1. COVID-19 pandemic unmasking cardiovascular risk factors and non-communicable diseases among migrant workers: a cross-sectional study in Singapore.
- Author
-
Mattar SAM, Kan JYL, Goh OQM, Tan Y, Kumaran SS, Shum KL, Lee G, Balakrishnan T, Zhu L, Chong CJ, Woong NL, Lam AYR, and Kang ML
- Subjects
- Cross-Sectional Studies, Heart Disease Risk Factors, Humans, Middle Aged, Pandemics, Retrospective Studies, Risk Factors, Singapore epidemiology, COVID-19 epidemiology, Cardiovascular Diseases epidemiology, Noncommunicable Diseases epidemiology, Transients and Migrants
- Abstract
Objectives: This study aims to report the prevalence of cardiovascular risk factors (CVRFs) and other non-communicable diseases among migrant workers in Singapore admitted for COVID-19 infection, to highlight disease burden and the need for changes in health screening and healthcare delivery in this unique population., Setting: The study was conducted in the largest tertiary hospital in Singapore., Design: Retrospective cross-sectional study., Participants: 883 migrant workers who had mild or asymptomatic COVID-19 infection admitted to three isolation wards between 6 April 2020 and 31 May 2020 were included in this study., Outcome Measures: The outcome measures were the prevalence of pre-existing and newly diagnosed comorbid conditions and the prevalence of CVRFs-diabetes mellitus, hypertension and hyperlipidaemia-and non-communicable diseases at the time of discharge. The OR of having specific CVRFs depending on country of origin was generated via multivariate logistic regression analysis., Results: The median age of our study population was 45 years. 17.0% had pre-existing conditions and 25.9% received new diagnoses. Of the new diagnoses, 15.7% were acute medical conditions and 84.3% chronic medical conditions. The prevalence of CVRFs was higher in Southeast Asian and South Asian migrant workers compared with Chinese. The prevalence of non-communicable diseases on discharge was highest among Southeast Asians (49.4%)., Conclusions: The COVID-19 outbreak in a large number of migrant workers in Singapore unmasked a significant disease burden among them, increasing stakeholders' interests in their welfare. Moving forward, system-level changes are necessary to deliver healthcare sustainably and effect improvements in migrant workers' health., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2022
- Full Text
- View/download PDF