Ethnic and racial differences in self-reported symptoms, health status, activity level, and missed work at 3 and 6 months following SARS-CoV-2 infection.
Front Public Health
; 11: 1324636, 2023.
Article
en En
| MEDLINE
| ID: mdl-38352132
ABSTRACT
Introduction:
Data on ethnic and racial differences in symptoms and health-related impacts following SARS-CoV-2 infection are limited. We aimed to estimate the ethnic and racial differences in symptoms and health-related impacts 3 and 6 months after the first SARS-CoV-2 infection.Methods:
Participants included adults with SARS-CoV-2 infection enrolled in a prospective multicenter US study between 12/11/2020 and 7/4/2022 as the primary cohort of interest, as well as a SARS-CoV-2-negative cohort to account for non-SARS-CoV-2-infection impacts, who completed enrollment and 3-month surveys (N = 3,161; 2,402 SARS-CoV-2-positive, 759 SARS-CoV-2-negative). Marginal odds ratios were estimated using GEE logistic regression for individual symptoms, health status, activity level, and missed work 3 and 6 months after COVID-19 illness, comparing each ethnicity or race to the referent group (non-Hispanic or white), adjusting for demographic factors, social determinants of health, substance use, pre-existing health conditions, SARS-CoV-2 infection status, COVID-19 vaccination status, and survey time point, with interactions between ethnicity or race and time point, ethnicity or race and SARS-CoV-2 infection status, and SARS-CoV-2 infection status and time point.Results:
Following SARS-CoV-2 infection, the majority of symptoms were similar over time between ethnic and racial groups. At 3 months, Hispanic participants were more likely than non-Hispanic participants to report fair/poor health (OR 1.94; 95%CI 1.36-2.78) and reduced activity (somewhat less, OR 1.47; 95%CI 1.06-2.02; much less, OR 2.23; 95%CI 1.38-3.61). At 6 months, differences by ethnicity were not present. At 3 months, Other/Multiple race participants were more likely than white participants to report fair/poor health (OR 1.90; 95% CI 1.25-2.88), reduced activity (somewhat less, OR 1.72; 95%CI 1.21-2.46; much less, OR 2.08; 95%CI 1.18-3.65). At 6 months, Asian participants were more likely than white participants to report fair/poor health (OR 1.88; 95%CI 1.13-3.12); Black participants reported more missed work (OR, 2.83; 95%CI 1.60-5.00); and Other/Multiple race participants reported more fair/poor health (OR 1.83; 95%CI 1.10-3.05), reduced activity (somewhat less, OR 1.60; 95%CI 1.02-2.51; much less, OR 2.49; 95%CI 1.40-4.44), and more missed work (OR 2.25; 95%CI 1.27-3.98).Discussion:
Awareness of ethnic and racial differences in outcomes following SARS-CoV-2 infection may inform clinical and public health efforts to advance health equity in long-term outcomes.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
COVID-19
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Límite:
Adult
/
Humans
Idioma:
En
Revista:
Front Public Health
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Suiza