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SARS-CoV-2 seroprevalence and social inequalities in different subgroups of healthcare workers in Rio de Janeiro, Brazil

Correia, Roberta Fernandes ; da Costa, Ana Carolina Carioca ; Moore, Daniella Campelo Batalha Cox ; Gomes Junior, Saint Clair ; de Oliveira, Maria Paula Carneiro ; Zuma, Maria Célia Chaves ; Galvani, Rômulo Gonçalves ; Savino, Wilson ; Bonomo, Adriana Cesar ; Vasconcelos, Zilton Farias Meira ; Artmann, Elizabeth

Lancet Regional Health - Americas (Online), 2022-03, Vol.7, p.100170-100170, Article 100170 [Peer Reviewed Journal]

England: Elsevier Ltd

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  • Title:
    SARS-CoV-2 seroprevalence and social inequalities in different subgroups of healthcare workers in Rio de Janeiro, Brazil
  • Author: Correia, Roberta Fernandes ; da Costa, Ana Carolina Carioca ; Moore, Daniella Campelo Batalha Cox ; Gomes Junior, Saint Clair ; de Oliveira, Maria Paula Carneiro ; Zuma, Maria Célia Chaves ; Galvani, Rômulo Gonçalves ; Savino, Wilson ; Bonomo, Adriana Cesar ; Vasconcelos, Zilton Farias Meira ; Artmann, Elizabeth
  • Subjects: COVID-19 ; healthcare professionals ; healthcare workers ; inequality ; SARS-CoV-2 seroprevalence ; social determinants of health ; support workers
  • Is Part Of: Lancet Regional Health - Americas (Online), 2022-03, Vol.7, p.100170-100170, Article 100170
  • Notes: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Description: COVID-19 has exacerbated health inequalities worldwide. Yet, such a perspective has not been investigated in specific healthcare workers and their resulting inclusion as a priority group for vaccination have been an important focus of political and social discussion. This study aimed at investigating whether SARS-CoV-2-seropositivity in healthcare workers in a public hospital in Rio de Janeiro, Brazil, was influenced by social determinants of health and the social vulnerability in subgroups of workers. A serological survey was conducted in 1,154 healthcare workers in June and July 2020. The association between the serological test results for detection of IgG antibodies to SARS-CoV-2 and socioeconomic, occupational characteristics and transportation used by the workers to commute was assessed using the Pearson´s chi-square test and Cramer's V. Overall, the serum prevalence for the virus in the healthcare workers was 30% (342/1141). Non-white workers (208/561) with lower income (169/396) and schooling (150/353), as well as users of the mass transportation system (157/246) showed the highest infection rates. Importantly they mostly corresponded to hospital support workers (131/324), in particular the cleaning personnel (42/70). Accordingly, income, schooling and work modality appeared as negative predictors, as ascertained by forest plot analysis. The data clearly illustrate the inequality in SARS-CoV-2 infection in the Brazilian population, comprising even healthcare workers of the Brazilian unified health system. This study was financed by Fiocruz, CNPq, Faperj, Capes, FOCEM/Mercosur and the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) – Finance Code 001.
  • Publisher: England: Elsevier Ltd
  • Language: English

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