Burden of Selected Chronic Conditions Among Adults of Prime Working Age (25–54) by 2022 Self-Reported COVID-19 and Long COVID History Compared to 2019 Pre-Pandemic Baseline Prevalence: Behavioral Risk Factor Surveillance System

IF 3.1 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine Pub Date : 2025-05-20 DOI:10.1002/ajim.23735

Sharon R. Silver, Jia Li, Sharon H. Saydah

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引用次数: 0

Abstract

Introduction

Prior research has observed increased risks for numerous chronic conditions among individuals with Long COVID. Chronic conditions have been associated with employment limitations and increased economic hardships. Data from the Behavioral Risk Factor Surveillance System (BRFSS) present an opportunity to examine changes by employment status in the prevalence of a range of chronic conditions between 2019 (pre-pandemic) and, in 2022, by self-reported COVID-19 or Long COVID.

Methods

We assessed the prevalence of chronic conditions in 2022 by employment status and self-reported COVID-19 and Long COVID history using data from BRFSS for adults of prime working age (25–54 years) who were employed for wages, self-employed, unemployed less than 1 year, unemployed 1 year or more, or unable to work. For each chronic condition (coronary heart disease and myocardial infarction [combined], stroke, ever and current asthma, chronic obstructive pulmonary disease, kidney disease, diabetes, and arthritis), we generated adjusted prevalence ratios (aPRs) comparing 2022 prevalence by COVID-19/Long COVID category to prevalences among respondents in that employment status before the pandemic (2019).

Results

The prevalence of both asthma and diabetes increased significantly between 2019 and 2022 among respondents in all included employment categories and COVID-19/Long COVID histories combined. Among employed respondents with Long COVID in 2022, aPRs using 2019 prevalence figures for all employed respondents as a baseline for comparison had statistically significant elevations for every chronic condition assessed.

Conclusions

The increased prevalence of a range of chronic conditions between 2019 and 2022 among adults with Long COVID may present a burden for individuals, the workplace, the healthcare system, and the economy. Additional research in a longitudinal context could better quantify these associations. Efforts to prevent, identify, and treat Long COVID can reduce this burden.

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到2022年，与2019年大流行前基线患病率相比，自我报告的COVID-19和长期COVID病史的主要工作年龄（25-54岁）成年人中选定慢性病的负担：行为风险因素监测系统

先前的研究发现，长COVID患者患多种慢性疾病的风险增加。慢性疾病与就业限制和经济困难增加有关。来自行为风险因素监测系统（BRFSS）的数据提供了一个机会，可以检查2019年（大流行前）和2022年（自我报告的COVID-19或长期COVID-19）之间就业状况在一系列慢性病患病率中的变化。方法：利用BRFSS的数据，通过就业状况、自报COVID-19和长期COVID-19病史评估2022年慢性疾病的患病率，这些数据来自于有工资就业、自雇、失业未满1年、失业1年或以上、或无法工作的黄金工作年龄（25-54岁）的成年人。对于每种慢性疾病（冠心病和心肌梗死[合并]、中风、曾经和现在的哮喘、慢性阻塞性肺病、肾病、糖尿病和关节炎），我们生成了调整后的患病率比（aPRs），将2022年COVID-19/长COVID类别的患病率与大流行前（2019年）该就业状况的受访者的患病率进行比较。结果：2019年至2022年期间，在所有就业类别和COVID-19/长期COVID病史的受访者中，哮喘和糖尿病的患病率均显著增加。在2022年长COVID的就业受访者中，使用2019年所有就业受访者的患病率数据作为比较基线的apr在评估的每种慢性病中都有统计学上的显著升高。结论：2019年至2022年期间，长冠成人中一系列慢性病的患病率增加，可能会给个人、工作场所、医疗保健系统和经济带来负担。在纵向背景下的进一步研究可以更好地量化这些关联。预防、识别和治疗新型冠状病毒的努力可以减轻这一负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.90

自引率

5.70%

发文量

108

审稿时长

4-8 weeks

期刊介绍： American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.