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COVID-19 among health care workers in Brazil: prevalence and disparities based on respondent-driven sampling

Title: COVID-19 among health care workers in Brazil: prevalence and disparities based on respondent-driven sampling
Authors: Ligia Kerr; Marto Leal; Rosa Lívia Freitas Almeida; Ana Zaira da Silva; Cristiane Cunha Frota; Luana Nepomuceno Gondim Costa Lima; Luciane Nascimento Cruz; Maria de Fátima Militão de Albuquerque; Mirian Cohen; Ricardo Arraes de Alencar Ximenes; Wayner Vieira de Souza; Maria Amélia de Sousa Mascena Veras; José Luis Gomes; Roberto da Justa Pires Neto; Marli Teresinha Gimeniz Galvão; Patrícia Neyva da Costa Pinheiro; Ulisses Ramos Montarroyos; Cresio Romeu Pereira; Demócrito de Barros Miranda-Filho; Paulo Roberto Borges de Souza Junior; Thália Velho Barreto de Araújo; Pedro Miguel dos Santos Neto; Cynthia Braga; Celina Maia Turchi Martelli; Carl Kendall
Source: Revista de Saúde Pública, Vol 59 (2026)
Publisher Information: Universidade de São Paulo
Publication Year: 2026
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: Health Workers; COVID-19; Brazil; Prevalence; Disparities; Respondent-Driven Sampling; Public aspects of medicine; RA1-1270
Description: OBJECTIVE To determine the prevalence and disparities of COVID-19 among health care workers in Brazil. METHODS A survey was conducted among health care workers in five Brazilian cities. Disparities in the prevalence of COVID-19 were analyzed by professional category and region (North/Northeast versus South/Southeast). RESULTS The sample was composed of 2,499 health care workers: 601 (24.1%) nursing technicians, 1,095 (43.8%) registered nurses, and 803 (32.1%) physicians. Recruitment and data collection were conducted online from May 21, 2020, to February 10, 2021, using respondent-driven sampling. The overall COVID-19 prevalence was 48.1% (95%CI: 43.4–52.9). The highest COVID-19 prevalence was identified among nursing technicians (52.8%; 95%CI: 44.4–61.0). Nursing technicians reported undergoing fewer PCR and COVID-19 tests compared to physicians. Nursing technicians and registered nurses in the North/Northeast regions who reported COVID-19 symptoms spent much of the first year of the pandemic without access to confirmatory testing. Furthermore, the risk of laboratory-confirmed COVID-19 was significantly lower for all occupational categories in the North and Northeast regions. CONCLUSIONS COVID-19 rates among health care workers were exceptionally high and non-uniformly distributed. This mirrors the vast socioeconomic, cultural, and political differences and the difficulty in coordinating pandemic control actions in Brazil.
Document Type: article in journal/newspaper
Language: English; Spanish; Castilian; Portuguese
Relation: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102025000100250&lng=en&tlng=en; http://www.scielo.br/pdf/rsp/v59/1518-8787-rsp-59-e51.pdf; https://doaj.org/toc/1518-8787; https://doaj.org/article/286e8b8969264663a618635dc5b9bb88
DOI: 10.11606/s1518-8787.2025059006959
Availability: https://doi.org/10.11606/s1518-8787.2025059006959; https://doaj.org/article/286e8b8969264663a618635dc5b9bb88
Accession Number: edsbas.986BF375
Database: BASE