Occupation and SARS-CoV-2 seroprevalence studies : a systematic review

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dc.contributor.author
Boucher, Emily
D'Mello, Sean
Duarte, Nathan
Donnici, Claire
Duarte, Natalie
Bennett, Graham
SeroTracker Consortium
Adisesh, Anil
Arora, Rahul
Kodama, David
Bobrovitz, Niklas
Bobrovitz, Niklas
dc.date.accessioned
2025-01-29T18:23:32Z
dc.date.available
2025-01-29T18:23:32Z
dc.date.issued
2023-02-28
dc.description.abstract - en
<p>Objective <br>To describe and synthesise studies of SARS-CoV-2 seroprevalence by occupation prior to the widespread vaccine roll-out.</p> <p>Methods <br>We identified studies of occupational seroprevalence from a living systematic review (PROSPERO CRD42020183634). Electronic databases, grey literature and news media were searched for studies published during January–December 2020. Seroprevalence estimates and a free-text description of the occupation were extracted and classified according to the Standard Occupational Classification (SOC) 2010 system using a machine-learning algorithm. Due to heterogeneity, results were synthesised narratively.</p> <p>Results <br>We identified 196 studies including 591 940 participants from 38 countries. Most studies (n=162; 83%) were conducted locally versus regionally or nationally. Sample sizes were generally small (median=220 participants per occupation) and 135 studies (69%) were at a high risk of bias. One or more estimates were available for 21/23 major SOC occupation groups, but over half of the estimates identified (n=359/600) were for healthcare-related occupations. ‘Personal Care and Service Occupations’ (median 22% (IQR 9–28%); n=14) had the highest median seroprevalence.</p> <p>Conclusions <br>Many seroprevalence studies covering a broad range of occupations were published in the first year of the pandemic. Results suggest considerable differences in seroprevalence between occupations, although few large, high-quality studies were done. Well-designed studies are required to improve our understanding of the occupational risk of SARS-CoV-2 and should be considered as an element of pandemic preparedness for future respiratory pathogens.</p>
dc.description.sponsorship
SeroTracker receives funding for SARS-CoV-2 seroprevalence study evidence synthesis from the Public Health Agency of Canada through Canada’s COVID-19 Immunity Task Force (Grant Number 2021-HQ-000056), the WHO Health Emergencies Programme, the Robert Koch Institute and the Canadian Medical Association Joule Innovation Fund.
dc.identifier.doi
https://doi.org/10.1136/bmjopen-2022-063771
dc.identifier.issn
2044-6055
dc.identifier.pubmedID
36854599
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/3377
dc.language.iso
en
dc.publisher - en
BMJ Publishing Group
dc.rights - en
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights - fr
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.openaccesslevel - en
Gold
dc.rights.openaccesslevel - fr
Or
dc.rights.uri - en
https://creativecommons.org/licenses/by/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by/4.0/deed.fr
dc.subject - en
Health
Coronavirus diseases
Epidemiology
Occupations
dc.subject - fr
Santé
Maladie à coronavirus
Épidémiologie
Profession
dc.subject.en - en
Health
Coronavirus diseases
Epidemiology
Occupations
dc.subject.fr - fr
Santé
Maladie à coronavirus
Épidémiologie
Profession
dc.title - en
Occupation and SARS-CoV-2 seroprevalence studies : a systematic review
dc.type - en
Article
dc.type - fr
Article
local.acceptedmanuscript.articlenum
e063771
local.article.journalissue
2
local.article.journaltitle - en
BMJ Open
local.article.journalvolume
13
local.pagination
1-6
local.peerreview - en
Yes
local.peerreview - fr
Oui
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