Impact of COVID-19 on Ethnically Minoritised Carers in UK's Care Home Settings: a Systematic Scoping Review

Overview

Journal J Racial Ethn Health Disparities

Specialties Public Health
Social Sciences

Date 2023 Jul 6

PMID 37410355

Authors

Paul Wesley Thompson

Affiliations

Soon will be listed here.

Abstract

COVID-19 has impacted disproportionately two groups in the UK: healthcare workers and people from ethnically minoritised groups. However, there is a lack of evidence on how COVID-19 affected ethnically minoritised carers in care homes. Therefore, the present study aimed to explore the available evidence regarding the impact of COVID-19 on ethnically minoritised carers in UK. The relevant records were systematically searched in Cochrane COVID-19 Study Register and WHO COVID-19 global literature. A total of 3164 records were retrieved. Following duplicate elimination and abstract, title, and full-text screening, 10 studies were identified as eligible for the present scoping review. Most of the studies were conducted in the UK and USA, involving diverse healthcare occupations and methodologies. Multiple studies found anxiety, depression, stress, and post-traumatic stress disorder among carers with high odds among ethnically minoritised carers. Limited access to personal protective equipment and workplace discrimination was noted and linked with poor mental health. The carers reported difficulties in care delivery and managing extra workload arising from staff shortages. The risk of infection and clinically significant mental disorders was higher among carers from the ethnically minoritised background. They exhibited fear about care homes' uncertain futures and consequential financial losses. Conclusively, COVID-19 appeared to exert adverse effects on practices and experiences of ethnically minoritised carers in the UK's care homes; however, further studies are warranted to increase the understanding of COVID-19-related experiences of this group of carers which significantly contribute to the country's healthcare system.

References

Hanna K, Giebel C, Cannon J, Shenton J, Mason S, Tetlow H . Working in a care home during the COVID-19 pandemic: How has the pandemic changed working practices? A qualitative study. BMC Geriatr. 2022; 22(1):129. PMC: 8845240. DOI: 10.1186/s12877-022-02822-0. View

Brewin C, Bloomfield M, Billings J, Harju-Seppanen J, Greene T . What symptoms best predict severe distress in an online survey of UK health and social care staff facing COVID-19: development of the two-item Tipping Point Index. BMJ Open. 2021; 11(8):e047345. PMC: 8406458. DOI: 10.1136/bmjopen-2020-047345. View

Abbas M, Ghazanfar A . The impact of coronavirus disease 2019 pandemic on working dynamics of junior and middle grade doctors in the United Kingdom: Learning from their experience requires immediate improvement in health care planning and management-An outcome analysis of.... SAGE Open Med. 2021; 9:20503121211039081. PMC: 8580500. DOI: 10.1177/20503121211039081. View

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J . Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020; 323(11):1061-1069. PMC: 7042881. DOI: 10.1001/jama.2020.1585. View

Misa N, Perez B, Basham K, Fisher-Hobson E, Butler B, King K . Racial/ethnic disparities in COVID-19 disease burden & mortality among emergency department patients in a safety net health system. Am J Emerg Med. 2020; 45:451-457. PMC: 7513762. DOI: 10.1016/j.ajem.2020.09.053. View

van der Plaat D, Madan I, Coggon D, Van Tongeren M, Edge R, Muiry R . Risks of COVID-19 by occupation in NHS workers in England. Occup Environ Med. 2021; 79(3):176-183. DOI: 10.1136/oemed-2021-107628. View

Kaltiso S, Seitz R, Zdradzinski M, Moran T, Heron S, Robertson J . The impact of racism on emergency health care workers. Acad Emerg Med. 2021; 28(9):974-981. DOI: 10.1111/acem.14347. View

Brooks S, Dunn R, Amlot R, Rubin G, Greenberg N . A Systematic, Thematic Review of Social and Occupational Factors Associated With Psychological Outcomes in Healthcare Employees During an Infectious Disease Outbreak. J Occup Environ Med. 2017; 60(3):248-257. DOI: 10.1097/JOM.0000000000001235. View

Roberts N, Kelly C, Lippiett K, Ray E, Welch L . Experiences of nurses caring for respiratory patients during the first wave of the COVID-19 pandemic: an online survey study. BMJ Open Respir Res. 2021; 8(1). PMC: 8313305. DOI: 10.1136/bmjresp-2021-000987. View

10.

Tricco A, Lillie E, Zarin W, OBrien K, Colquhoun H, Levac D . PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018; 169(7):467-473. DOI: 10.7326/M18-0850. View

11.

The Lancet . COVID-19: protecting health-care workers. Lancet. 2020; 395(10228):922. PMC: 7138074. DOI: 10.1016/S0140-6736(20)30644-9. View

12.

Bandyopadhyay S, Baticulon R, Kadhum M, Alser M, Ojuka D, Badereddin Y . Infection and mortality of healthcare workers worldwide from COVID-19: a systematic review. BMJ Glob Health. 2020; 5(12). PMC: 7722361. DOI: 10.1136/bmjgh-2020-003097. View

13.

Zhang M . Estimation of differential occupational risk of COVID-19 by comparing risk factors with case data by occupational group. Am J Ind Med. 2020; 64(1):39-47. PMC: 7753309. DOI: 10.1002/ajim.23199. View

14.

Nguyen L, Drew D, Graham M, Joshi A, Guo C, Ma W . Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Health. 2020; 5(9):e475-e483. PMC: 7491202. DOI: 10.1016/S2468-2667(20)30164-X. View

15.

Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F . Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. J Affect Disord. 2020; 275:48-57. PMC: 7314697. DOI: 10.1016/j.jad.2020.06.022. View

16.

Hanratty B, Burton J, Goodman C, Gordon A, Spilsbury K . Covid-19 and lack of linked datasets for care homes. BMJ. 2020; 369:m2463. DOI: 10.1136/bmj.m2463. View

17.

Hoernke K, Djellouli N, Andrews L, Lewis-Jackson S, Manby L, Martin S . Frontline healthcare workers' experiences with personal protective equipment during the COVID-19 pandemic in the UK: a rapid qualitative appraisal. BMJ Open. 2021; 11(1):e046199. PMC: 7818840. DOI: 10.1136/bmjopen-2020-046199. View

18.

Raharja A, Tamara A, Kok L . Association Between Ethnicity and Severe COVID-19 Disease: a Systematic Review and Meta-analysis. J Racial Ethn Health Disparities. 2020; 8(6):1563-1572. PMC: 7659894. DOI: 10.1007/s40615-020-00921-5. View

19.

Lim K, Murali K, Thorne E, Punie K, Kamposioras K, Oing C . The impact of COVID-19 on oncology professionals-one year on: lessons learned from the ESMO Resilience Task Force survey series. ESMO Open. 2022; 7(1):100374. PMC: 8677468. DOI: 10.1016/j.esmoop.2021.100374. View

20.

Wang C, Horby P, Hayden F, Gao G . A novel coronavirus outbreak of global health concern. Lancet. 2020; 395(10223):470-473. PMC: 7135038. DOI: 10.1016/S0140-6736(20)30185-9. View