Associations between an international COVID-19 job exposure matrix and SARS-CoV-2 infection among 2 million workers in Denmark

OBJECTIVES: This study investigates the associations between the Danish version of a job exposure matrix for COVID-19 (COVID-19-JEM) and Danish register-based SARS-CoV-2 infection information across three waves of the pandemic. The COVID-19-JEM consists of four dimensions on transmission: two on mit...

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Main Authors: Sophie van der Feltz, Vivi Schlünssen, Ioannis Basinas, Luise M Begtrup, Alex Burdorf, Jens PE Bonde, Esben M Flachs, Susan Peters, Anjoeka Pronk, Zara A Stokholm, Martie van Tongeren, Karin van Veldhoven, Karen M Oude Hengel, Henrik A Kolstad
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2023-09-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/article/4099
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author Sophie van der Feltz
Vivi Schlünssen
Ioannis Basinas
Luise M Begtrup
Alex Burdorf
Jens PE Bonde
Esben M Flachs
Susan Peters
Anjoeka Pronk
Zara A Stokholm
Martie van Tongeren
Karin van Veldhoven
Karen M Oude Hengel
Henrik A Kolstad
author_facet Sophie van der Feltz
Vivi Schlünssen
Ioannis Basinas
Luise M Begtrup
Alex Burdorf
Jens PE Bonde
Esben M Flachs
Susan Peters
Anjoeka Pronk
Zara A Stokholm
Martie van Tongeren
Karin van Veldhoven
Karen M Oude Hengel
Henrik A Kolstad
author_sort Sophie van der Feltz
collection DOAJ
description OBJECTIVES: This study investigates the associations between the Danish version of a job exposure matrix for COVID-19 (COVID-19-JEM) and Danish register-based SARS-CoV-2 infection information across three waves of the pandemic. The COVID-19-JEM consists of four dimensions on transmission: two on mitigation measures, and two on precarious work characteristics. METHODS: The study comprised 2 021 309 persons from the Danish working population between 26 February 2020 and 15 December 2021. Logistic regression models were applied to assess the associations between the JEM dimensions and overall score and SARS-CoV-2 infection across three infection waves, with peaks in March–April 2020, December–January 2021, and February–March 2022. Sex, age, household income, country of birth, wave, residential region and during wave 3 vaccination status were accounted for. RESULTS: Higher risk scores within the transmission and mitigation dimensions and the overall JEM score resulted in higher odds ratios (OR) of a SARS-CoV-2 infection. OR attenuated across the three waves with ranges of 1.08–5.09 in wave 1, 1.06–1.60 in wave 2, and 1.05–1.45 in those not (fully) vaccinated in wave 3. In wave 3, no associations were found for those fully vaccinated. In all waves, the two precarious work dimensions showed weaker or inversed associations. CONCLUSIONS: The COVID-19-JEM is a promising tool for assessing occupational exposure to SARS-CoV-2 and other airborne infectious agents that mainly spread between people who are in close contact with each other. However, its usefulness depends on applied restrictions and the vaccination status in the population of interest.
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spelling doaj.art-f4a095d4cf9743d8a3bb062f0b11383c2023-08-31T06:18:04ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2023-09-0149637538510.5271/sjweh.40994099Associations between an international COVID-19 job exposure matrix and SARS-CoV-2 infection among 2 million workers in DenmarkSophie van der Feltz0Vivi SchlünssenIoannis BasinasLuise M BegtrupAlex BurdorfJens PE BondeEsben M FlachsSusan PetersAnjoeka PronkZara A StokholmMartie van TongerenKarin van VeldhovenKaren M Oude HengelHenrik A KolstadDepartment of Occupational Medicine, Danish Ramazzini Center, Aarhus University Hospital, Palle Juul-Jensens Boulevard 35, 8200 Aarhus N, Denmark.OBJECTIVES: This study investigates the associations between the Danish version of a job exposure matrix for COVID-19 (COVID-19-JEM) and Danish register-based SARS-CoV-2 infection information across three waves of the pandemic. The COVID-19-JEM consists of four dimensions on transmission: two on mitigation measures, and two on precarious work characteristics. METHODS: The study comprised 2 021 309 persons from the Danish working population between 26 February 2020 and 15 December 2021. Logistic regression models were applied to assess the associations between the JEM dimensions and overall score and SARS-CoV-2 infection across three infection waves, with peaks in March–April 2020, December–January 2021, and February–March 2022. Sex, age, household income, country of birth, wave, residential region and during wave 3 vaccination status were accounted for. RESULTS: Higher risk scores within the transmission and mitigation dimensions and the overall JEM score resulted in higher odds ratios (OR) of a SARS-CoV-2 infection. OR attenuated across the three waves with ranges of 1.08–5.09 in wave 1, 1.06–1.60 in wave 2, and 1.05–1.45 in those not (fully) vaccinated in wave 3. In wave 3, no associations were found for those fully vaccinated. In all waves, the two precarious work dimensions showed weaker or inversed associations. CONCLUSIONS: The COVID-19-JEM is a promising tool for assessing occupational exposure to SARS-CoV-2 and other airborne infectious agents that mainly spread between people who are in close contact with each other. However, its usefulness depends on applied restrictions and the vaccination status in the population of interest. https://www.sjweh.fi/article/4099 occupational exposuredenmarkjob exposure matrixjemcovid-19sars-cov-2coronaviruscovid-19 job exposure matrixsars-cov-2 exposureinfection wave
spellingShingle Sophie van der Feltz
Vivi Schlünssen
Ioannis Basinas
Luise M Begtrup
Alex Burdorf
Jens PE Bonde
Esben M Flachs
Susan Peters
Anjoeka Pronk
Zara A Stokholm
Martie van Tongeren
Karin van Veldhoven
Karen M Oude Hengel
Henrik A Kolstad
Associations between an international COVID-19 job exposure matrix and SARS-CoV-2 infection among 2 million workers in Denmark
Scandinavian Journal of Work, Environment & Health
occupational exposure
denmark
job exposure matrix
jem
covid-19
sars-cov-2
coronavirus
covid-19 job exposure matrix
sars-cov-2 exposure
infection wave
title Associations between an international COVID-19 job exposure matrix and SARS-CoV-2 infection among 2 million workers in Denmark
title_full Associations between an international COVID-19 job exposure matrix and SARS-CoV-2 infection among 2 million workers in Denmark
title_fullStr Associations between an international COVID-19 job exposure matrix and SARS-CoV-2 infection among 2 million workers in Denmark
title_full_unstemmed Associations between an international COVID-19 job exposure matrix and SARS-CoV-2 infection among 2 million workers in Denmark
title_short Associations between an international COVID-19 job exposure matrix and SARS-CoV-2 infection among 2 million workers in Denmark
title_sort associations between an international covid 19 job exposure matrix and sars cov 2 infection among 2 million workers in denmark
topic occupational exposure
denmark
job exposure matrix
jem
covid-19
sars-cov-2
coronavirus
covid-19 job exposure matrix
sars-cov-2 exposure
infection wave
url https://www.sjweh.fi/article/4099
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