Socio-Demographic Composition and Potential Occupational Exposure to SARS-CoV2 under Routine Working Conditions among Key Workers in France.

ABSTRACT

This study aims to describe the socio-demographic profile of so-called "key workers" during the first lockdown in France and to assess their potential occupational exposure to SARS-CoV-2 under routine, pre-pandemic working conditions. We used the French list of essential jobs that was issued during the first lockdown to identify three subgroups of key workers (hospital healthcare, non-hospital healthcare, non-healthcare). Based on the population-based "Conditions de travail-2019" survey, we described the socio-demographic composition of key workers and their potential work-related exposures (to "infectious agents," "face-to-face contact with the public," and "working with colleagues") using modified Poisson regression. In general, women, clerical and manual workers, workers on temporary contracts, those with lower education and income, and non-European immigrants were more likely to be key workers, who accounted for 22% of the active population. Non-healthcare essential workers (57%) were the most socially disadvantaged, while non-hospital healthcare workers (19%) were polarized at both extremes of the social scale; hospital healthcare workers (24%) were intermediate. Compared to non-key workers, all subgroups had greater exposure to infectious agents and more physical contact with the public. This study provides evidence of accumulated disadvantages among key workers concerning their social background, geographical origin, and potential SARS-CoV-2 exposure.