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Defining long COVID using a population-based SARS-CoV-2 survey in California
Jake M Pry1, Kalyani McCullough2, Kristina Wen-Jeh Lai2
1California Department of Public Health, Richmond, CA, USA; School of Medicine, University of California, Davis, CA, USA; Center for Infectious Disease Research in Zambia, Lusaka, Zambia.
Estimates for long COVID prevalence vary significantly based on definition. Severe initial COVID-19 infection increases the risk of developing long COVID, with vaccination potentially lowering prevalence.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Understanding of SARS-CoV-2 burden and post-acute sequela of COVID (PASC), or long COVID, is still evolving years into the pandemic.
- Prevalence estimates for long COVID remain disparate and uncertain.
- Large-scale serosurveillance studies are crucial for refining these estimates.
Purpose of the Study:
- To assess long COVID prevalence estimates using five different definitions.
- To identify predictors of long COVID among California residents.
- To analyze the impact of vaccination on long COVID prevalence.
Main Methods:
- Cross-sectional survey conducted by the California Department of Public Health (CDPH).
- Inclusion of demographic information, clinical symptoms, and COVID-19 vaccination history.
- Logistic regression analysis to assess prevalence and predictors of long COVID across different definitions.
Main Results:
- Analysis included 2883 participants, predominantly female (62.5%), median age 39 years.
- Long COVID prevalence varied by definition, with highest prevalence (20.9%) for incomplete recovery and lowest (4.9%) for severe long COVID.
- Primary vaccination series completion was associated with significantly lower long COVID prevalence.
Conclusions:
- Significant differences exist in estimated long COVID prevalence depending on the definition used.
- Individuals experiencing severe initial COVID-19 infection are at higher risk for developing long COVID.
- Vaccination status is a significant factor influencing long COVID prevalence.
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