Factors associated with changes in employment in individuals with long COVID, 2025, Jaber et al

Factors associated with changes in employment in individuals with long COVID

Farah Jaber, Marie-An Hoang, Debbie Ehrmann Feldman, Sara Saunders, Barbara Mazer

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.

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Anyone, anywhere, anytime.

I’m tired of the rehab-fetish.

The Norwegian study showed that it doesn’t work for ME/CFS, and so many with LC experience PEM.