Cargando…

Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic

OBJECTIVE: To describe success rates of respiratory protective equipment (RPE) fit testing and factors associated with achieving suitable fit. DESIGN: Prospective observational study of RPE fit testing according to health and safety, and occupational health requirements. SETTING: A large tertiary re...

Descripción completa

Detalles Bibliográficos
Autores principales: Carvalho, Clarissa Y M, Schumacher, Jan, Greig, Paul Robert, Wong, Danny J N, El-Boghdadly, Kariem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141377/
https://www.ncbi.nlm.nih.gov/pubmed/34016664
http://dx.doi.org/10.1136/bmjopen-2020-047716
_version_ 1783696352180436992
author Carvalho, Clarissa Y M
Schumacher, Jan
Greig, Paul Robert
Wong, Danny J N
El-Boghdadly, Kariem
author_facet Carvalho, Clarissa Y M
Schumacher, Jan
Greig, Paul Robert
Wong, Danny J N
El-Boghdadly, Kariem
author_sort Carvalho, Clarissa Y M
collection PubMed
description OBJECTIVE: To describe success rates of respiratory protective equipment (RPE) fit testing and factors associated with achieving suitable fit. DESIGN: Prospective observational study of RPE fit testing according to health and safety, and occupational health requirements. SETTING: A large tertiary referral UK healthcare facility. POPULATION: 1443 healthcare workers undergoing quantitative fit testing. MAIN OUTCOME MEASURES: Quantitative fit test success (pass/fail) and the count of tests each participant required before successful fit. RESULTS: 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). CONCLUSIONS: 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.
format Online
Article
Text
id pubmed-8141377
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-81413772021-05-24 Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic Carvalho, Clarissa Y M Schumacher, Jan Greig, Paul Robert Wong, Danny J N El-Boghdadly, Kariem BMJ Open Global Health OBJECTIVE: To describe success rates of respiratory protective equipment (RPE) fit testing and factors associated with achieving suitable fit. DESIGN: Prospective observational study of RPE fit testing according to health and safety, and occupational health requirements. SETTING: A large tertiary referral UK healthcare facility. POPULATION: 1443 healthcare workers undergoing quantitative fit testing. MAIN OUTCOME MEASURES: Quantitative fit test success (pass/fail) and the count of tests each participant required before successful fit. RESULTS: 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). CONCLUSIONS: 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. BMJ Publishing Group 2021-05-20 /pmc/articles/PMC8141377/ /pubmed/34016664 http://dx.doi.org/10.1136/bmjopen-2020-047716 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Global Health
Carvalho, Clarissa Y M
Schumacher, Jan
Greig, Paul Robert
Wong, Danny J N
El-Boghdadly, Kariem
Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic
title Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic
title_full Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic
title_fullStr Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic
title_full_unstemmed Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic
title_short Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic
title_sort prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the covid-19 pandemic
topic Global Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141377/
https://www.ncbi.nlm.nih.gov/pubmed/34016664
http://dx.doi.org/10.1136/bmjopen-2020-047716
work_keys_str_mv AT carvalhoclarissaym prospectiveobservationalstudyofgenderandethnicitybiasesinrespiratoryprotectiveequipmentforhealthcareworkersinthecovid19pandemic
AT schumacherjan prospectiveobservationalstudyofgenderandethnicitybiasesinrespiratoryprotectiveequipmentforhealthcareworkersinthecovid19pandemic
AT greigpaulrobert prospectiveobservationalstudyofgenderandethnicitybiasesinrespiratoryprotectiveequipmentforhealthcareworkersinthecovid19pandemic
AT wongdannyjn prospectiveobservationalstudyofgenderandethnicitybiasesinrespiratoryprotectiveequipmentforhealthcareworkersinthecovid19pandemic
AT elboghdadlykariem prospectiveobservationalstudyofgenderandethnicitybiasesinrespiratoryprotectiveequipmentforhealthcareworkersinthecovid19pandemic