Department of Respiratory Sciences, University of Leicester, Leicester, UK.
Department of Infection and HIV Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK.
Occup Environ Med. 2023 Jul;80(7):399-406. doi: 10.1136/oemed-2022-108700. Epub 2023 May 23.
There are limited data on the outcomes of COVID-19 risk assessment in healthcare workers (HCWs) or the association of ethnicity, other sociodemographic and occupational factors with risk assessment outcomes.
We used questionnaire data from UK-REACH (UK Research study into Ethnicity And COVID-19 outcomes in Healthcare workers), an ethnically diverse, nationwide cohort of UK HCWs. We derived four binary outcomes: (1) offered a risk assessment; (2) completed a risk assessment; (3) working practices changed as a result of the risk assessment; (4) wanted changes to working practices after risk assessment but working practices did not change.We examined the association of ethnicity, other sociodemographic/occupational factors and actual/perceived COVID-19 risk variables on our outcomes using multivariable logistic regression.
8649 HCWs were included in total. HCWs from ethnic minority groups were more likely to report being offered a risk assessment than white HCWs, and those from Asian and black ethnic groups were more likely to report having completed an assessment if offered. Ethnic minority HCWs had lower odds of reporting having their work change as a result of risk assessment. Those from Asian and black ethnic groups were more likely to report no changes to their working practices despite wanting them.Previous SARS-CoV-2 infection was associated with lower odds of being offered a risk assessment and having adjustments made to working practices.
We found differences in risk assessment outcomes by ethnicity, other sociodemographic/occupational factors and actual/perceived COVID-19 risk factors. These findings are concerning and warrant further research using actual (rather than reported) risk assessment outcomes in an unselected cohort.
关于医护人员（HCWs）的 COVID-19 风险评估结果，或者种族、其他社会人口学和职业因素与风险评估结果的关联，数据有限。
我们使用了来自 UK-REACH（英国研究医护人员种族和 COVID-19 结局）的问卷调查数据，这是一项在英国全国范围内进行的、种族多样化的 HCW 队列研究。我们得出了四个二分类结果：（1）提供风险评估；（2）完成风险评估；（3）风险评估导致工作实践发生变化；（4）希望在风险评估后改变工作实践，但工作实践未改变。我们使用多变量逻辑回归分析了种族、其他社会人口学/职业因素以及实际/感知的 COVID-19 风险变量与我们的结果之间的关联。
共纳入 8649 名 HCWs。少数民族群体的 HCWs 比白人 HCWs 更有可能报告接受风险评估，而来自亚洲和黑人种族群体的 HCWs 如果被提供评估，则更有可能报告完成评估。少数民族 HCWs 报告工作因风险评估而改变的可能性较低。来自亚洲和黑人种族群体的 HCWs 更有可能报告尽管希望改变工作实践，但实际上并没有改变。以前感染过 SARS-CoV-2 与接受风险评估和调整工作实践的可能性降低有关。
我们发现风险评估结果因种族、其他社会人口学/职业因素以及实际/感知的 COVID-19 风险因素而异。这些发现令人担忧，需要进一步研究，在未选择的队列中使用实际（而非报告）的风险评估结果。
