意大利Covid-19职业风险发生率和大流行期间涉及的工作部门

IF 3.5 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Safety and Health at Work Pub Date : 2023-12-01 DOI:10.1016/j.shaw.2023.10.011
Fabio Boccuni , Bruna M. Rondinone , Giuliana Buresti , Adelina Brusco , Andrea Bucciarelli , Silvia D'Amario , Benedetta Persechino , Sergio Iavicoli , Alessandro Marinaccio
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引用次数: 0

摘要

从2020年3月到2021年12月,意大利已经确定了Covid-19大流行的不同阶段,国家政府逐步实施了几项遏制/解除措施。在本研究中,我们调查了随后大流行阶段职业风险的变化,并根据对Covid-19赔偿保险索赔的分析,提出了按经济部门估计病例发生率的方法。分析了2020-2021年意大利公共保险系统承保的普通人群和工人工伤索赔的Covid-19流行病学数据。按经济部门计算每月每10万名工人的Covid-19索赔发生率(MIRw),并与不同大流行时期普通人群的相同指标进行比较。在大流行期间,按部门划分的Covid-19病死率分布发生了重大变化,这与不同波的强度和所执行的缓解/解除战略有关。在大流行开始阶段,职业比例水平非常高,到2021年底下降到5%。医疗保健和相关服务继续受到打击,但2021年,除运输和仓储企业的邮政和快递活动外,所有部门的发病率均显著下降。通过对索赔数据的分析,可以确定不同工作部门感染风险的时间趋势。人类健康和社会工作活动的索赔率最高,但各部门之间的风险分布显然受到大流行病不同阶段的影响。
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Covid-19 Occupational Risk Incidence and Working Sectors Involved During the Pandemic in Italy

Background

Starting from March 2020 until December 2021, different phases of Covid-19 pandemic have been identified in Italy, with several containing/lifting measures progressively enforced by the National government. In the present study, we investigate the change in occupational risk during the subsequent pandemic phases and we propose an estimate of the incidence of the cases by economic sector, based on the analysis of insurance claims for compensation for Covid-19.

Methods

Covid-19 epidemiological data available for the general population and injury claims of workers covered by the Italian public insurance system in 2020–2021 were analyzed. Monthly Incidence Rate of Covid-19 compensation claims per 100,000 workers (MIRw) was calculated by the economic sector and compared with the same indicator for general population in different pandemic periods.

Results

The distribution of Covid-19 MIRw by sector significantly changed during the pandemic related to both the strength of different waves and the mitigation/lifting strategies enforced. The level of occupational fraction was very high at the beginning phase of the pandemic, decreasing to 5% at the end of 2021. Healthcare and related services were continuously hit but the incidence was significantly decreasing in 2021 in all sectors, except for postal and courier activities in transportation and storage enterprises.

Conclusion

The analysis of compensation claim data allowed to identify time trends for infection risk in different working sectors. The claim rates were highest for human health and social work activities but the distribution of risk among sectors was clearly influenced by the different stages of the pandemic.
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来源期刊
Safety and Health at Work
Safety and Health at Work Social Sciences-Safety Research
CiteScore
6.40
自引率
5.70%
发文量
1080
审稿时长
38 days
期刊介绍: Safety and Health at Work (SH@W) is an international, peer-reviewed, interdisciplinary journal published quarterly in English beginning in 2010. The journal is aimed at providing grounds for the exchange of ideas and data developed through research experience in the broad field of occupational health and safety. Articles may deal with scientific research to improve workers'' health and safety by eliminating occupational accidents and diseases, pursuing a better working life, and creating a safe and comfortable working environment. The journal focuses primarily on original articles across the whole scope of occupational health and safety, but also welcomes up-to-date review papers and short communications and commentaries on urgent issues and case studies on unique epidemiological survey, methods of accident investigation, and analysis. High priority will be given to articles on occupational epidemiology, medicine, hygiene, toxicology, nursing and health services, work safety, ergonomics, work organization, engineering of safety (mechanical, electrical, chemical, and construction), safety management and policy, and studies related to economic evaluation and its social policy and organizational aspects. Its abbreviated title is Saf Health Work.
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