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Ethnicity and risk for SARS-CoV-2 infection among the healthcare workforce: Results of a retrospective cohort study in rural United Kingdom

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Název: Ethnicity and risk for SARS-CoV-2 infection among the healthcare workforce: Results of a retrospective cohort study in rural United Kingdom
Autoři: Inghels, Maxime, Kane, Ros, Lall, Priya, Nelson, David, Nanyonjo, Agnes, Asghar, Zahid, Ward, Derek, Mccranor, Tracy, Kavanagh, Tony, Hogue, Todd, Phull, Jaspreet, Tanser, Frank
Přispěvatelé: CCSD, Accord Elsevier
Zdroj: Int J Infect Dis
International Journal of Infectious Diseases, Vol 122, Iss, Pp 115-122 (2022)
Informace o vydavateli: Elsevier BV, 2022.
Rok vydání: 2022
Témata: A990 - Medicine & dentistry not elsewhere classified, Health profession, B920 Occupational Health, Health Personnel, A900 - Others in medicine & dentistry, Infectious and parasitic diseases, RC109-216, Article, State Medicine, 03 medical and health sciences, 0302 clinical medicine, Ethnicity, risk factors, Humans, Minority Groups, Retrospective Studies, SARS-CoV-2, COVID-19, B920 - Occupational health, A900 Others in Medicine and Dentistry, United Kingdom, 3. Good health, Risk factors, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Workforce, B990 - Subjects allied to medicine not elsewhere classified, Health professionals, A990 Medicine and Dentistry not elsewhere classified, B990 Subjects Allied to Medicine not elsewhere classified, Delivery of Health Care
Popis: The reason why Black and South Asian healthcare workers are at a higher risk for SARS-CoV-2 infection remain unclear. We aimed to quantify the risk for SARS-CoV-2 infection among healthcare staff who belong to the ethnic minority and elucidate pathways of infection.A one-year follow-up retrospective cohort study has been conducted among National Health Service employees who were working at 123 facilities in Lincolnshire, UK.Overall, 13,366 professionals were included. SARS-CoV-2 incidence per person-year was 5.2% (95% CI: 3.6-7.6%) during the first COVID-19 wave (January-August 2020) and 17.2% (13.5-22.0%) during the second wave (September 2020-February 2021). Compared with White staff, Black and South Asian employees were at higher risk for SARS-CoV-2 infection during both the first wave (hazard ratio, HR 1.58 [0.91-2.75] and 1.69 [1.07-2.66], respectively) and the second wave (HR 2.09 [1.57-2.76] and 1.46 [1.24-1.71]). Higher risk for SARS-CoV-2 infection persisted even after controlling for age, sex, pay grade, residence environment, type of work, and time exposure at work. Higher adjusted risk for SARS-CoV-2 infection were also found among lower-paid health professionals.Black and South Asian health workers continue to be at higher risk for SARS-CoV-2 infection than their White counterparts. Urgent interventions are required to reduce SARS-CoV-2 infection in these ethnic groups.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
Jazyk: English
ISSN: 1201-9712
DOI: 10.1016/j.ijid.2022.05.013
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/35569751
https://doaj.org/article/7d5d4d8336b14d9a95e2bc6d5c530a93
https://hal.science/hal-04150255v1
https://doi.org/10.1016/j.ijid.2022.05.013
https://hal.science/hal-04150255v1/document
https://eprints.lincoln.ac.uk/id/eprint/50325/1/main.pdf
https://eprints.lincoln.ac.uk/id/eprint/49282/7/1-s2.0-S1201971222002818-main.pdf
Rights: CC BY NC ND
CC BY NC
Přístupové číslo: edsair.doi.dedup.....3d7d1ff53a9ea823a800d73fe358bec9
Databáze: OpenAIRE
Popis
Abstrakt:The reason why Black and South Asian healthcare workers are at a higher risk for SARS-CoV-2 infection remain unclear. We aimed to quantify the risk for SARS-CoV-2 infection among healthcare staff who belong to the ethnic minority and elucidate pathways of infection.A one-year follow-up retrospective cohort study has been conducted among National Health Service employees who were working at 123 facilities in Lincolnshire, UK.Overall, 13,366 professionals were included. SARS-CoV-2 incidence per person-year was 5.2% (95% CI: 3.6-7.6%) during the first COVID-19 wave (January-August 2020) and 17.2% (13.5-22.0%) during the second wave (September 2020-February 2021). Compared with White staff, Black and South Asian employees were at higher risk for SARS-CoV-2 infection during both the first wave (hazard ratio, HR 1.58 [0.91-2.75] and 1.69 [1.07-2.66], respectively) and the second wave (HR 2.09 [1.57-2.76] and 1.46 [1.24-1.71]). Higher risk for SARS-CoV-2 infection persisted even after controlling for age, sex, pay grade, residence environment, type of work, and time exposure at work. Higher adjusted risk for SARS-CoV-2 infection were also found among lower-paid health professionals.Black and South Asian health workers continue to be at higher risk for SARS-CoV-2 infection than their White counterparts. Urgent interventions are required to reduce SARS-CoV-2 infection in these ethnic groups.
ISSN:12019712
DOI:10.1016/j.ijid.2022.05.013