Martin, CA, Woolf, K, Bryant, L, Goss, C, Gogoi, M, Lagrata, S, Papineni, P, Qureshi, I, Wobi, F, Nellums, L, Khunti, K and Pareek, M (2023) Coverage, completion and outcomes of COVID-19 risk assessments in a multi-ethnic nationwide cohort of UK healthcare workers: A cross-sectional analysis from the UK-REACH Study. Occupational and Environmental Medicine, 80 (7). pp. 399-406. ISSN 1351-0711

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Abstract

Introduction 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. Methods 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. Results 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. Discussion 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.

Item Type:	Article
Uncontrolled Keywords:	UK-REACH Study Collaborative Group; Humans; Risk Assessment; Cross-Sectional Studies; Minority Groups; Health Personnel; United Kingdom; COVID-19; SARS-CoV-2; Ethnicity; COVID-19; Ethnic Groups; Health Personnel; Risk assessment; Humans; COVID-19; Cross-Sectional Studies; SARS-CoV-2; Ethnicity; Minority Groups; Health Personnel; Risk Assessment; United Kingdom; 1103 Clinical Sciences; 1117 Public Health and Health Services; 1599 Other Commerce, Management, Tourism and Services; Environmental & Occupational Health
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences > HV Social pathology. Social and public welfare. Criminology > HV697 Protection, assistance and relief
Divisions:	Public Health Institute
Publisher:	BMJ
SWORD Depositor:	A Symplectic
Date Deposited:	01 Mar 2024 14:29
Last Modified:	01 Mar 2024 14:29
DOI or ID number:	10.1136/oemed-2022-108700
URI:	https://researchonline.ljmu.ac.uk/id/eprint/22722

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