Characteristics of DCWs with at least one confirmed COVID-19 infection and contacts for mental health and diagnoses, psychotropic medication and admissions in the COVID-19 pandemic between 1 March 2020 and 31 November 2021
DCWs N=15 725 | Confirmed COVID-19* N=3698 | Mental health* N=5300 | |||||
N | % | N | % | N | % | ||
DCW characteristics | |||||||
Sex† | |||||||
Female | 13 253 | 84.3 | 3226 | 24.3 | 4685 | 35.4 | |
Male | 2472 | 15.7 | 472 | 19.1 | 615 | 24.9 | |
Age (at registration)† | |||||||
Under 35 years | 4425 | 28.1 | 1164 | 26.3 | 1542 | 34.9 | |
35 to <45 years | 2822 | 17.9 | 795 | 28.2 | 977 | 34.6 | |
45 to <55 years | 3955 | 25.2 | 897 | 22.7 | 1398 | 35.4 | |
55 years and over | 4523 | 28.8 | 842 | 18.6 | 1383 | 30.6 | |
Ethnicity† | |||||||
White | 15 012 | 95.5 | 3537 | 23.6 | 5128 | 34.2 | |
Black | 142 | 0.9 | 35 | 24.7 | 22 | 15.5 | |
Mixed | 127 | 0.8 | *** | *** | *** | *** | |
Asian | 108 | 0.7 | 25 | 23.2 | 18 | 16.7 | |
Other | 66 | 0.4 | *** | *** | *** | *** | |
Mixed/Other | 193 | 1.2 | 42 | 21.8 | 46 | 23.8 | |
Not recorded | 270 | 1.7 | 59 | 21.9 | 86 | 31.9 | |
Lives with DCW?†—Yes | 975 | 6.2 | 254 | 26.1 | 312 | 32.0 | |
No | 14 750 | 93.8 | 3444 | 23.4 | 4988 | 33.8 | |
Has disability?†—Yes | 188 | 1.2 | 30 | 16.0 | 91 | 48.4 | |
No | 14 141 | 89.9 | 3310 | 23.4 | 4714 | 33.3 | |
Not recorded/Prefer not to answer | 1396 | 8.9 | 358 | 25.6 | 495 | 35.5 | |
Qualifications as recorded at registration† | |||||||
Competence confirmed | 1982 | 12.6 | 438 | 22.1 | 646 | 32.6 | |
Induction framework | 2984 | 19.0 | 737 | 24.7 | 1094 | 36.7 | |
Qualification level 2 | 6935 | 44.1 | 1672 | 24.1 | 2328 | 33.6 | |
Qualification level 3 | 3340 | 21.2 | 752 | 22.5 | 1077 | 32.3 | |
Qualification level 4+ | 441 | 2.8 | 88 | 20.0 | 140 | 31.8 | |
Not recorded | 43 | 0.3 | 11 | 25.6 | 15 | 32.7 | |
Employment sector as recorded at registration† | |||||||
Private | 6592 | 41.9 | 1480 | 22.5 | 2154 | 32.7 | |
Third sector | 4267 | 27.1 | 991 | 23.2 | 1454 | 34.1 | |
Local authority-social services | 3306 | 21.0 | 876 | 26.5 | 1159 | 35.1 | |
Recruitment/Employment agency | 148 | 0.9 | ![]() | 43 | 25.0 | 65 | 37.8 |
Health/Other | 24 | 0.2 | |||||
Not recorded | 1388 | 8.8 | 308 | 22.2 | 468 | 33.7 | |
Smoking status‡ | |||||||
Non-smoker | 6342 | 40.3 | 1638 | 25.8 | 2076 | 32.7 | |
Current smoker | 4374 | 27.8 | 875 | 20.0 | 1781 | 40.7 | |
Ex-smoker | 3509 | 22.3 | ![]() | 1185 | 23.7 | 1443 | 28.8 |
Not recorded | 1500 | 9.5 | |||||
Body mass index‡ | |||||||
Underweight (<18.5) | 256 | 1.6 | 48 | 18.8 | 99 | 38.7 | |
Healthy weight (18.5–24.9) | 3173 | 20.2 | 685 | 21.6 | 1045 | 32.9 | |
Overweight (25–29.9) | 3652 | 23.2 | 847 | 23.2 | 1341 | 36.7 | |
Obese (≥30) | 5311 | 33.8 | 1398 | 26.3 | 2320 | 43.7 | |
Not recorded | 3333 | 21.2 | 720 | 21.6 | 495 | 14.9 | |
Any comorbidity?‡ § ¶—Yes | 6804 | 43.3 | 1652 | 24.3 | 3205 | 47.1 | |
No | 8921 | 56.7 | 2046 | 22.9 | 2095 | 23.5 | |
Mental health-related illness** | 3431 | 21.8 | – | – | – | – | |
Asthma | 2699 | 17.2 | – | – | – | – | |
CHD | 281 | 1.8 | – | – | – | – | |
CKD | 132 | 0.8 | – | – | – | – | |
COPD | 299 | 1.9 | – | – | – | – | |
Epilepsy | 238 | 1.5 | – | – | – | – | |
Osteoporotic fracture | 462 | 2.9 | – | – | – | – | |
Stroke | 135 | 0.9 | – | – | – | – | |
Diabetes | 824 | 5.2 | – | – | – | – | |
On COVID-19 shielding list?††—Yes | 635 | 4.0 | 129 | 20.3 | 267 | 42.1 | |
No | 15 090 | 96.0 | 3569 | 23.7 | 5033 | 33.4 | |
Area-level characteristics‡‡ §§ | |||||||
Resident health board | |||||||
Aneurin Bevan | 2819 | 17.9 | 758 | 26.9 | 980 | 34.8 | |
Betsi Cadwaladr | 3683 | 23.4 | 665 | 18.1 | 1140 | 31.0 | |
Cardiff and Vale | 1796 | 11.4 | 475 | 26.5 | 650 | 36.2 | |
Cwm Taf Morgannwg | 2702 | 17.2 | 755 | 27.9 | 1078 | 39.9 | |
Hywel Dda | 1965 | 12.5 | 392 | 20.0 | 561 | 28.6 | |
Powys | 662 | 4.2 | 104 | 15.7 | 105 | 15.9 | |
Swansea Bay | 2098 | 13.3 | 549 | 26.2 | 786 | 37.5 | |
Deprivation quintile¶¶ | |||||||
1 (most deprived) | 4168 | 26.5 | 1143 | 27.4 | 1541 | 37.0 | |
2 | 3970 | 25.2 | 991 | 25.0 | 1392 | 35.1 | |
3 | 3301 | 21.0 | 697 | 21.1 | 1005 | 30.5 | |
4 | 2554 | 16.2 | 503 | 19.7 | 780 | 30.5 | |
5 (most affluent) | 1732 | 11.0 | 364 | 21.0 | 582 | 33.6 | |
Rurality classification | |||||||
Rural | 4932 | 31.4 | 947 | 19.2 | 1435 | 29.1 | |
Urban | 10 793 | 68.6 | 2751 | 25.5 | 3865 | 35.8 |
*Between 1 March 2020 and 31 November 2021.
†Data source=Domiciliary Social Care Worker data and include data that are self-reported by DCWs on 1 April. If missing, then other sources (ONS 2011 Census Wales, WLGP, PEDW, Emergency Department Dataset) were used to impute (at index date=1 March 2020).
‡Data source=WLGP.
§Data source=PEDW.
¶Most recent occurring between 1 January 2000 and 1 March 2020.
**Contacts and diagnoses for mental health and admissions.
††People at a higher risk of getting seriously ill from COVID-19.
‡‡Based on residential address on 1 March 2020.
§§Data source=Welsh Demographic Service Dataset.
¶¶The Welsh Index of Multiple Deprivation (WIMD) is the official measure of relative deprivation for small areas in Wales. Quintiles are derived by proportioning the derivation score into five equal groups.
***Numbers suppressed as <10. Mixed and other categories are combined.
CHD, coronary heart disease; CKD, coronary kidney disease; COPD, chronic obstructive pulmonary disease; DCW, domiciliary care worker; PEDW, Patient Episode Dataset for Wales; WLGP, Wales Longitudinal General Practice.