,595) and linked this to study-obtained information about vulnerability-relevant characteristics (age, medical conditions, obesity status) and work-related COVID-19 exposure based on the Job Exposure Matrix. Participant vaccination status for the first, second, and third dose of any COVID-19 vaccine was obtained based on linkage to national records and study records. We calculated proportions and Sison-Glaz multinomial 95% confidence intervals for vaccine uptake by occupation overall, by vulnerability-relevant characteristics, and by job exposure. Vaccination uptake across occupations ranged from 89-96% for the first dose, 87–94% for the second dose, and 75–86% for the third dose, with transport, trade, service and sales workers persistently demonstrating the lowest uptake. Vulnerable workers tended to demonstrate fewer between-occupational differences in uptake than non-vulnerable workers, although clinically vulnerable transport workers (76%-89% across doses) had lower uptake than several other occupational groups (maximum across doses 86%–96%). Workers with low SARS-CoV-2 exposure risk had higher vaccine uptake (86%-96% across doses) than those with elevated or high risk (81–94% across doses). Differential vaccination uptake by occupation, particularly amongst vulnerable and highly-exposed workers, is likely to worsen occupational and related socioeconomic inequalities in infection outcomes. Further investigation into occupational and non-occupational factors influencing differential uptake is required to inform relevant interventions for future COVID-19 booster rollouts and similar vaccination programmes.
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影响因子：
3.9
作者：
Hajure M;Tariku M;Bekele F;Abdu Z;Dule A;Mohammedhussein M;Tsegaye T
通讯作者：
Tsegaye T
DOI：
10.15585/mmwr.mm7030a2externalicon
发表时间：
2021-07-30
影响因子：
33.9
作者：
Lee, James T.;Althomsons, Sandy P.;Patel, Suchita A.
通讯作者：
Patel, Suchita A.
DOI：
10.2807/1560-7917.es.2020.25.50.2001884
发表时间：
2020-12
期刊：
Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
影响因子：
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作者：
de Gier B;de Oliveira Bressane Lima P;van Gaalen RD;de Boer PT;Alblas J;Ruijten M;van Gageldonk-Lafeber AB;Waegemaekers T;Schreijer A;van den Hof S;Hahné SJ
通讯作者：
Hahné SJ
DOI：
10.1056/nejmoa2116597
发表时间：
2022-02-24
期刊：
The New England journal of medicine
影响因子：
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作者：
Eyre DW;Taylor D;Purver M;Chapman D;Fowler T;Pouwels KB;Walker AS;Peto TEA
通讯作者：
Peto TEA
影响因子：
3.7
作者：
Fogh K;Strange JE;Scharff BFSS;Eriksen ARR;Hasselbalch RB;Bundgaard H;Nielsen SD;Jørgensen CS;Erikstrup C;Norsk J;Nielsen PB;Kristensen JH;Østergaard L;Ellermann-Eriksen S;Andersen B;Nielsen H;Johansen IS;Wiese L;Simonsen L;Fischer TK;Folke F;Lippert F;Ostrowski SR;Benfield T;Mølbak K;Ethelberg S;Koch A;Sönksen UW;Vangsted AM;Krause TG;Fomsgaard A;Ullum H;Skov R;Iversen K
通讯作者：
Iversen K