The role of multimorbidity and socio-economic characteristics as potential risk factors for Long Covid: evidence from the multilevel analysis of the Survey of Health, Ageing and Retirement in Europe's corona surveys (2020-2021).

The role of multimorbidity and socio-economic characteristics as potential risk factors for Long Covid: evidence from the multilevel analysis of the Survey of Health, Ageing and Retirement in Europe's corona surveys (2020-2021).
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DOI:
10.1093/ageing/afad225
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发表时间:
2023-12-01
期刊:
影响因子:
6.7
通讯作者:
--
中科院分区:
医学1区
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--
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很大一部分人在新型冠状病毒肺炎急性期后继续出现持续症状。然而,缺乏基于人群的长期新冠病毒风险因素研究。估计感染新型冠状病毒(COVID-19)的欧洲中老年人群中长期冠状病毒(COVID-19)的患病率,并评估多发病率和社会经济特征作为长期冠状病毒(COVID-19)潜在风险因素的作用。这项基于人群的纵向前瞻性研究涉及来自27个国家的50岁及以上受访者(n = 4,004),他们参加了2020年和2021年欧洲健康,老龄化和退休调查(SHARE),特别是Corona调查。通过多水平(随机截距)栅栏负二项模型进行分析。总体而言,71.6%(95%置信区间= 70.2-73.0%)的新冠病毒感染者在感染后12个月内至少有一种长期新冠病毒症状,平均3.06(标准差= 1.88)个症状。在长期新冠肺炎的患病率和症状数量方面存在显著的跨国差异。高等教育和男性与长期新冠病毒的风险较低相关,而就业与长期新冠病毒的风险较高相关。多发性硬化症与更多的症状相关,而年龄较大与较少的症状相关。我们的研究结果为欧洲长期新型冠状病毒的巨大负担提供了证据。感染新型冠状病毒的个人可能需要长期支持或进一步的医疗干预,给国家卫生保健系统带来额外压力。
A substantial proportion of individuals continue experiencing persistent symptoms following the acute stage of their Covid-19 illness. However, there is a shortage of population-based studies on Long Covid risk factors. To estimate the prevalence of Long Covid in the population of middle-aged and older Europeans having contracted Covid-19 and to assess the role of multimorbidity and socio-economic characteristics as potential risk factors of Long Covid. A population-based longitudinal prospective study involving a sample of respondents 50 years and older (n = 4,004) from 27 countries who participated in the 2020 and 2021 Survey of Health, Ageing and Retirement in Europe (SHARE), in particular the Corona Surveys. Analyses were conducted by a multilevel (random intercept) hurdle negative binomial model. Overall, 71.6% (95% confidence interval = 70.2–73.0%) of the individuals who contracted Covid-19 had at least one symptom of Long Covid up to 12 months after the infection, with an average of 3.06 (standard deviation = 1.88) symptoms. There were significant cross-country differences in the prevalence of Long Covid and number of symptoms. Higher education and being a man were associated with a lower risk of Long Covid, whilst being employed was associated with a higher risk of having Long Covid. Multimorbidity was associated with a higher number of symptoms and older age was associated with a lower number of symptoms. Our results provide evidence on the substantial burden of Long Covid in Europe. Individuals who contracted Covid-19 may require long-term support or further medical intervention, putting additional pressure on national health care systems.
DOI: 10.3390/ijerph18031256
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影响因子: --
作者:
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发表时间: 1991-07-01
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DOI: 10.1126/science.abg5298
发表时间: 2021-05-28
期刊: Science (New York, N.Y.)
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作者:
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通讯作者: Kern, Winfried, V