Evidence map›Paper›PMID 35265822›Full record

ArticleEClinicalMedicine2022

Racial/Ethnic Disparities in Healthcare Worker Experiences During the COVID-19 Pandemic: An Analysis of the HERO Registry.

Jay B Lusk, Haolin Xu, Laine E Thomas, Lauren W Cohen, Adrian F Hernandez, Christopher B Forrest, Henry J Michtalik, Kisha Batey Turner, Emily C O'Brien, Nadine J Barrett and 1 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  8. Factors Contributing to Well-Being Among Hospital-Based Nurses.Worldviews on evidence-based nursing · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Jay B LuskDuke University School of Medicine, Durham, NC, USA.
Haolin XuDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Laine E ThomasDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Lauren W CohenDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Adrian F HernandezDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Christopher B ForrestDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Henry J MichtalikDepartment of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Kisha Batey TurnerVanderbilt University Medical Center, Nashville, TN, USA.
Emily C O'BrienDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Nadine J BarrettDepartment of Family Medicine and Community Health, Duke University, Durham, UA.
HERO Research Program
Duke University · USChildren's Hospital of Philadelphia · USJohns Hopkins University · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The extent to which healthcare worker (HCWs) experiences during the COVID-19 pandemic vary by race or ethnicity after adjustment for confounding factors is not currently known. Methods: We performed an observational prospective cohort study of 24,769 healthcare workers from 50 U.S. states and the District of Columbia, enrolled between April 10, 2020 and June 30, 2021, and evaluated participant experiences during the COVID-19 pandemic, including testing, diagnosis with COVID-19, emotional experiences, burnout, and interest in vaccines and vaccine clinical trials. Findings: After adjustment for professional role, medical history, and community characteristics, Black and Asian participants were less likely to receive SARS-CoV-2 viral testing (adjusted odds ratio (aOR) 0·82 [0·70, 0·96], p=0·012 and aOR 0·77 [0·67, 0·89], p<0·001 respectively) than White participants. Hispanic participants were more likely to have evidence of COVID-19 infection (aOR 1·23 (1·00, 1·50, p=0·048). Black and Asian participants were less likely to report interest in a COVID-19 vaccine (aOR 0·11 [0·05, 0·25], p<0·001 and aOR 0·48 [0·27, 0·85] p=0·012). Black participants were less likely to report interest in participating in a COVID-19 vaccine trial (aOR = 0·39 [0·28, 0·54], p<0·001). Black participants were also less likely to report 3 or more daily emotional impacts of COVID-19 (aOR = 0·66 [0·53, 0·82], p=<0·001). Black participants were additionally less likely to report burnout (aOR = 0·66 ([0·49, 0·95], p=0·025). Interpretation: In a large, national study of healthcare workers, after adjustment for individual and community characteristics, race/ethnicity disparities in COVID-19 outcomes persist. Future work is urgently needed to understand precise mechanisms behind these disparities and to develop and implement targeted interventions to improve health equity for healthcare workers. Funding: This work was funded by the Patient-Centered Outcomes Research Institute (PCORI), Contract # COVID-19-2020-001.

Indexed as

BurnoutCoronavirusCOVID-19Emotional experiencesEthnic disparitiesEthnicityHealthcare workersHealthcare worker shortageHealth equityNursing shortagePhysician shortageRaceRacial disparitiesSARS-CoV-2Structural racismSystemic racismTestingVaccine hesitancyVaccine interest

Identifiers

PMID35265822
PMCPMC8898082
OpenAlexW4220653608

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.