Impact of the COVID-19 pandemic on domiciliary care workers in Wales, UK: a data linkage cohort study using the SAIL Databank.
Impact of the COVID-19 pandemic on domiciliary care workers in Wales, UK: a data linkage cohort study using the SAIL Databank.
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DOI：
10.1136/bmjopen-2022-070637
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发表时间：
2023-06-01
期刊：
影响因子：
2.9
通讯作者：
Robling, Michael
中科院分区：
文献类型：
--
作者：
Cannings-John, Rebecca;Schoenbuchner, Simon;Jones, Hywel;Lugg-Widger, Fiona V.;Akbari, Ashley;Brookes-Howell, Lucy;Hood, Kerenza;John, Ann;Thomas, Daniel Rh;Prout, Hayley;Robling, Michael
为量化英国威尔士在新冠肺炎疫情期间工作的家庭护理工作者(DCW)的人口健康风险。在保护隐私的可信研究环境中，将职业登记数据与安全匿名信息链接数据库维护的匿名电子健康记录联系起来的人口层面的回溯性研究。威尔士的DCW登记人口。2020年3月1日至2021年11月30日期间所有相关DCW的记录。我们的主要结果是确认感染了新冠肺炎；次要结果包括疑似新冠肺炎的接触者、包括自残在内的精神健康、FIT笔记、未一定记录为新冠肺炎的呼吸道感染、与新冠肺炎有关的死亡以及全因死亡率。在研究期间，新冠肺炎确诊和疑似感染率上升至2021年11月30日前的24%。确认的新冠肺炎因性别(男性：19%对女性：24%)和年龄(55岁：19%对35岁：26%)而异，地方政府社会服务部门雇用的护理人员的比例高于私营部门(分别为27%和23%)。34%的DCW需要精神健康状况的支持，与流行前期相比，与精神健康相关的处方频率增加。在研究期间，自残事件从0.2%增加到0.4%，发行FIT票据也是如此。没有证据表明新冠肺炎感染与非新冠肺炎呼吸道疾病有误。与新冠肺炎相关的死亡率和全因死亡率不高于威尔士15-岁的一般人口(分别为0.1%和0.034%)。苏格兰和英格兰的DCW劳动力具有相同的新冠肺炎感染率，而北爱尔兰的年轻劳动力可能会导致更高的感染率。虽然最初对死亡率过高的担忧得到缓解，但对残疾妇女来说，先前存在的巨大心理健康负担和增加的精神健康负担将需要投资，以向该部门的劳动力提供长期支持。
To quantify population health risks for domiciliary care workers (DCWs) in Wales, UK, working during the COVID-19 pandemic. A population-level retrospective study linking occupational registration data to anonymised electronic health records maintained by the Secure Anonymised Information Linkage Databank in a privacy-protecting trusted research environment. Registered DCW population in Wales. Records for all linked DCWs from 1 March 2020 to 30 November 2021. Our primary outcome was confirmed COVID-19 infection; secondary outcomes included contacts for suspected COVID-19, mental health including self-harm, fit notes, respiratory infections not necessarily recorded as COVID-19, deaths involving COVID-19 and all-cause mortality. Confirmed and suspected COVID-19 infection rates increased over the study period to 24% by 30 November 2021. Confirmed COVID-19 varied by sex (males: 19% vs females: 24%) and age (>55 years: 19% vs <35 years: 26%) and were higher for care workers employed by local authority social services departments compared with the private sector (27% and 23%, respectively). 34% of DCWs required support for a mental health condition, with mental health-related prescribing increasing in frequency when compared with the prepandemic period. Events for self-harm increased from 0.2% to 0.4% over the study period as did the issuing of fit notes. There was no evidence to suggest a miscoding of COVID-19 infection with non-COVID-19 respiratory conditions. COVID-19-related and all-cause mortality were no greater than for the general population aged 15–64 years in Wales (0.1% and 0.034%, respectively). A comparable DCW workforce in Scotland and England would result in a comparable rate of COVID-19 infection, while the younger workforce in Northern Ireland may result in a greater infection rate. While initial concerns about excess mortality are alleviated, the substantial pre-existing and increased mental health burden for DCWs will require investment to provide long-term support to the sector’s workforce.
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影响因子：
2.8
作者：
Markkanen P;Brouillette N;Quinn M;Galligan C;Sama S;Lindberg J;Karlsson N
通讯作者：
Karlsson N
影响因子：
3.5
作者：
Lyons RA;Jones KH;John G;Brooks CJ;Verplancke JP;Ford DV;Brown G;Leake K
通讯作者：
Leake K
影响因子：
10.5
作者：
Rahman, Muhammad A.;Todd, Charlotte;Brophy, Sinead
通讯作者：
Brophy, Sinead
影响因子：
2.9
作者：
Quinn-Scoggins HD;Cannings-John R;Moriarty Y;Whitelock V;Whitaker KL;Grozeva D;Hughes J;Townson J;Osborne K;Goddard M;McCutchan GM;Waller J;Robling M;Hepburn J;Moore G;Gjini A;Brain K
通讯作者：
Brain K
影响因子：
2.9
作者：
Aughterson H;McKinlay AR;Fancourt D;Burton A
通讯作者：
Burton A