Perceptions of COVID-19-related risk and mortality among ethnically diverse healthcare professionals in the UK

Ali, Parveen; Adam, Zulfiquar; West, John E.; Pareek, Manish; Raza, Muhammad Haseeb; Iqbal, Javaid

doi:10.1080/13557858.2020.1849568

Cited by 13 publications

(29 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Physicians and healthcare professionals are constantly struggling and putting in all their efforts to control the pandemic and overcome this process while ensuring negligible impact and minimal loss of life. Unfortunately, worldwide, several healthcare professionals lost their lives in this struggle [ 25 26 ]. In this study, when we searched for “oral surgeon” or “oral surgery” on Twitter after the COVID-19 pandemic, we can say that one of the reasons for our feelings of fear and sadness was, unfortunately, our colleagues who died due to COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Emotional effect of the Covid-19 pandemic on oral surgery procedures: a social media analysis

Altan

2021

J Dent Anesth Pain Med

View full text Add to dashboard Cite

Background This study aimed to analyze Twitter users' emotional tendencies regarding oral surgery procedures before and after the coronavirus disease 2019 (COVID-19) pandemic worldwide. Methods Tweets posted in English before and after the COVID-19 pandemic were included in the study. Popular tweets in 2019 were searched using the keywords “tooth removal”, “tooth extraction”, “dental pain”, “wisdom tooth”, “wisdom teeth”, “oral surgery”, “oral surgeon”, and “OMFS”. In 2020, another search was conducted by adding the words “COVID” and “corona” to the abovementioned keywords. Emotions underlying the tweets were analyzed using CrystalFeel - Multidimensional Emotion Analysis. In this analysis, we focused on four emotions: fear, anger, sadness, and joy. Results A total of 1240 tweets, which were posted before and after the COVID-19 pandemic, were analyzed. There was a statistically significant difference between the emotions' distribution before and after the pandemic (p < 0.001). While the sense of joy decreased after the pandemic, anger and fear increased. There was a statistically significant difference between the emotional valence distributions before and after the pandemic (p < 0.001). While a negative emotion intensity was noted in 52.9% of the messages before the pandemic, it was observed in 74.3% of the messages after the pandemic. A positive emotional intensity was observed in 29.8% of the messages before the pandemic, but was seen in 10.7% of the messages after the pandemic. Conclusion Infectious diseases, such as COVID-19, may lead to mental, emotional, and behavioral changes in people. Unpredictability, uncertainty, disease severity, misinformation, and social isolation may further increase dental anxiety and fear among people.

show abstract

Section: Discussionmentioning

confidence: 99%

Emotional effect of the Covid-19 pandemic on oral surgery procedures: a social media analysis

Altan

2021

J Dent Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…A recent qualitative study led by RREAL also pointed to issues with PPE fitting in women, as PPE sizes were more suitable for male bodies (Hoernke et al, 2021). This is supported by a cross-sectional prospective survey (n=1119; 71% BAME) which found BAME respondents were significantly more likely to report concerns about PPE and believing this was contributing to HCW deaths than their white counterparts (Ali et al, 2020). c. Afraid to speak up and a 'bully' culture: both viral exposure through re-deployment and access to PPE is thought to be worse for minoritized groups due to a lack of ability to say 'no', fearful of repercussions.…”

Section: B Complications Withmentioning

confidence: 92%

“…A cross-sectional prospective survey (n=1119; 71% BAME) found that BAME HCWs reported feeling less able to say 'no' if asked to work without adequate PPE significantly more than their White counterparts; this was not linked with other factors such as gender, place of work, contract type, duration of employment or healthcare role (Ali et al, 2020). In-depth interviews (n=52) and a survey (n=115) conducted with BME clinical representatives and stakeholders found that BME HCWs were more likely to report taking on high-risk roles and experience lack of PPE due to fear of speaking up about their experiences in case contracts would not be renewed, or that shifts would be reduced (Farah & Saddler, 2020); this is particularly notable in instances where staff have vulnerable immigration status who fear having their Visa status challenged (Farah & Saddler, 2020;Dean, 2020).…”

Section: B Complications Withmentioning

confidence: 99%

“…While access for fit testing had improved for White British respondents since the last survey from 68%, the BAME situation has worsened from 53%. Failed mask fitting tests has been suggested to stem from the fact that masks were modelled on White ethnicities (Ali, Adam, West, Pareek, Raza & Iqbal, 2020). A recent qualitative study led by RREAL also pointed to issues with PPE fitting in women, as PPE sizes were more suitable for male bodies (Hoernke et al, 2021).…”

Section: B Complications Withmentioning

confidence: 99%

“…Unfortunately, the government response to the inequalities faced by BAME HCWs has been slow and underwhelming, as was perceived by the majority (81%) of HCWs in the survey conducted by Ali et al (2020). Interviewees in the study conducted by Farah and Saddler (2020) also felt that, in light of the broad evidence pointing to inequalities in experiences faced by BAME HCWs, the government has not taken enough action to address the underlying causes of these issues.…”

Section: Concluding Literature and Commentsmentioning

confidence: 99%

See 2 more Smart Citations

A rapid literature review on inequalities and ethnicity in healthcare workers’ experiences of delivering care during the COVID-19 pandemic

Chisnall¹,

Vindrola‐Padros²

2021

Preprint

View full text Add to dashboard Cite

A rapid literature review was conducted regarding inequalities faced by frontline BAME healthcare workers (HCWs) responding to the COVID-19 pandemic within the United Kingdom. A number of key themes and sub-themes were identified within the literature. Firstly, in relation to viral exposure. BAME HCWs are more likely to be exposed to COVID-19 on account of: frontline prevalence (driven by pre-existing systemic racism pre-pandemic, disproportionate redeployment and location of redeployment compared to White counterparts); complications with Personal Protective Equipment (PPE) (driven by lack of access, training and fit-testing compared to White counterparts); and, being afraid to speak up in a ‘bully’ culture (redeployment and PPE access worse for minoritized groups due to lack of ability to say ‘no’, fearful of repercussions). Secondly, in relation to emotional impact. BAME HCWs may experience heightened and unique emotional strain on account of: increased anxiety (due to their increased mortality risk, a greater ‘tear’ between personal risk and sense of duty, and through risk posed to family due to intergenerational living); and, due to racial abuse (experience of racially motivated verbal abuse from patients or patient families, and in some instances even peers, can dramatically change experience of providing care). There is a clear wealth of evidence which exemplifies inequalities in BAME HCWs’ experiences of care provision during COVID-19. Steps should be taken not only to prioritise physical BAME HCWs’ wellbeing but also their emotional and mental health needs. There is greater need for primary research, in particular qualitative data to narrate and capture the lived experiences of BAME HCWs during this pandemic.

show abstract

Occupational role and COVID-19 among foreign-born healthcare workers in Sweden: a registry-based study

Nwaru

Bonander

et al. 2023

European Journal of Public Health

View full text Add to dashboard Cite

Background Many studies report that foreign-born healthcare workers (HCWs) in high-income countries have an elevated risk of COVID-19. However, research has not yet specifically evaluated the distribution of COVID-19 among foreign-born workers in different healthcare work groups. We examined the risk of COVID-19 infection and hospitalization among foreign-born HCWs in different occupational roles in Sweden. Methods We linked occupational data (2019) of 783 950 employed foreign-born workers (20–65 years) to COVID-19 data registered between 1 January 2020 and 30 September 2021. We used Cox proportional hazards regression to estimate the hazard ratio (HR) with 95% confidence intervals (95% CIs) of COVID-19 infection and hospitalization in eight healthcare occupational groups vs. non-HCWs and assessed whether region of birth modified the association between healthcare occupations and COVID-19. Results All HCWs had a higher risk of COVID-19 outcomes than non-HCWs, but the risk differed by occupational role. Hospital-based assistant nurses had the highest risk (infection: HR 1.78; 95% CI 1.72–1.85; hospitalization: HR 1.79; 95% CI 1.52–2.11); allied HCWs had the lowest risk (infection: HR 1.22; 95% CI 1.10–1.35; hospitalization: HR 0.98; 95% CI 0.59–1.63). The relative hazard of the outcomes varied across foreign-born workers from different regions. For example, the relative risk of COVID-19 infection associated with being a physician compared to a non-HCW was 31% higher for African-born than European-born workers. Conclusions The risk of COVID-19 among foreign-born HCWs differed by occupational role and immigrant background. Public health efforts that target occupational exposures as well as incorporate culturally responsive measures may help reduce COVID-19 risk among foreign-born HCWs.

show abstract

Perceptions of COVID-19-related risk and mortality among ethnically diverse healthcare professionals in the UK

Cited by 13 publications

References 22 publications

Emotional effect of the Covid-19 pandemic on oral surgery procedures: a social media analysis

Emotional effect of the Covid-19 pandemic on oral surgery procedures: a social media analysis

A rapid literature review on inequalities and ethnicity in healthcare workers’ experiences of delivering care during the COVID-19 pandemic

Occupational role and COVID-19 among foreign-born healthcare workers in Sweden: a registry-based study

Contact Info

Product

Resources

About