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英国新出现的公共卫生挑战:少数族裔医疗工作者中 COVID19 死亡增加的认知和信念。

Emerging public health challenge in UK: perception and belief on increased COVID19 death among BAME healthcare workers.

机构信息

Department of Rheumatology, University Hospitals of Leicester NHS trust, Leicester LE1 5WW, UK.

Dept of Plastic surgery, Department of Plastic Surgery Kettering General Hospital NHS Foundation Trust, Kettering, N16 8UZ, UK.

出版信息

J Public Health (Oxf). 2020 Aug 18;42(3):486-492. doi: 10.1093/pubmed/fdaa096.

DOI:10.1093/pubmed/fdaa096
PMID:32618332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7337745/
Abstract

BACKGROUND

Coronavirus infection Disease 19 impacted every part of the world and routine life. Recent report from the Office of national statistics in UK reported disproportionate death among Black Asian and minority ethnic (BAME) population. NHS is heavily relied on the BAME work force both in front line and in the community. We attempted to explore the beliefs and perception about reported worrying issue among BAME health work force in a Diverse city of Leicester.

METHODS

This is a cross-sectional survey using 20 questions in an electronic format. The target population was identified through Leicester Asian Doctors Society and Leicester Asian Nurses Society. The questionnaire was then distributed electronically to the members. Survey questionnaire was accessed by 372, incomplete response (172) were excluded and 200 completed responses were analysed.

RESULTS

Majority of BAME workforce are routinely involved in front line duties. More than 70% were anxious about their role during this pandemic. The Personal Protective Equipment (PPE) supply was adequate, and the support received from the local healthcare providers was more than satisfactory. The work force perceived co-morbidity, lack of PPE and testing were one of the few reasons for increased death in BAME. BAME group felt adequate provision of PPE, increased testing and improving mental health well-being is required to alleviate concerns and improve BAME working life in NHS.

CONCLUSION

BAME workforce are routinely involved in front line work and current anxiety level is very high. Adequate provision of mental health support with clear risk stratification for return to work is required urgently.

摘要

背景

新冠肺炎疫情影响了世界的各个角落和日常生活。英国国家统计局最近的报告显示,黑人和少数族裔(BAME)人群的死亡率不成比例。国民保健制度严重依赖 BAME 劳动力,无论是在前线还是在社区。我们试图在莱斯特这个多元化的城市中探索 BAME 卫生工作者中报告的令人担忧的问题的信仰和看法。

方法

这是一项使用 20 个问题的横断面调查,采用电子格式。通过莱斯特亚洲医生协会和莱斯特亚洲护士协会确定目标人群。然后将问卷以电子方式分发给成员。有 372 人访问了调查问卷,排除了 172 份不完整的回复,分析了 200 份完整的回复。

结果

大多数 BAME 劳动力经常参与前线工作。超过 70%的人对大流行期间的角色感到焦虑。个人防护设备(PPE)供应充足,当地医疗保健提供者的支持非常满意。劳动力认为,合并症、缺乏 PPE 和检测是导致 BAME 死亡率增加的少数原因之一。BAME 群体认为,需要提供足够的 PPE、增加检测和改善心理健康福利,以减轻担忧并改善国民保健制度中的 BAME 工作生活。

结论

BAME 劳动力经常参与前线工作,目前的焦虑水平非常高。迫切需要提供充足的心理健康支持,并对重返工作岗位进行明确的风险分层。

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