Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic.
Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic.
复制标题
DOI：
10.1136/bmjopen-2020-047716
复制
发表时间：
2021-05-20
期刊：
影响因子：
2.9
通讯作者：
El-Boghdadly K
中科院分区：
文献类型：
--
作者：
Carvalho CYM;Schumacher J;Greig PR;Wong DJN;El-Boghdadly K
描述呼吸防护装备（RPE）配合测试的成功率和与达到合适配合相关的因素。健康安全与职业健康要求下RPE契合度的前瞻性观察研究。大型三级转诊英国医疗保健设施。1443名医护人员接受定量拟合检验。定量匹配测试成功（通过/失败）和每个参与者在成功匹配之前所需的测试次数。卫生保健工作者在获得成功的拟合前进行了中位数（IQR） 2（1-3）次的拟合测试。男性被测试的中位数为1（1 - 2）次，而女性被测试的中位数为2（1 - 2）次才成功匹配。差异有统计学意义（p<0.001）。使用多变量logistic回归将每个拟合检验建模为自己的独立试验（n=2359），在调整其他因素后，男性卫生保健工作者比女性更有可能找到合适的呼吸器并在第一次尝试时取得成功（调整OR=2.07, 95% CI）： 1.66至2.60,p<0.001)。与将自己的种族描述为亚裔（OR=0.47, 95% CI: 0.38至0.58,p<0.001）、黑人（OR=0.54, 95% CI: 0.41至0.71,p<0.001）、混血（OR=0.50, 95% CI: 0.31至0.80,p=0.004）或其他（OR=0.53, 95% CI: 0.29至0.99,p=0.043）的员工相比，将自己的种族描述为白人的员工更有可能获得成功的匹配。男性和白人卫生保健工作者更有可能实现RPE适合测试的成功。这对大量女性和黑人、亚洲人和少数民族人口的保健服务具有广泛的业务影响。在2019冠状病毒病大流行期间及以后，健康测试对于确保RPE有效保护医护人员至关重要。
To describe success rates of respiratory protective equipment (RPE) fit testing and factors associated with achieving suitable fit. Prospective observational study of RPE fit testing according to health and safety, and occupational health requirements. A large tertiary referral UK healthcare facility. 1443 healthcare workers undergoing quantitative fit testing. Quantitative fit test success (pass/fail) and the count of tests each participant required before successful fit. Healthcare workers were fit tested a median (IQR) 2 (1–3) times before successful fit was obtained. Males were tested a median 1 (1–2) times, while females were tested a median 2 (1–2) times before a successful fit was found. This difference was statistically significant (p<0.001). Modelling each fit test as its own independent trial (n=2359) using multivariable logistic regression, male healthcare workers were significantly more likely to find a well-fitting respirator and achieve a successful fit on first attempt in comparison to females, after adjusting for other factors (adjusted OR=2.07, 95% CI): 1.66 to 2.60, p<0.001). Staff who described their ethnicity as White were also more likely to achieve a successful fit compared with staff who described their ethnicity as Asian (OR=0.47, 95% CI: 0.38 to 0.58, p<0.001), Black (OR=0.54, 95% CI: 0.41 to 0.71, p<0.001), mixed (OR=0.50 95% CI: 0.31 to 0.80, p=0.004) or other (OR=0.53, 95% CI: 0.29 to 0.99, p=0.043). Male and White ethnicity healthcare workers are more likely to achieve RPE fit test success. This has broad operational implications to healthcare services with a large female and Black, Asian and minority ethnic group population. Fit testing is imperative in ensuring RPE effectiveness in protecting healthcare workers during the COVID-19 pandemic and beyond.
登录
查看更多内容
影响因子：
2.6
作者：
Manganyi, Jeanneth;Wilson, Kerry S.;Rees, David
通讯作者：
Rees, David
DOI：
10.1080/15459620701709619
发表时间：
2007-01-01
影响因子：
2
作者：
Oestenstad, R. Kent;Elliott, Leshan J.;Beasley, T. Mark
通讯作者：
Beasley, T. Mark
影响因子：
10.7
作者：
El-Boghdadly, K.;Wong, D. J. N.;Ahmad, I.
通讯作者：
Ahmad, I.
影响因子：
--
作者：
Zhuang, Ziqing;Landsittel, Douglas;Shaffer, Ronald
通讯作者：
Shaffer, Ronald