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    Demographic and occupational determinants of anti-SARS-CoV-2 IgG seropositivity in hospital staff

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    Author
    Martin, Christopher
    Patel, Prashanth
    Goss, Charles
    Jenkins, David
    Price, Arthur
    Barton, Linda
    Gupta, Pankaj
    Zaccardi, Francesco
    Jerina, Helen
    Duraisingham, Sai
    Brunskill, Nigel
    Pareek, Manish
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    Keyword
    COVID-19
    Ethnicity
    Healthcare worker
    SARS-COV-2
    Seroprevalence
    
    Metadata
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    DOI
    0.1093/pubmed/fdaa199
    Publisher's URL
    https://academic.oup.com/jpubhealth/article/44/2/234/5983393
    Abstract
    Background Although evidence suggests that demographic characteristics including minority ethnicity increase the risk of infection with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), it is unclear whether these characteristics, together with occupational factors, influence anti-SARS-CoV-2 IgG seroprevalence in hospital staff. Methods We conducted cross-sectional surveillance examining seroprevalence of anti-SARS-CoV-2 IgG amongst staff at University Hospitals of Leicester (UHL) NHS Trust. We quantified seroprevalence stratified by ethnicity, occupation and seniority of practitioner and used logistic regression to examine demographic and occupational factors associated with seropositivity. Results A total of 1148/10662 (10.8%) hospital staff members were seropositive. Compared to White staff (seroprevalence 9.1%), seroprevalence was higher in South Asian (12.3%) and Black (21.2%) staff. The occupations and department with the highest seroprevalence were nurses/healthcare assistants (13.7%) and the Emergency Department (ED)/Acute Medicine (17.5%), respectively. Seroprevalence decreased with seniority in medical/nursing practitioners. Minority ethnicity was associated with seropositivity on an adjusted analysis (South Asian: aOR 1.26; 95%CI: 1.07–1.49 and Black: 2.42; 1.90–3.09). Anaesthetics/ICU staff members were less likely to be seropositive than ED/Acute medicine staff (0.41; 0.27–0.61). Conclusions Ethnicity and occupational factors, including specialty and seniority, are associated with seropositivity for anti-SARS-Cov-2 IgG. These findings could be used to inform occupational risk assessments for front-line healthcare workers.
    Citation
    Martin, C. A., Patel, P., Goss, C., Jenkins, D. R., Price, A., Barton, L., Gupta, P., Zaccardi, F., Jerina, H., Duraisingham, S., Brunskill, N. J., Khunti, K., & Pareek, M. (2022). Demographic and occupational determinants of anti-SARS-CoV-2 IgG seropositivity in hospital staff. Journal of public health (Oxford, England), 44(2), 234–245.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/15631
    Collections
    Infectious Diseases

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