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Home > jLPHA > Vol. 4 (2024) > No. 1 (2024)

 

Journal of the Louisiana Public Health Association

Journal of the Louisiana Public Health Association

Abstract

Background: The COVID-19 pandemic underscored significant health disparities, with social determinants such as living conditions and occupation amplifying the risk for severe outcomes in Black residents. This study examines the intersection of occupation, race, and COVID-19 mortality among Louisiana workers in 2020 and 2021, emphasizing the importance of integrating work-related information into public health surveillance. Methods: Occupation and race were collected from the death certificates of Louisiana resident workforce participants aged 18-70 years with COVID-19 listed as a cause of death for 2020 and 2021. COVID-19 mortality rates per 100,000 workers were calculated and compared using rate ratios for occupational groups and stratified by race. The SARS-CoV-2-Occupational Exposure Matrix was used to assess exposure risk level for each occupation. Results: COVID-19 disproportionately affected Black workers, with higher mortality rates compared to White workers across various occupational groups. Construction, Production, Transportation, and Service occupations exhibited the highest mortality rates. The SARS-CoV2-Occupational Exposure Matrix highlighted disparities in exposure risk levels, with Black workers overrepresented in high-risk occupations. Discussion: This study confirms known disparities in COVID-19 mortality by race and occupation, emphasizing the vulnerability of Black workers in high-risk occupations. Racial equity measures and targeted prevention strategies are crucial to address these disparities and protect vulnerable workers during public health crises. Conclusion: Racial disparities persist in COVID-19 mortality among Louisiana workers, particularly in high-risk occupations. Integrating occupational data into public health surveillance can inform tailored prevention efforts and mitigate disparities, ensuring the safety and resilience of essential workers during pandemics.

DOI

10.59020/07442

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