Evidence map›Paper›PMID 34815280›Full record

ArticleBMJ open2021

Was the risk of death among the population of teachers and other school workers in England and Wales due to COVID-19 and all causes higher than other occupations during the pandemic in 2020? An ecological study using routinely collected data on deaths from the Office for National Statistics.

Sarah J Lewis, Kyle Dack, Caroline L Relton, Marcus R Munafo, George Davey Smith

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Occupation and SARS-CoV-2 in Europe: a review.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Sarah J LewisPopulation Health Sciences, University of Bristol, Bristol, UK S.J.Lewis@bristol.ac.uk.ORCID 0000-0003-4311-6890
Kyle DackPopulation Health Sciences, University of Bristol, Bristol, UK.
Caroline L ReltonPopulation Health Sciences, University of Bristol, Bristol, UK.
Marcus R MunafoMRC- Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
George Davey SmithPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID 0000-0002-1407-8314
University of Bristol · GB

Funding

Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/5Medical Research Council MC_UU_00011/7Medical Research Council MR/V028545/1
6 · The paper itself

Abstract

objectivesTo estimate occupation risk from COVID-19 among teachers and others working in schools using publicly available data on mortality in England and Wales.

designAnalysis of national death registration data from the Office for National Statistics.

settingEngland and Wales, 8 March-28 December 2020, during the COVID-19 pandemic.

participantsThe total working age population in England and Wales plus those still working aged over 65 years. PRIMARY AND SECONDARY OUTCOMES: Death with COVID-19 as a primary outcome and death from all causes as a secondary outcome.

resultsAcross occupational groups, there was a strong correlation between COVID-19 mortality and both non-COVID-19 and all-cause mortality. The absolute mortality rates for deaths with COVID-19 were low among those working in schools (from 10 per 100 000 in female primary school teachers to 39 per 100 000 male secondary school teachers) relative to many other occupations (range: 9-50 per 100 000 in women; 10-143 per 100 000 in men). There was weak evidence that secondary school teachers had slightly higher risks of dying with COVID-19 compared with the average for all working-aged people, but stronger evidence of a higher risk compared with the average for all professionals; primary school teachers had a lower risk. All-cause mortality was also higher among all teachers compared with all professionals. Teaching and lunchtime assistants were not at higher risk of death from COVID-19 compared with all working-aged people.

conclusionThere was weak evidence that COVID-19 mortality risk for secondary school teachers was above expectation, but in general school staff had COVID-19 mortality risks which were proportionate to their non-COVID-19 mortality risk.

Indexed as

COVID-19PandemicsAgedFemaleHumansMaleOccupationsRoutinely Collected Health DataSARS-CoV-2SchoolsWalesCOVID-19infectious diseasesoccupational & industrial medicine

Identifiers

PMID34815280
PMCPMC8613671
OpenAlexW3214802777

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.