Long COVID and financial outcomes: evidence from four longitudinal population surveys.

Journal: Journal of epidemiology and community health

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Affiliated Institutions:  Department of Psychological Medicine, King's College London, London, UK rebecca.rhead@kcl.ac.uk. University College London, London, UK. Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK. Social Research Institute, University College London, London, UK. Department of Epidemiology and Public Health, University College London, London, UK. MRC Unit for Lifelong Health and Ageing at UCL, UCL, London, UK. Faculty of Medicine, Imperial College London, London, UK. MRC/CSO Social and Public Health Sciences Unit, School of Health & Wellbeing, University of Glasgow, Glasgow, UK. Centre of Longitudinal Studies, University College London, London, UK.

Abstract summary 

Long-term sequelae of COVID-19 (long COVID) include muscle weakness, fatigue, breathing difficulties and sleep disturbance over weeks or months. Using UK longitudinal data, we assessed the relationship between long COVID and financial disruption.We estimated associations between long COVID (derived using self-reported length of COVID-19 symptoms) and measures of financial disruption (subjective financial well-being, new benefit claims, changes in household income) by analysing data from four longitudinal population studies, gathered during the first year of the pandemic. We employed modified Poisson regression in a pooled analysis of the four cohorts adjusting for a range of potential confounders, including pre-pandemic (pre-long COVID) factors.Among the 20 112 observations across four population surveys, 13% reported having COVID-19 with symptoms that impeded their ability to function normally-10.7% had such symptoms for <4 weeks (acute COVID-19), 1.2% had such symptoms for 4-12 weeks (ongoing symptomatic COVID-19) and 0.6% had such symptoms for >12 weeks (post-COVID-19 syndrome). We found that post-COVID-19 syndrome was associated with worse subjective financial well-being (adjusted relative risk ratios (aRRRs)=1.57, 95% CI=1.25, 1.96) and new benefit claims (aRRR=1.79, CI=1.27, 2.53). Associations were broadly similar across sexes and education levels. These results were not meaningfully altered when scaled to represent the population by age.Long COVID was associated with financial disruption in the UK. If our findings reflect causal effects, extending employment protection and financial support to people with long COVID may be warranted.

Authors & Co-authors:  Rhead Wels Moltrecht Shaw Silverwood Zhu Hughes Chaturvedi Demou Katikireddi Ploubidis

Study Outcome 

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Statistics
Citations : 
Authors :  11
Identifiers
Doi : jech-2023-221059
SSN : 1470-2738
Study Population
Male,Female
Mesh Terms
Other Terms
COHORT STUDIES;COVID-19;EMPLOYMENT;EPIDEMIOLOGY
Study Design
Study Approach
Country of Study
Publication Country
England