Associação entre tipo de vínculo de trabalho e adoecimento por Covid-19 entre enfermeiras

Abstract

During the pandemic of the new coronavirus, the precariousness of workingconditions andthe flexibilization of employment relationships for nurses were amplified, given the emergency hiring to assist those sickened by Covid-19. This scenario made workersvulnerable to contamination by the coronavirus, with Brazil being one of the countries with the highest number of illness and death among nurses. Even with the advancement of outsourcing and flexibilization of bonds in the pandemic period, there are no studies that elucidate, for the field of nursing, whether the type of bond was configuredas a risk factor forillness by Covid-19.To verify the existence of an associationbetween thetype ofemployment relationship and illness by covid-19 among nurses who work in hospitals ofthe SUS network inBahia.Thisis a quantitative, descriptive and cross-sectionalstudy. The study sample is 2,605 nurses who work in hospitals of the Health Department ofthe State of Bahia. Estimates of work factors associated with illness by COVID-19, accordingto the type of employment relationship, were performed using a bivariate, unadjusted analysis,then a multivariate logistic regressionanalysis was performed for the outcome examined, calculating the Adjusted ORs, with theirrespective confidence intervals (95% CI). Maximumlikelihood test was used to test the validity of the final model. All analyzes were performed using STATA v.15 software.The type of bond was not associatedwith illness due to Covid-19, both in the crude model (OR = 0.89; CI = 0.68 - 1.14) and inthe adjusted model(OR=0.86; CI= 0.67 -1.09).It was not found that the type of bond is a risk factorfor illness for COVID-19 among nurses working in hospitals of the SUS networkin Bahia. With this, it is shown that regardless of the type of bond, nurses are exposed to health insecurity and occupational risk, which reverberates with the process of precariousness faced by this category over time, which was potentiated with the advent of the coronaviruspandemic.