Vol. 13 No. 3 (2020): Colour & Colonialism - Facing the Shadows of the Past
Articles

Does Gender or Religion Contribute to the Risk of COVID-19 in Hospital Doctors in the UK?

Sunil Daga
BAPIO
Sadaf Jafferbhoy
Association of Pakistani Physicians of Northern Europe (APPNE)
Geeta Menon
BAPIO Institute for Health Research
Mansoor Ali
Association of Pakistani Physicians of Northern Europe (APPNE)
Subarna Chakravorty
BAPIO Institute for Health Research
Saqib Ghani
Association of Pakistani Physicians of Northern Europe (APPNE)
Amir Burney
Association of Pakistani Physicians of Northern Europe (APPNE)
JS Bamrah
BAPIO Institute for Health Research
Ramesh Mehta
BAPIO Institute for Health Research
Indranil Chakravorty
BAPIO Institute for Health Research
couple in blue statues

Published 2020-06-20

Keywords

  • COVID-19, gender, BAME, religion, hospital doctors, reprimand, PPE

How to Cite

Daga, S., Jafferbhoy, S., Menon, G., Ali, M., Chakravorty , S. ., Ghani, S., Burney, A., Bamrah, J., Mehta, R., & Chakravorty , I. . (2020). Does Gender or Religion Contribute to the Risk of COVID-19 in Hospital Doctors in the UK?. Sushruta Journal of Health Policy & Opinion, 13(3), 1–11. https://doi.org/10.38192/13.3.1

Abstract

The novel coronavirus pandemic is posing significant challenges to healthcare workers (HCWs) in adjusting to redeployed clinical settings and enhanced risk to their own health. Studies suggest a variable impact of COVID-19 based on factors such as age, gender, comorbidities and ethnicity. Workplace measures such as personal protective equipment (PPE), social distancing (SD) and avoidance of exposure for the vulnerable, mitigate this risk. This online questionnaire-based study explored the impact of gender and religion in addition to workplace measures associated with risk of COVID-19 in hospital doctors in acute and mental health institutions in the UK.

The survey had 1206 responses, majority (94%) from BAME backgrounds. A quarter of the respondents had either confirmed or suspected COVID-19, a similar proportion reported inadequate PPE and 2/3 could not comply with SD. One third reported being reprimanded in relation to PPE or avoidance of risk. In univariate analysis, age over 50 years, being female, Muslim and inability to avoid exposure in the workplace was associated with risk of COVID-19. On multivariate analysis, inadequate PPE remained an independent predictor with a twofold (OR 2.29, (CI - 1.22-4.33), p=0.01) risk of COVID-19.

This study demonstrates that PPE, SD and workplace measures to mitigate risk remain important for reducing the risk of COVID-19 in hospital doctors. Gender and religion did not appear to be independent determinants. It is imperative that employers consolidate risk reduction measures and foster a culture of safety to encourage employees to voice any safety concerns.

References

  1. https://www.partner-religion-development.org/members/religion-in-times-of-covid-19/international partnership on religion and sustainable development.
  2. Hunter E Price DA Murphy E et al. First experience of COVID-19 screening of health-care workers in England. Lancet. 2020; 395: e77-e78 DOI: https://doi.org/10.1016/S0140-6736(20)30970-3
  3. Olgueira MD, Munoz-Ruiperez C, Alonso-Lopez MA, Delgado R. SARS-CoV-2 infection in health care workers in a large public hospital in Madrid, Spain, during March 2020. April 27, 2020 (https://www.medrxiv.org/content/10.1101/2020.04.07.20055723v2. opens in new tab). Preprint DOI: https://doi.org/10.1101/2020.04.07.20055723
  4. Intensive Care National Audit and Research Centre. ICNARC report on COVID-19 in critical care 24 April 2020.https://www.icnarc.org/OurAudit/Audits/Cmp/Reports accessed 25th April 2020
  5. Platt L, Warwick R. Are some ethnic groups more vulnerable to COVID-19 than others? Institute for Fiscal Studies, Nuffield Foundation. 2020
  6. Office for National Statistics. Coronavirus (COVID-19) related deaths by ethnic group, England and Wales: 2 March 2020 to 10 April 2020. 2020. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/cor onavirusrelateddeathsbyethnicgroupenglandandwales/2march2020to10april2020.
  7. The Open SAFELY Collaborative, Williamson E, Walker A et al. Open SAFELY: factors associated with COVID-19-related hospital death in the linked electronic health records of 17 million adult NHS patients. medRxiv preprint posted 7 May 2020
  8. Yang, J., et al., Prevalence of comorbidities and its effects in coronavirus disease 2019 patients: A systematic review and meta-analysis. Int J Infect Dis, 2020. 94: p. 91-95 DOI: https://doi.org/10.1016/j.ijid.2020.03.017
  9. https://www.gov.uk/government/publications/covid -19-review-of-disparities-in-risks-and-outcomes
  10. Exclusive: deaths of NHS staff from COVID-19 analysed. 2020. Health Services Journal. https://www.hsj.co.uk/exclusive-deaths-of-nhs-staff-from-covid-19-analysed/7027471.
  11. https://www.cebm.net/wp-content/uploads/2020/05/BAME-COVID-Rapid-Data-Evidence-Review-Final-Hidden-in-Plain-Sight-compressed.pdf12. Chen N, Zhou M, Dong X et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel corona virus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395 (10223):507-13 DOI: https://doi.org/10.1016/S0140-6736(20)30211-7
  12. Remuzzi A, Ramuzzi G. COVID-19 and Italy: what next? Lancet 2020 S 0140-6736 (20) 306277-9
  13. CDC COVID-19 Response Team. Characteristics of health care personnel with COVID-19 — United States, February 12–April 9, 2020. MMWR Morb Mortal Wkly Rep 2020;69:477-481 DOI: https://doi.org/10.15585/mmwr.mm6915e6
  14. https://www.rki.de/DE/Content/InfAZ/N/ Neuartiges_Coronavirus/Situationsberichte/2020-04-21-en.pdf
  15. Channappanavar R, Fett C, Mack M et al. Sex- based differences in susceptibility to severe acute respiratory syndrome coronavirus infection. J Immunol 2017;198(10): 4046-53 DOI: https://doi.org/10.4049/jimmunol.1601896
  16. Matsyama R, Nishiura H, Kutsuna S et al. Clinical determinants of security of Middle East respiratory syndrome (MERS): a systematic review and meta-analysis: BMC Public Health 2016 ; 16(1):1203 DOI: https://doi.org/10.1186/s12889-016-3881-4
  17. http://www.nhsstaffsurveyresults.com/homepage/
  18. national-results-2019/trends-questions-2019/
  19. NHS Staff Survey 2019. National Results debriefing. Feb2020. http://www.nhsstaffsurveyresults.com/wp-
  20. content/uploads/2020/01/P3255_ST19_National-briefing_FINAL_V2.pdf
  21. https://www.bma.org.uk/media/2464/bma-covid-19-survey-results-for-hospital-doctors-14-may-2020.pdf
  22. https://www.bma.org.uk/news-and-opinion/bame-doctors-hit-worse-by-lack-of-ppe
  23. Chakravorty, I., Daga, S., Dave, S et al; An Online Survey of Healthcare Professionals in the COVID-19 Pandemic in the UK: : Perceptions of Risk Factors. Sushruta J of Health Policy & Opin 2020, 13(2) https://doi.org/10.38192/13.2.9 DOI: https://doi.org/10.38192/13.2.9
  24. Daga, S., Chakravorty , I. ., Bamrah, J.et al Self-reported Occupational Risk for COVID-19 in Hospital Doctors from Black Asian & Minority Ethnic Communities in UK. The Physician,2020; 6(1) https://doi.org/10.38192/1.6.1.9 DOI: https://doi.org/10.38192/1.6.1.9
  25. Chu DK Akl EA Duda S et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020; (published online June 1.) https://doi.org/10.1016/S0140-6736(20)31142-9 DOI: https://doi.org/10.1016/S0140-6736(20)31142-9
  26. https://www.fom.ac.uk/wp-content/uploads/Risk-Reduction-Framework-for-NHS-staff-at-risk-of-COVID-19-infection-12-05-20.pdf
  27. https://www.nhsemployers.org/covid19/health-safety-and-wellbeing/risk-assessments-for-staff
  28. “Is It Safe for Me to Go to Work?” Risk Stratification for Workers during the Covid-19 Pandemic. Marc R. Larochelle NEJM May 26, 2020
  29. https://www.gov.uk/government/publications/
  30. guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19
  31. https://www.gov.uk/government/publications/staying-alert-and-safe-social-distancing/staying-alert-and-safe-social-distancing
  32. https://www.guysandstthomas.nhs.uk/resources/coronavirus/occupational-health/risk-assessment-matrix-vulnerable-staff-COVID19.pdf
  33. https://gov.wales/sites/default/files/publications/2020-05/covid-19-workforce-risk-assessment-tool.pdf
  34. https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/families/bulletins/familiesandhouseholds/2017