Ethnicity and risk for SARS-CoV-2 infection among the healthcare workforce: Results of a retrospective cohort study in rural United Kingdom
| Autor: | Maxime Inghels, Ros Kane, Priya Lall, David Nelson, Agnes Nanyonjo, Zahid Asghar, Derek Ward, Tracy McCranor, Tony Kavanagh, Todd Hogue, Jaspreet Phull, Frank Tanser |
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| Rok vydání: | 2022 |
| Předmět: |
Microbiology (medical)
SARS-CoV-2 B920 Occupational Health Health Personnel COVID-19 General Medicine A900 Others in Medicine and Dentistry State Medicine United Kingdom body regions Infectious Diseases Ethnicity Workforce Humans A990 Medicine and Dentistry not elsewhere classified B990 Subjects Allied to Medicine not elsewhere classified Delivery of Health Care Minority Groups Retrospective Studies |
| Zdroj: | International Journal of Infectious Diseases. 122:115-122 |
| ISSN: | 1201-9712 |
| Popis: | BACKGROUND 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. METHODS 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. RESULTS 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. CONCLUSION 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. |
| Databáze: | OpenAIRE |
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