长新冠对工作的影响：一项合作产生的调查。

Impact of long COVID-19 on work: a co-produced survey.

机构信息

School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK; NIHR Applied Research Collaboration Wessex, Southampton, UK.

Brighton and Sussex Medical School, University of Sussex, Falmer, UK; Department of Social Policy and Intervention, University of Oxford, Oxford, UK.

出版信息

Lancet. 2023 Nov;402 Suppl 1:S98. doi: 10.1016/S0140-6736(23)02157-8.

DOI:10.1016/S0140-6736(23)02157-8

PMID:37997145

Abstract

BACKGROUND

A proportion of people infected with SARS-CoV-2 develop post-COVID-19 condition (also known as long COVID), a predominantly multisystem condition resulting in varying degrees of functional disability limiting day-to-day activities. We aimed to describe the impact of long COVID on work.

METHODS

We co-produced baseline and follow-up online surveys with people with lived experience of long COVID (including three of the co-authors). Respondents were aged 18 years and older with self-reported long COVID following confirmed or suspected COVID-19 infection who were not hospitalised in the first 2 weeks of illness. The baseline survey was administered in November, 2020, using convenience non-probability sampling through social media. Following informed consent, participants completed a follow-up survey at 1 year (November, 2021). Ethics approval was granted by the University of Southampton.

FINDINGS

Of 2210 invited, 1153 (52%) participants responded to the survey (mean age of 47·7 years [SD 10·6], 965 [84%] female, 1096 [95%] White, and 892 [78%] holding a university degree). 54 participants (4·7%) reported recovery at follow-up. Median duration of illness was 19·8 months (IQR 19·3-20·1) at follow-up. An equal proportion reported being unable to work at baseline (20·4%, n=235) and follow-up (20·6%, n=237). However, a higher proportion reported being made redundant or taking early retirement at follow-up (8·9%, n=102) than at baseline (2·2%, n=25). 209 (18·1%) reported losing or resigning or leaving their job due to long COVID at follow-up compared with 170 (14·8%) participants at baseline. 307 (26·6%) participants reported not taking time off-sick due to long COVID at baseline, decreasing to 122 (10·6%) at follow-up. Of the 656 individuals reporting length of time off-sick, 354 (54%) were off-sick for more than 3 months, with 113 (17·2%) off-sick for more than 12 months. Nearly half (47%, n=538) reported a loss in income.

INTERPRETATION

The convenience non-probability sampling limits generalisability. Research is needed in a representative population sample to characterise the effect on working patterns in people with long COVID, particularly in those with less flexible and more physically demanding occupations who may be less able to take time off to recover.

FUNDING

None.

摘要

背景

一部分感染 SARS-CoV-2 的人会出现新冠后疾病（也称为长新冠），这是一种主要的多系统疾病，导致不同程度的功能障碍，限制日常活动。我们旨在描述长新冠对工作的影响。

方法

我们与有长新冠经历的人（包括三位共同作者中的三位）共同制作了基线和随访的在线调查。受访者年龄在 18 岁及以上，在确诊或疑似 COVID-19 感染后出现长新冠，且在发病的前 2 周内未住院。基线调查于 2020 年 11 月通过社交媒体进行，采用便利非概率抽样。在获得知情同意后，参与者在 1 年后（2021 年 11 月）完成了随访调查。南安普顿大学批准了伦理审查。

发现

在邀请的 2210 人中，有 1153 人（52%）回应了调查（平均年龄 47.7 岁[标准差 10.6]，965 名[84%]女性，1096 名[95%]白人，892 名[78%]持有大学学位）。54 名参与者（4.7%）在随访时报告已康复。随访时疾病的中位持续时间为 19.8 个月（IQR 19.3-20.1）。基线和随访时，报告无法工作的比例相等（分别为 20.4%，n=235；20.6%，n=237）。然而，报告在随访时被裁员或提前退休的比例高于基线（分别为 8.9%，n=102；2.2%，n=25）。209 名（18.1%）参与者在随访时因长新冠而失去或辞职或离开工作岗位，高于基线时的 170 名（14.8%）。307 名（26.6%）参与者在基线时因长新冠未请病假，随访时降至 122 名（10.6%）。在报告病假时间的 656 名参与者中，354 名（54%）病假超过 3 个月，113 名（17.2%）病假超过 12 个月。近一半（47%，n=538）报告收入损失。