{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T21:13:30Z","timestamp":1791407610917,"version":"4.3.3"},"reference-count":82,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The majority of those infected with COVID\u201019 undergo a brief duration of clinical illness. In certain instances, symptoms endure for months or years after the initial viral exposure\u2014a condition characterized as Long COVID (LC). The experience of this illness remains largely unexplored as it has only recently surfaced. This study aims to understand the repercussions of persistent respiratory post\u2010COVID symptoms in Brazilian adults 12 months after SARS\u2010CoV\u20102 infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A constructivist grounded theory study was employed. Data were collected through individual interviews with adults with persistent respiratory symptoms of Long COVID in Brazil. Data collection took place between September 2023 and February 2024. Data analysis was performed on a constant comparative basis and concurrent with data collection to understand the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010four individuals (12 females, 12 males) with a median age of 43.29\u2009\u00b1\u20099.09 years participated. The data analysis generated a central category\u2014living with the long\u2010term effects of COVID\u201019: breathlessness pervades everything\u2014around which three categories emerged: (1) imbalance between life before and after being infected by COVID\u201019; (2) living with acute post\u2010COVID respiratory symptoms; and (3) struggling with persistent post\u2010COVID respiratory symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our analysis of the perceived needs of individuals with Long COVID underscores the urgent necessity for legislative reform to acknowledge LC as a disability that requires clear diagnostic criteria. Approaches to treatment and rehabilitation are required to evaluate the extent to which functioning and disability improve. Lastly, this study highlights the complex problems encountered by individuals with Long COVID, including employment uncertainties, everyday tasks and social relationships.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70409","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T16:39:43Z","timestamp":1758645583000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Living With Persistent Respiratory Symptoms of Long COVID: Qualitative Study Among Brazilian Adults 12 Months After Acute Infection"],"prefix":"10.1111","volume":"28","author":[{"given":"Giovana Alves","family":"Santos","sequence":"first","affiliation":[{"name":"Department of Postgraduate Nursing State University of Maring\u00e1 Maring\u00e1 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Maring\u00e1 Maring\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.onehlt.2020.100180"},{"key":"e_1_2_11_3_1","unstructured":"World Health Organization (WHO) \u201cCOVID\u201019 Virtual Press Conference Transcript\u201428 December 2020 \u201dhttps:\/\/www.who.int\/publications\/m\/item\/covid-19-virtual-press-conference-transcript---28-december-2020."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.8656"},{"key":"e_1_2_11_5_1","unstructured":"World Health Organization (WHO) \u201cCOVID\u201019 Cases \u201d WHO COVID\u201019 Dashboard Datadot 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