Employment outcomes of people with Long Covid symptoms: community-based cohort study.
Employment outcomes of people with Long Covid symptoms: community-based cohort study.
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有长期新冠症状的人的就业结果：基于社区的队列研究。
DOI：
10.1093/eurpub/ckae034
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发表时间：
2024
影响因子：
4.4
通讯作者：
Ayoubkhani D
中科院分区：
文献类型：
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作者：
Ayoubkhani D
背景SARS-CoV-2感染对长期就业的影响缺乏证据。我们使用来自英国一个大型社区样本的数据来估计长期新冠肺炎与就业结果之间的关联。MethodsThis是一项采用前后设计的观察性纵向研究。我们纳入了2021年2月3日至2022年9月30日期间的调查参与者，当时他们的年龄为16至64岁，未接受教育。使用条件logit模型，我们探索了首次检测确认的SARS-CoV-2感染后≥12周的长期Covid状态与（参考文献：感染前）和劳动力市场不活跃（既不工作也不找工作）或工作场所缺勤≥4周。（平均年龄45岁，54%为女性，92%为白色），15%曾在劳动力市场不活跃，10%在随访期间曾长期缺席。与感染前相比，感染后30至<40周（调整后比值比（aOR）：1.45; 95% CI：1.17-1.81）或40至<52周（aOR：1.34; 95% CI：1.05-1.72）报告长期新冠肺炎的参与者的不活动程度更高。结合关于长期新冠肺炎患病率的官方统计数据，并假设正确的统计模型，我们的估计转化为2022年7月英国有27 000（95% CI：6000-47 000）名工作年龄成年人因长期新冠肺炎而不活跃。需要进一步研究，以量化其他因素的影响，如大流行病对健康的间接影响。
BackgroundEvidence on the long-term employment consequences of SARS-CoV-2 infection is lacking. We used data from a large, community-based sample in the UK to estimate associations between Long Covid and employment outcomes.MethodsThis was an observational, longitudinal study using a pre–post design. We included survey participants from 3 February 2021 to 30 September 2022 when they were aged 16–64 years and not in education. Using conditional logit modelling, we explored the time-varying relationship between Long Covid status ≥12 weeks after a first test-confirmed SARS-CoV-2 infection (reference: pre-infection) and labour market inactivity (neither working nor looking for work) or workplace absence lasting ≥4 weeks.ResultsOf 206 299 participants (mean age 45 years, 54% female, 92% white), 15% were ever labour market inactive and 10% were ever long-term absent during follow-up. Compared with pre-infection, inactivity was higher in participants reporting Long Covid 30 to <40 weeks [adjusted odds ratio (aOR): 1.45; 95% CI: 1.17–1.81] or 40 to <52 weeks (aOR: 1.34; 95% CI: 1.05–1.72) post-infection. Combining with official statistics on Long Covid prevalence, and assuming a correct statistical model, our estimates translate to 27 000 (95% CI: 6000–47 000) working-age adults in the UK being inactive because of Long Covid in July 2022.ConclusionsLong Covid is likely to have contributed to reduced participation in the UK labour market, though it is unlikely to be the sole driver. Further research is required to quantify the contribution of other factors, such as indirect health effects of the pandemic.