{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T18:37:07Z","timestamp":1793644627847,"version":"4.5.1"},"reference-count":83,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"unspecified","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004726","name":"British Columbia Ministry of Health","doi-asserted-by":"crossref","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}],"id":[{"id":"10.13039\/501100004726","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000245","name":"Michael Smith Health Research BC","doi-asserted-by":"publisher","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}],"id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010658","name":"St. Paul\u2019s Foundation","doi-asserted-by":"crossref","award":["1866667"],"award-info":[{"award-number":["1866667"]}],"id":[{"id":"10.13039\/100010658","id-type":"DOI","asserted-by":"crossref"}]},{"name":"CAN-TAP-TALENT","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2025,1,15]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Symptoms from post COVID-19 condition (PCC) can impair functioning in working-age adults. However, there is uncertainty about the relationship between PCC and work outcomes. This study aimed to assess health-related adverse work outcomes in individuals with a PCC history compared with others who had COVID-19.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a cross-sectional study in which participants in British Columbia (BC) completed an online questionnaire. Participants comprised adults who tested positive for SARS-CoV-2 by PCR at least 2 years before questionnaire completion and were working age (18\u201364) at the time of infection. PCC status was determined by self-report. The health-related adverse work outcomes evaluated included change in occupation or employer, reduced workload, increased sick days compared with before COVID-19, early retirement and indefinite sick leave. Analyses were weighted to reflect the characteristics of individuals who had COVID-19 in BC. Propensity score overlap weighting was used to adjust for relevant sociodemographic and clinical covariates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 1106 participants, 966 (87.3%) were employed when they contracted SARS-CoV-2 and included in analyses. Of these participants, 47.8% were female, the median age was 37 and 46.9% had a PCC history. Compared with other individuals who had COVID-19, those with a PCC history were more likely to have had a health-related adverse work outcome (46.5% vs 24.9%; adjusted OR (aOR) 2.6 (95% CI 1.7 to 4.0)) and reported a greater number of sick days in the first 2\u2009years since contracting SARS-CoV-2 (adjusted mean difference 43 days (95% CI 20 to 65)). The risk of a health-related adverse work outcome was especially high in those with post-COVID-19 fatigue (aOR 4.6 (95% CI 2.7 to 7.9)), fever (aOR 4.0 (95% CI 1.7 to 9.6)), weakness (aOR 3.8 (95% CI 2.2 to 6.3)), palpitations (aOR 3.3 (95% CI 2.0 to 5.0)) and brain fog (aOR 3.2 (95% CI 2.0 to 5.0)).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>PCC is associated with health-related adverse work outcomes. This is an important consideration for clinicians, employers and health system leaders.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjph-2024-001801","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T05:25:58Z","timestamp":1738819558000},"page":"e001801","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Health-related adverse work outcomes associated with post COVID-19 condition: a cross-sectional study"],"prefix":"10.1136","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5193-4618","authenticated-orcid":false,"given":"Hiten","family":"Naik","sequence":"first","affiliation":[{"name":"Post-COVID-19 Interdisciplinary Clinical Care Network, Provincial Health Services Authority, Vancouver, British Columbia, Canada"},{"name":"Department of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bingyue","family":"Zhu","sequence":"additional","affiliation":[{"name":"BC Renal Agency, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Er","sequence":"additional","affiliation":[{"name":"BC Renal Agency, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hind","family":"Sbihi","sequence":"additional","affiliation":[{"name":"BC Centre for Disease Control, Vancouver, British Columbia, Canada"},{"name":"School of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveed Z","family":"Janjua","sequence":"additional","affiliation":[{"name":"BC Centre for Disease Control, Vancouver, British Columbia, Canada"},{"name":"School of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Centre for Advancing Health Outcomes, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter M","family":"Smith","sequence":"additional","affiliation":[{"name":"Institute for Work and Health, Toronto, Ontario, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Tran","sequence":"additional","affiliation":[{"name":"Post-COVID-19 Interdisciplinary Clinical Care Network, Provincial Health Services Authority, Vancouver, British Columbia, Canada"},{"name":"Department of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Centre for Advancing Health Outcomes, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeera","family":"Levin","sequence":"additional","affiliation":[{"name":"Post-COVID-19 Interdisciplinary Clinical Care Network, Provincial Health Services Authority, Vancouver, British Columbia, Canada"},{"name":"Department of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"BC Renal Agency, Vancouver, British Columbia, Canada"},{"name":"Centre for Advancing Health Outcomes, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Centre for Advancing Health Outcomes, Vancouver, British Columbia, Canada"},{"name":"Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia, 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