Socioeconomic inequalities of Long COVID: a retrospective population-based cohort study in the United Kingdom.
J R Soc Med
; 116(8): 263-273, 2023 08.
Article
en En
| MEDLINE
| ID: mdl-37164035
ABSTRACT
OBJECTIVES:
To estimate the risk of Long COVID by socioeconomic deprivation and to further examine the inequality by sex and occupation.DESIGN:
We conducted a retrospective population-based cohort study using data from the ONS COVID-19 Infection Survey between 26 April 2020 and 31 January 2022. This is the largest nationally representative survey of COVID-19 in the UK with longitudinal data on occupation, COVID-19 exposure and Long COVID.SETTING:
Community-based survey in the UK.PARTICIPANTS:
A total of 201,799 participants aged 16 to 64 years and with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. MAIN OUTCOMEMEASURES:
The risk of Long COVID at least 4 weeks after SARS-CoV-2 infection by index of multiple deprivation (IMD) and the modifying effects of socioeconomic deprivation by sex and occupation.RESULTS:
Nearly 10% (n = 19,315) of participants reported having Long COVID. Multivariable logistic regression models, adjusted for a range of variables (demographic, co-morbidity and time), showed that participants in the most deprived decile had a higher risk of Long COVID (11.4% vs. 8.2%; adjusted odds ratio (aOR) 1.46; 95% confidence interval (CI) 1.34, 1.59) compared to the least deprived decile. Significantly higher inequalities (most vs. least deprived decile) in Long COVID existed in healthcare and patient-facing roles (aOR 1.76; 95% CI 1.27, 2.44), in the education sector (aOR 1.68; 95% CI 1.31, 2.16) and in women (aOR 1.56; 95% CI 1.40, 1.73) than men (aOR 1.32; 95% CI 1.15, 1.51).CONCLUSIONS:
This study provides insights into the heterogeneous degree of inequality in Long COVID by deprivation, sex and occupation. These findings will help inform public health policies and interventions in incorporating a social justice and health inequality lens.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
COVID-19
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
J R Soc Med
Año:
2023
Tipo del documento:
Article
País de afiliación:
Reino Unido