Woolf, K, Melbourne, C, Bryant, L, Guyatt, AL, McManus, IC, Gupta, A, Free, RC, Nellums, L, Carr, S, John, C, Martin, CA, Wain, LV, Gray, LJ, Garwood, C, Modhwadia, V, Abrams, KR, Tobin, MD, Khunti, K, Pareek, M, UK-REACH Study Collaborative Group+, and Wobi, F (2021) The United Kingdom Research study into Ethnicity And COVID-19 outcomes in Healthcare workers (UK-REACH): protocol for a prospective longitudinal cohort study of healthcare and ancillary workers in UK healthcare settings. BMJ open, 11 (9). ISSN 2044-6055
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Abstract
Introduction The COVID-19 pandemic has resulted in significant morbidity and mortality and devastated economies globally. Among groups at increased risk are healthcare workers (HCWs) and ethnic minority groups. Emerging evidence suggests that HCWs from ethnic minority groups are at increased risk of adverse COVID-19-related outcomes. To date, there has been no large-scale analysis of these risks in UK HCWs or ancillary workers in healthcare settings, stratified by ethnicity or occupation, and adjusted for confounders. This paper reports the protocol for a prospective longitudinal questionnaire study of UK HCWs, as part of the UK-REACH programme (The United Kingdom Research study into Ethnicity And COVID-19 outcomes in Healthcare workers). Methods and analysis A baseline questionnaire will be administered to a national cohort of UK HCWs and ancillary workers in healthcare settings, and those registered with UK healthcare regulators, with follow-up questionnaires administered at 4 and 8 months. With consent, questionnaire data will be linked to health records with 25-year follow-up. Univariate associations between ethnicity and clinical COVID-19 outcomes, physical and mental health, and key confounders/explanatory variables will be tested. Multivariable analyses will test for associations between ethnicity and key outcomes adjusted for the confounder/explanatory variables. We will model changes over time by ethnic group, facilitating understanding of absolute and relative risks in different ethnic groups, and generalisability of findings.Ethics and dissemination The study is approved by Health Research Authority (reference 20/HRA/4718), and carries minimal risk. We aim to manage the small risk of participant distress about questions on sensitive topics by clearly participant information that the questionnaire covers sensitive topics and there is no obligation to answer these or any other questions, and by providing support organisation links. Results will be disseminated with reports to Government and papers submitted to pre-print servers and peer reviewed journals.
Item Type: | Article |
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Uncontrolled Keywords: | UK-REACH Study Collaborative Group+; Humans; Longitudinal Studies; Prospective Studies; Minority Groups; Health Personnel; Delivery of Health Care; Pandemics; United Kingdom; COVID-19; SARS-CoV-2; Ethnicity; COVID-19; mental health; public health; COVID-19; Delivery of Health Care; Ethnicity; Health Personnel; Humans; Longitudinal Studies; Minority Groups; Pandemics; Prospective Studies; SARS-CoV-2; United Kingdom; Social Determinants of Health; Coronaviruses; Emerging Infectious Diseases; Coronaviruses Disparities and At-Risk Populations; Clinical Research; Infectious Diseases; Generic health relevance; 3 Good Health and Well Being; COVID-19; Delivery of Health Care; Ethnicity; Health Personnel; Humans; Longitudinal Studies; Minority Groups; Pandemics; Prospective Studies; SARS-CoV-2; United Kingdom; 1103 Clinical Sciences; 1117 Public Health and Health Services; 1199 Other Medical and Health Sciences |
Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
Divisions: | Public and Allied Health |
Publisher: | BMJ |
SWORD Depositor: | A Symplectic |
Date Deposited: | 17 Dec 2024 14:44 |
Last Modified: | 17 Dec 2024 14:45 |
DOI or ID number: | 10.1136/bmjopen-2021-050647 |
URI: | https://researchonline.ljmu.ac.uk/id/eprint/25119 |
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