Long COVID and Significant Activity Limitation Among Adults, by Age — United States, June 1–13, 2022, to June 7–19, 2023, , Nicole D. Ford

SNT Gatchaman

Senior Member (Voting Rights)
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Long COVID and Significant Activity Limitation Among Adults, by Age — United States, June 1–13, 2022, to June 7–19, 2023
Nicole D. Ford et al.

Long COVID is a condition encompassing a wide range of health problems that emerge, persist, or return following COVID-19. CDC analyzed national repeat cross-sectional Household Pulse Survey data to estimate the prevalence of long COVID and significant related activity limitation among U.S. adults aged ≥18 years by age group.

Data from surveys completed between June 1–13, 2022, and June 7–19, 2023, indicated that long COVID prevalence decreased from 7.5% (95% CI = 7.1–7.9) to 6.0% (95% CI = 5.7–6.3) among the overall U.S. adult population, irrespective of history of previous COVID-19, and from 18.9% (95% CI = 17.9–19.8) to 11.0% (95% CI = 10.4–11.6) among U.S. adults reporting previous COVID-19. Among both groups, prevalence decreased from June 1–13, 2022, through January 4–16, 2023, before stabilizing. When stratified by age, only adults aged <60 years experienced significant rates of decline (p<0.01). Among adults reporting previous COVID-19, prevalence decreased among those aged 30–79 years through fall or winter and then stabilized. During June 7–19, 2023, 26.4% (95% CI = 24.0–28.9) of adults with long COVID reported significant activity limitation, the prevalence of which did not change over time.

These findings help guide the ongoing COVID-19 prevention efforts and planning for long COVID symptom management and future health care service needs.

Link | PDF (MMWR. Morbidity and Mortality Weekly Report)
 
Long COVID prevalence has not changed since January 2023, and approximately 1 in 10 adults with previous COVID-19 were experiencing long COVID at the end of the study period, highlighting the ongoing importance of COVID-19 prevention actions, including vaccination.

More than one in four adults with long COVID reported significant activity limitations during June 7–19, 2023, and prevalence did not change over time.

Limited ability to carry out day-to-day activities because of long COVID symptoms can have a significant impact on quality of life, functional status, and ability to work or provide care to others. Health-related quality of life scores among long COVID patients in the United Kingdom were similar to those of patients with advanced cancers, and 53% reported moderately severe functional impairment, worse than that associated with stroke.

Long COVID in U.S. adults has also been associated with lower likelihood of working full time and higher likelihood of being unemployed. According to data from the New York State Insurance Fund, 18% of claimants with long COVID could not return to work for more than 1 year.
 
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