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Use of Job Exposure Matrices to Inform COVID-19 Vaccine Promotion Among Non-Health Care Workers in Chicago, Illinois
Frances R Lendacki1, Linda Forst, Supriya D Mehta
1From the Chicago Department of Public Health, Disease Control Bureau, Chicago, Illinois (F.R.L., J.L.K.); School of Public Health, University of Illinois at Chicago, Chicago, Illinois (F.R.L., L.F., S.D.M.); and Division of Infectious Disease Medicine, Department of Medicine, Rush University, Chicago, Illinois (S.D.M.).
Background:
Occupation, a risk factor for SARS-CoV-2 exposure, is excluded from immunization records. Identifying undervaccinated workers could optimize interventions to protect vulnerable populations.
Methods:
We 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.
Results:
Pre-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.
Conclusions:
Given 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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