Table 4 Multivariable analysis of protective and risk factors for developing depressive symptoms, anxiety symptoms or suicidal ideation among patients with Long COVID (N = 5,208)
From: Factors associated with psychiatric outcomes and coping in Long COVID
PHQ-2 | GAD-7 | Suicidal Ideation | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Variable group | Variable | GLM OR and significance | 95% CI | LASSO OR | GLM coefficient and significance | 95% CI | LASSO coefficient | GLM OR and significance | 95% CI | LASSO OR |
Demographics | Age (>30 years) | 0.64a | 0.51 to 0.80 | 0.66 | −2.09a | −2.61 to −1.57 | −2.01 | 0.81 | 0.65 to 1.00 | 0.83 |
Male/man identification (ref. female/woman) | 1.25b | 1.07 to 1.47 | 1.22 | 0.10 | −0.25 to 0.45 | 0.02 | 1.21c | 1.04 to 1.41 | 1.16 | |
Non-binary/gender queer identification (ref. female/woman) | 1.23 | 0.77 to 1.94 | 1.14 | 0.34 | −0.74 to 1.42 | 0.16 | 2.59a | 1.66 to 4.10 | 2.36 | |
No children | 1.03 | 0.90 to 1.17 | 1.01 | −0.04 | −0.34 to 0.25 | . | 1.28a | 1.12 to 1.45 | 1.26 | |
African American/Black (ref. white) | 1.61c | 1.02 to 2.51 | 1.46 | 0.54 | −0.51 to 1.59 | 0.34 | 1.50 | 0.96 to 2.32 | 1.35 | |
Asian (ref. white) | 1.41 | 0.96 to 2.06 | 1.30 | 0.71 | −0.16 to 1.58 | 0.54 | 1.24 | 0.85 to 1.79 | 1.15 | |
Non-white Latinx (ref. white) | 1.02 | 0.70 to 1.45 | . | 0.41 | −0.39 to 1.20 | 0.27 | 0.92 | 0.64 to 1.30 | 0.98 | |
White Latinx (ref. white) | 1.12 | 0.66 to 1.87 | 1.01 | 0.18 | −0.99 to 1.34 | . | 0.73 | 0.42 to 1.23 | 0.81 | |
Multiple ancestries (ref. white) | 1.41c | 1.07 to 1.86 | 1.34 | 1.01b | 0.38 to 1.64 | 0.90 | 1.40c | 1.07 to 1.82 | 1.33 | |
Other ancestries (ref. white) | 0.58c | 0.34 to 0.95 | 0.64 | −0.66 | −1.67 to 0.36 | −0.48 | 1.42 | 0.92 to 2.18 | 1.30 | |
Positive and supportive community response | Positive medical provider response | 0.72a | 0.62 to 0.83 | 0.76 | −0.67a | −1.00 to −0.34 | −0.65 | 0.90 | 0.78 to 1.04 | 0.93 |
Positive friend response | 0.74c | 0.58 to 0.96 | 0.75 | −0.56 | −1.14 to 0.02 | −0.54 | 1.12 | 0.88 to 1.43 | 1.01 | |
Positive partner response | 0.88 | 0.65 to 1.19 | 0.89 | −0.72c | −1.42 to −0.02 | −0.69 | 0.73c | 0.55 to 0.98 | 0.76 | |
Positive family response | 0.70c | 0.52 to 0.92 | 0.70 | −0.18 | −0.83 to 0.47 | −0.15 | 0.98 | 0.75 to 1.29 | . | |
Support group participation | 0.80b | 0.70 to 0.92 | 0.83 | −0.21 | −0.52 to 0.10 | −0.15 | 1.22b | 1.06 to 1.40 | 1.20 | |
Negative and stigmatizing community response | Negative medical provider response | 0.89 | 0.76 to 1.05 | 0.96 | 0.42c | 0.08 to 0.77 | 0.39 | 1.13 | 0.97 to 1.32 | 1.15 |
Negative friend response | 1.13 | 0.92 to 1.38 | 1.10 | 0.24 | −0.22 to 0.69 | 0.22 | 1.20 | 0.99 to 1.45 | 1.13 | |
Negative partner response | 1.58a | 1.24 to 2.08 | 1.55 | 0.99a | 0.42 to 1.57 | 0.99 | 1.37b | 1.08 to 1.74 | 1.37 | |
Negative family response | 1.12 | 0.89 to 1.41 | 1.10 | 0.39 | −0.13 to 0.91 | 0.38 | 1.07 | 0.86 to 1.33 | 1.07 | |
Health | No pre-existing psychiatric diagnosis | 0.51a | 0.45 to 0.58 | 0.53 | −2.00a | −2.29 to −1.71 | −1.96 | 0.58a | 0.51 to 0.66 | 0.60 |
Change in health—worse (ref. same or better health) | 0.99 | 0.76 to 1.31 | . | 0.06 | −0.51 to 0.63 | 0.06 | 1.17 | 0.90 to 1.53 | . | |
Change in health—much worse (ref. same or better health) | 1.02 | 0.76 to 1.36 | . | −0.29 | −0.91 to 0.33 | −0.22 | 1.30 | 0.98 to 1.73 | 1.11 | |
Severity of LC symptoms | 0.98a | 0.97 to 0.98 | 0.98 | −0.03a | −0.04 to −0.02 | −0.03 | 0.99a | 0.99 to 1.00 | 0.99 | |
Number of days with LC symptoms | 1.0b | 0.998 to 0.999 | 1.00 | −0.003b | −0.004 to −0.001 | −0.002 | 1.00a | 1.000 to 1.002 | 1.00 | |
Post-illness physical limitations | 1.61a | 1.24 to 2.10 | 1.55 | 0.53c | 0.04 to 1.03 | 0.44 | 1.13 | 0.90 to 1.43 | 1.13 | |
Hospitalized for COVID | 1.28c | 1.03 to 1.59 | 1.23 | 0.40 | −0.09 to 0.89 | 0.31 | 1.32b | 1.07 to 1.63 | 1.26 | |
COVID testing access | 0.91 | 0.78 to 1.07 | 0.93 | 0.03 | −0.32 to 0.38 | . | 1.08 | 0.93 to 1.25 | 1.05 | |
Employment and finances | Post-illness work hours reduced (ref. no change in job) | 1.06 | 0.88 to 1.28 | . | −0.19 | −0.59 to 0.21 | −0.14 | 1.20 | 0.99 to 1.44 | 1.13 |
Post-illness job loss (ref. no change in job) | 1.40c | 1.06 to 1.86 | 1.30 | 0.71c | 0.07 to 1.35 | 0.70 | 1.34c | 1.03 to 1.78 | 1.26 | |
Post-illness financial hardship | 1.55a | 1.35 to 1.77 | 1.53 | 1.26a | 0.96 to 1.56 | 1.24 | 1.67a | 1.46 to 1.90 | 1.65 |