Wing Lam Erica Fong , Vincent G Nguyen , Rachel Burns , Yamina Boukari , Sarah Beale , Isobel Braithwaite , Thomas E Byrne , Cyril Geismar , Ellen Fragaszy , Susan Hoskins , Jana Kovar , Annalan MD Navaratnam , Youssof Oskrochi , Parth Patel , Sam Tweed , Alexei Yavlinsky , Andrew C Hayward , Robert W Aldridge
{"title":"英国移民中与 COVID-19 相关的住院率：病毒观察前瞻性社区队列研究的结果","authors":"Wing Lam Erica Fong , Vincent G Nguyen , Rachel Burns , Yamina Boukari , Sarah Beale , Isobel Braithwaite , Thomas E Byrne , Cyril Geismar , Ellen Fragaszy , Susan Hoskins , Jana Kovar , Annalan MD Navaratnam , Youssof Oskrochi , Parth Patel , Sam Tweed , Alexei Yavlinsky , Andrew C Hayward , Robert W Aldridge","doi":"10.1016/j.jmh.2024.100218","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Migrants in the United Kingdom (UK) may be at higher risk of SARS-CoV-2 exposure; however, little is known about their risk of COVID-19-related hospitalisation during waves 1–3 of the pandemic.</p></div><div><h3>Methods</h3><p>We analysed secondary care data linked to Virus Watch study data for adults and estimated COVID-19-related hospitalisation incidence rates by migration status. To estimate the total effect of migration status on COVID-19 hospitalisation rates, we ran mixed-effect Poisson regression for wave 1 (01/03/2020–31/08/2020; wildtype), and mixed-effect negative binomial regressions for waves 2 (01/09/2020–31/05/2021; Alpha) and 3 (01/06/2020–31/11/2021; Delta). Results of all models were then meta-analysed.</p></div><div><h3>Results</h3><p>Of 30,276 adults in the analyses, 26,492 (87.5 %) were UK-born and 3,784 (12.5 %) were migrants. COVID-19-related hospitalisation incidence rates for UK-born and migrant individuals across waves 1–3 were 2.7 [95 % CI 2.2–3.2], and 4.6 [3.1–6.7] per 1,000 person-years, respectively. Pooled incidence rate ratios across waves suggested increased rate of COVID-19-related hospitalisation in migrants compared to UK-born individuals in unadjusted 1.68 [1.08–2.60] and adjusted analyses 1.35 [0.71–2.60].</p></div><div><h3>Conclusion</h3><p>Our findings suggest migration populations in the UK have excess risk of COVID-19-related hospitalisations and underscore the need for more equitable interventions particularly aimed at COVID-19 vaccination uptake among migrants.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":"9 ","pages":"Article 100218"},"PeriodicalIF":3.9000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000084/pdfft?md5=9c5ab662413559a18dd9a82ffd5c6bbf&pid=1-s2.0-S2666623524000084-main.pdf","citationCount":"0","resultStr":"{\"title\":\"The incidence of COVID-19-related hospitalisation in migrants in the UK: Findings from the Virus Watch prospective community cohort study\",\"authors\":\"Wing Lam Erica Fong , Vincent G Nguyen , Rachel Burns , Yamina Boukari , Sarah Beale , Isobel Braithwaite , Thomas E Byrne , Cyril Geismar , Ellen Fragaszy , Susan Hoskins , Jana Kovar , Annalan MD Navaratnam , Youssof Oskrochi , Parth Patel , Sam Tweed , Alexei Yavlinsky , Andrew C Hayward , Robert W Aldridge\",\"doi\":\"10.1016/j.jmh.2024.100218\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Migrants in the United Kingdom (UK) may be at higher risk of SARS-CoV-2 exposure; however, little is known about their risk of COVID-19-related hospitalisation during waves 1–3 of the pandemic.</p></div><div><h3>Methods</h3><p>We analysed secondary care data linked to Virus Watch study data for adults and estimated COVID-19-related hospitalisation incidence rates by migration status. To estimate the total effect of migration status on COVID-19 hospitalisation rates, we ran mixed-effect Poisson regression for wave 1 (01/03/2020–31/08/2020; wildtype), and mixed-effect negative binomial regressions for waves 2 (01/09/2020–31/05/2021; Alpha) and 3 (01/06/2020–31/11/2021; Delta). Results of all models were then meta-analysed.</p></div><div><h3>Results</h3><p>Of 30,276 adults in the analyses, 26,492 (87.5 %) were UK-born and 3,784 (12.5 %) were migrants. COVID-19-related hospitalisation incidence rates for UK-born and migrant individuals across waves 1–3 were 2.7 [95 % CI 2.2–3.2], and 4.6 [3.1–6.7] per 1,000 person-years, respectively. Pooled incidence rate ratios across waves suggested increased rate of COVID-19-related hospitalisation in migrants compared to UK-born individuals in unadjusted 1.68 [1.08–2.60] and adjusted analyses 1.35 [0.71–2.60].</p></div><div><h3>Conclusion</h3><p>Our findings suggest migration populations in the UK have excess risk of COVID-19-related hospitalisations and underscore the need for more equitable interventions particularly aimed at COVID-19 vaccination uptake among migrants.</p></div>\",\"PeriodicalId\":34448,\"journal\":{\"name\":\"Journal of Migration and Health\",\"volume\":\"9 \",\"pages\":\"Article 100218\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666623524000084/pdfft?md5=9c5ab662413559a18dd9a82ffd5c6bbf&pid=1-s2.0-S2666623524000084-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Migration and Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666623524000084\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Migration and Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666623524000084","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
The incidence of COVID-19-related hospitalisation in migrants in the UK: Findings from the Virus Watch prospective community cohort study
Background
Migrants in the United Kingdom (UK) may be at higher risk of SARS-CoV-2 exposure; however, little is known about their risk of COVID-19-related hospitalisation during waves 1–3 of the pandemic.
Methods
We analysed secondary care data linked to Virus Watch study data for adults and estimated COVID-19-related hospitalisation incidence rates by migration status. To estimate the total effect of migration status on COVID-19 hospitalisation rates, we ran mixed-effect Poisson regression for wave 1 (01/03/2020–31/08/2020; wildtype), and mixed-effect negative binomial regressions for waves 2 (01/09/2020–31/05/2021; Alpha) and 3 (01/06/2020–31/11/2021; Delta). Results of all models were then meta-analysed.
Results
Of 30,276 adults in the analyses, 26,492 (87.5 %) were UK-born and 3,784 (12.5 %) were migrants. COVID-19-related hospitalisation incidence rates for UK-born and migrant individuals across waves 1–3 were 2.7 [95 % CI 2.2–3.2], and 4.6 [3.1–6.7] per 1,000 person-years, respectively. Pooled incidence rate ratios across waves suggested increased rate of COVID-19-related hospitalisation in migrants compared to UK-born individuals in unadjusted 1.68 [1.08–2.60] and adjusted analyses 1.35 [0.71–2.60].
Conclusion
Our findings suggest migration populations in the UK have excess risk of COVID-19-related hospitalisations and underscore the need for more equitable interventions particularly aimed at COVID-19 vaccination uptake among migrants.
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