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Post COVID-19 condition, work ability and occupational changes in a population-based cohort.
Philipp Kerksieck1, Tala Ballouz1, Sarah R Haile1
1Epidemiology, Biostatistics and Prevention Institute (EBPI), University of Zurich (UZH), Hirschengraben 84, Zurich 8001, Switzerland.
The Lancet Regional Health. Europe
|June 27, 2023
Summary
Post COVID-19 condition (PCC) significantly reduces work ability and impacts occupational changes in adults. Interventions are crucial to support affected individuals in maintaining or regaining their work capacity.
Area of Science:
- Occupational Health
- Public Health
- Infectious Diseases
Background:
- Post COVID-19 condition (PCC) prevalence is high among working-age individuals.
- Limited evidence exists on PCC's impact on work ability and occupational changes.
- This study addresses the critical need to understand PCC's workforce implications.
Purpose of the Study:
- To evaluate the association between PCC and work ability in a population-based cohort.
- To assess the impact of PCC on occupational changes one year post-infection.
- To identify factors associated with reduced work ability in individuals with PCC.
Main Methods:
- Prospective, longitudinal cohort study of SARS-CoV-2 infected working-age adults in Zurich, Switzerland.
- Work Ability Index (WAI) used to assess current, physical, mental, and future work ability.
- PCC-related occupational changes evaluated one year after infection.
Main Results:
- 17.9% of participants had PCC at 12 months.
- PCC was strongly associated with lower current work ability (mean difference 0.62 points).
- Individuals with PCC had significantly lower odds of reporting higher work ability for physical (aOR 0.30) and mental (aOR 0.40) demands, with 1.6% leaving the workforce.
Conclusions:
- PCC substantially impairs work ability and can lead to occupational changes, including workforce exit.
- Higher age and psychiatric history exacerbate work ability reductions.
- Interdisciplinary support and interventions are essential for maintaining/regaining work ability in PCC patients.
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