OBJECTIVES: Health is distributed unequally by occupation (Ravesteijn,2013). This research aims to explore patient-reported outcomes by occupation profiles using the National Health and Wellness Survey (NHWS).

METHODS: Data from the 2022 US NHWS included employed respondents at least 18 years of age with information on occupation profile, defined as 22 categories from the Bureau of Labor Statistics. Descriptive statistics were used to analyze respondent characteristics and outcomes such as COVID-19 diagnoses, healthcare resource use over the past six months, and work impairment as measured by the Work Productivity and Activity Impairment Questionnaire (WPAI).

RESULTS: A total of 35,789 respondents were employed and had occupation information. Respondents were predominantly white (62.0%) and male (53.9%). Sales and Related occupations had the greatest proportion of respondents reporting a COVID-19 diagnosis (16.1%) while Building and Grounds Cleaning and Maintenance had the lowest proportion (3.8%). Educational Instruction and Library had the most respondents reporting that they had received at least one dose of the COVID-19 vaccine (79.2%) while Farming, Fishing, and Forestry had the least respondents (52.9%). Life, Physical, and Social Science had the greatest COVID-19 vaccination rate over the past year (66.5%) while Farming, Fishing, and Forestry had the lowest (45.0%).

Office and Administrative Support had the greatest proportion of respondents with a traditional healthcare provider visit (79.8%), but the lowest proportion with an emergency room (ER) visit (12.7%) or a hospitalization (8.1%). Farming, Fishing, and Forestry had the greatest proportion of respondents with an ER visit (41.6%) or hospitalization (41.6%).

The greatest proportion of respondents with any overall work impairment or activity impairment was in Farming, Fishing, and Forestry (work: 91.1%, activity: 87.4%) while the lowest proportion was in Office and Administrative Support (work: 50.0%, activity: 53.3%).

CONCLUSIONS: Certain occupation profiles consistently show higher impairment while others consistently show lower impairment.