Implementation of occupational safety and health measures at German schools during the SARS-CoV-2 pandemic-cross-sectional results from 31,089 teachers

Clemens Koestner; Viktoria Eggert; Theresa Dicks; Till Beutel; Kristin Kalo; Carolina Zähme; Stephan Letzel; Pavel Dietz

doi:10.3389/fpubh.2023.1097371

Implementation of occupational safety and health measures at German schools during the SARS-CoV-2 pandemic-cross-sectional results from 31,089 teachers

Front Public Health. 2023 Feb 28:11:1097371. doi: 10.3389/fpubh.2023.1097371. eCollection 2023.

Authors

Clemens Koestner¹, Viktoria Eggert¹, Theresa Dicks¹, Till Beutel², Kristin Kalo³, Carolina Zähme¹, Stephan Letzel^{1

2}, Pavel Dietz¹

Affiliations

¹ Institute of Occupational, Social and Environmental Medicine, University Medical Center of the University of Mainz, Mainz, Germany.
² Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.
³ Department of Sports Medicine, Disease Prevention and Rehabilitation, Johannes Gutenberg University Mainz, Mainz, Germany.

Abstract

Background: The SARS-CoV-2 pandemic exacerbated existing health-related challenges in schools and created new ones. Under pandemic conditions, health risks increased, and with them the requirements for occupational safety and health (OSH) measures. The aim of the study was (a) to examine the status quo of OSH measures in German schools, (b) to analyze whether the implementation of OSH measures was associated with preferable outcomes and (c) to identify predictors for the implementation of OSH measures.

Methods: A nationwide cross-sectional online survey was conducted among teachers at all school types in Germany in March 2021. Data on the implementation of OSH measures (risk assessments, infection protection instructions and instructions on occupational safety), associated health-related parameters (e.g., somatic symptoms, PHQ-15) and predictor variables (e.g., gender, age or federal states) were assessed using descriptive statistics, analysis of variance and multiple linear regression analysis.

Results: Less than 10% of surveyed teachers (N = 31,089) reported that their schools met legal requirements for occupational safety and health measures. Beneficial associations became apparent where more measures were implemented, e.g., significantly better somatic and mental health. Predictors for the implementation of OSH measures were found, especially on a systemic level (e.g., federal states schools were located in).

Conclusions: Our study can serve as a basis for future studies. It provides a status quo regarding the implementation of, associations with and predictors for OSH measures in German schools. Our results are best understood as evidence-based arguments to encourage political decision makers to improve the implementation of OSH measures in German schools and thereby foster teachers' health.

Keywords: COVID-19; SARS-CoV-2; occupational safety and health; schools; teachers.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

COVID-19* / epidemiology
COVID-19* / prevention & control
Cross-Sectional Studies
Humans
Occupational Health*
Pandemics
SARS-CoV-2
Schools

Grants and funding

Special thanks to the Federal Institute for Occupational Safety and Health (BAuA) for funding the research project. Funding Number: F2513.