Rachel Liu-Galvin, Frank A Orlando, Tamkeen Khan, Gregory D Wozniak, Arch G Mainous
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引用次数: 0
摘要
导言：人们担心COVID-19的急性后后遗症，但长期COVID对美国劳动力的影响尚不清楚。方法：我们分析了具有全国代表性的2022年医疗支出小组调查（MEPS）。成年（18岁及以上）全职工作人员分为从未感染COVID-19、未长期感染COVID-19和长期感染COVID-19。通过未经调整的负二项回归和根据带薪病假、年龄、性别、种族和合并症进行调整的负二项回归来评估2022年因病缺勤的天数。结果：125,151,402例（加权）成人中，42.9%未感染COVID-19, 49.6%未感染COVID-19, 7.5%患有COVID-19。长时间缺勤患者一年旷工8天以上，比无长时间缺勤患者高171%，比无长时间缺勤患者高19%，比无长时间缺勤患者高62%。在对潜在的混杂变量进行调整后，未长时间感染COVID-19的患者旷工率更高(IRR 1.75；95% CI 1.51, 2.04)，与未感染COVID-19的患者相比。长COVID患者的缺勤率更高(IRR 2.21；95% CI 1.79, 2.73)，与未感染COVID-19的患者相比。讨论：长时间感染COVID的患者的另一个结果是对劳动力的影响和明显更多的工作日。
Long COVID and Days of Work Missed Due to Illness or Injury by Adults in the United States, 2022.
Introduction: There are concerns of postacute sequelae of COVID-19, but the impact of long COVID on the US workforce is unclear.
Methods: We analyzed the nationally representative 2022 Medical Expenditure Panel Survey (MEPS). Adult (aged 18 or above) full time workers were classified as those who had never had COVID-19, those who had COVID-19 without long COVID, and those who had long COVID. The number of days of work missed due to illness in 2022 was assessed in unadjusted negative binomial regressions and those adjusted for paid sick leave, age, sex, race and comorbidities.
Results: Among 125,151,402 (weighted) adults, 42.9% never had COVID-19, 49.6% had COVID-19 without long COVID, and 7.5% had long COVID. Patients with long COVID missed more than 8 days of work in a year which was 171% higher than patients without COVID-19% and 62% higher than those who had COVID-19 without long COVID. After adjusting for potential confounding variables, patients who had COVID-19 without long COVID had a greater rate of missing work (IRR 1.75; 95% CI 1.51, 2.04) compared with those who did not have COVID-19. Long COVID patients had an even higher rate of missing work (IRR 2.21; 95% CI 1.79, 2.73) compared with those who did not have COVID-19.
Discussion: An additional outcome for patients with long COVID is an impact on the workforce and significantly more missed workdays.
期刊介绍：
Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.
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