Living With School-Aged Children and the Risk of Absenteeism Among Healthcare Workers During the Twindemic of COVID-19 and Influenza

IF 4.3 4区医学 Q1 INFECTIOUS DISEASES

Influenza and Other Respiratory Viruses Pub Date : 2025-04-21 DOI:10.1111/irv.70100

Shohei Yamamoto, Tetsuya Mizoue, Maki Konishi, Kumi Horii, Wataru Sugiura, Norio Ohmagari

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Abstract

Background

The impact of the simultaneous circulation of COVID-19 and seasonal influenza, termed the “Twindemic,” on absenteeism among healthcare workers (HCWs), particularly those with children, remains unclear. We aimed to investigate the associations of living with school-aged children with the risk of SARS-CoV-2 and influenza infections and the risk of absenteeism due to own- or family-related COVID-19 or influenza events among HCWs during the Twindemic.

Methods

This prospective study followed 1473 HCWs at a tertiary hospital in Tokyo from December 2023 to March 2024. We tracked the incidence of SARS-CoV-2 and influenza infections and absenteeism due to COVID-19 or influenza-related family events. We estimated the hazard ratios (HRs) or incidence rate ratios (IRRs) of these outcomes across living arrangements, focusing on cohabitation with school-aged children.

Findings

HCWs living with younger school-aged children (≤ third grade of junior school) had a higher risk of SARS-CoV-2 and influenza infections, with HRs [95% confidence interval (CI)] of 1.90 [0.97–3.69] and 2.42 [1.04–5.66], respectively, compared with those living with cohabitants without school-aged children. Additionally, they showed a higher IRR [95% CI] for absenteeism due to family-related events (10.9 [4.88–24.5]), and their overall IRR [95% CI] of absenteeism due to own/family-related events was 3.76 [2.59–5.46].

Conclusion

The Twindemic has heightened absenteeism risks among HCWs with school-aged children, emphasizing the need for targeted support to help HCWs manage both their professional duties and family responsibilities during such challenging times.

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在 COVID-19 和流感双重流行期间，与学龄儿童同住与医护人员缺勤的风险

背景：COVID-19和季节性流感（称为“双大流行”）同时流行对卫生保健工作者（HCWs），特别是有儿童的卫生保健工作者的缺勤率的影响尚不清楚。我们的目的是调查在双大流行期间与学龄儿童生活在一起与SARS-CoV-2和流感感染风险的关系，以及卫生保健工作者因自身或家庭相关的COVID-19或流感事件而缺勤的风险。方法对2023年12月至2024年3月在东京某三级医院就诊的1473名医护人员进行前瞻性研究。我们追踪了SARS-CoV-2和流感感染的发生率，以及因COVID-19或流感相关家庭事件而缺勤的发生率。我们估计了这些结果在不同生活安排下的风险比（hr）或发病率比（IRRs），重点是与学龄儿童同居。结果：与低龄儿童（≤初中三年级）生活在一起的医护人员感染SARS-CoV-2和流感的风险较高，其hr[95%可信区间（CI）]分别为1.90[0.97-3.69]和2.42[1.04-5.66]。此外，他们因家庭相关事件缺勤的IRR [95% CI]更高（10.9[4.88-24.5]），因自身/家庭相关事件缺勤的总体IRR [95% CI]为3.76[2.59-5.46]。两大流行病增加了有学龄儿童的卫生保健工作者的缺勤风险，强调有必要提供有针对性的支持，帮助卫生保健工作者在这一充满挑战的时期兼顾其专业职责和家庭责任。

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来源期刊

Influenza and Other Respiratory Viruses 医学-病毒学

CiteScore

7.20

自引率

4.50%

发文量

120

审稿时长

6-12 weeks

期刊介绍： Influenza and Other Respiratory Viruses is the official journal of the International Society of Influenza and Other Respiratory Virus Diseases - an independent scientific professional society - dedicated to promoting the prevention, detection, treatment, and control of influenza and other respiratory virus diseases. Influenza and Other Respiratory Viruses is an Open Access journal. Copyright on any research article published by Influenza and Other Respiratory Viruses is retained by the author(s). Authors grant Wiley a license to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors, citation details and publisher are identified.