ArticleJournal of occupational and environmental medicine2025
Use of Job Exposure Matrices to Inform COVID-19 Vaccine Promotion Among Non-Health Care Workers in Chicago, Illinois.
Article in Journal of occupational and environmental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundOccupation, a risk factor for SARS-CoV-2 exposure, is excluded from immunization records. Identifying undervaccinated workers could optimize interventions to protect vulnerable populations.
methodsWe analyzed health department case interviews (June 2021 to May 2022) to describe 3763 non-health care workers with COVID-19 in Chicago. Job exposure matrices categorized SARS-CoV-2 exposure risk through frequency of indoor work and proximity to the public and to coworkers. Logistic regression quantified associations between occupational risk and vaccination status.
resultsPre-Omicron vaccination rates were lower among high-risk versus lower-risk workers (41% vs. 49%). Post-Omicron rates did not differ (75%). Undervaccinated groups had disproportionately high occupational risk: 66% of Black-non-Latinx, 57% of 18- to 29-year-olds. Demographically adjusted models found no associations between occupational risk and vaccination.
conclusionsGiven demographic patterns of employment, workplace-based COVID-19 vaccine promotion can help reach undervaccinated communities. To inform interventions, immunization records must include occupation.
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