Baseline socioeconomic status predicting post-COVID-19 symptoms: Results from Isfahan COVID Cohort (ICC) study.

Publication date: Sep 01, 2024

Patients experience complications following their recovery from COVID-19, known as post-COVID-19. This study aimed to investigate the association between baseline socioeconomic status (SES) and post-COVID-19 symptoms among hospitalized and non-hospitalized patients. In the study, we used data from the Isfahan COVID Cohort (ICC) study, a 5-year longitudinal cohort study started from March 10, 2020. SES was measured using short form of SES questionnaire (SES-SQ), consisting of employment status, house room number, the number of trips taken, and using notebooks, laptop, or tablet in the house. Cox proportional hazard analysis was used to examine the association between baseline SES and post-COVID-19 symptoms including general, cardiovascular and respiratory systems, adjusting for potential confounders. Out of the 3912 patients included in the study, 66. 4 % reported post-COVID-19 symptoms. There was an association between low SES and increased risk of post-COVID-19 cardiovascular symptoms in the whole population (HR = 1. 15; 95 CI, 1. 01-1. 31, p = 0. 039). Considering the hospitalization status revealed that hospitalized patients with low SES had a higher risk of experiencing post-COVID-19 cardiovascular symptoms (HR = 1. 96; 95 CI, 1. 23-3. 12, p = 0. 004), while in non-hospitalized, low SES patients a lower risk was observed (HR = 0. 82; 95 CI, 0. 70-0. 97, p = 0. 017). No significant association was found between SES and other post-COVID-19 symptoms including general and respiratory symptoms. We concluded an association between higher SES and increased post-COVID-19 cardiovascular symptoms. Low SES was associated with higher risk of post-COVID-19 cardiovascular symptoms in hospitalized patients, while in non-hospitalized, it was associated with a lower risk.

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Concepts Keywords
Hospitalization COVID-19
Laptop Long haul COVID-19
Socioeconomic Post-acute COVID-19 syndrome
Socioeconomic status

Semantics

Type Source Name
disease MESH COVID-19
disease MESH complications
disease VO population
disease MESH Heart Failure
disease MESH Post acute COVID 19 syndrome
disease MESH insomnia
disease MESH low socioeconomic status
disease MESH morbidity
drug DRUGBANK Coenzyme M
disease MESH infection
disease VO organization
disease VO protocol
disease MESH coronary heart disease
disease MESH hypertension
disease MESH diabetes mellitus
disease MESH cancers
disease MESH non communicable diseases
disease IDO blood
drug DRUGBANK Cysteamine
disease IDO symptom
disease MESH weight loss
disease MESH chest pain
disease MESH edema
disease MESH paresthesia
drug DRUGBANK Oxygen
disease MESH educational level
disease MESH marital status
drug DRUGBANK Angiotensin II
disease MESH inflammation
disease MESH thrombosis

Original Article

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