Factors associated with changes in employment in individuals with long COVID.

Abstract

Background: Long Covid symptoms are known to have an impact on function, however, their effect on employment and the associated demographic and clinical factors are not well understood.

Objective: Our objectives were (1) To compare changes in employment status between those with Long Covid and those who recovered from their Covid-19 infection; and (2) To identify demographic factors, clinical factors, and occupational skill level associated with decreased employment status in those with Long Covid.

Methods: We conducted an electronic survey (≥12 weeks post infection) with adult residents in Laval, Quebec, Canada who tested positive for Covid-19 between March 2020 and January 2022, regarding Long Covid symptoms and their functional impact. This analysis focuses on employment status: pre-covid, prior to infection, and current, and was recorded as full-time, part-time, or not working due to illness or for other reasons. Change in employment status was categorized as no decrease or decreased.

Results: Among 2764 respondents, 15.6% (95% CI: 13.3-17.9) with Long Covid (versus 5.4% (95% CI: 4.2-6.5) who recovered) experienced a decrease in employment (p < 0.001). Clinical factors associated with a decrease in employment include having been hospitalized for Covid-19, having ≥1 comorbid condition prior to infection, >12 months since infection, moderate to severe decline in physical and psychological health, and decline in global health. Demographic factors and occupational skill level were not associated with a change in employment.

Conclusions: Persons with Long Covid are more likely to experience a decrease in employment. Research is needed to determine whether rehabilitation for people with Long Covid could improve employment levels.