Table 2 Risk factors associated with the development of long COVID (WHO definition)

From: Symptoms and risk factors for long COVID in non-hospitalized adults

Risk factor

Total numbers per strata (n = 384,137)

Long COVID symptoms (n = 29,869) (7.78) n (%)

Unadjusted HR (95% CI)

Adjusted HRa (95% CI)

Sex

    

Men

171,593

9,090 (5.3)

Ref.

Ref.

Women

212,544

20,779 (9. 8)

1.86 (1.81–1.90)

1.52 (1.48–1.56)

Age (years)

    

18–29

95,969

6,932 (7.2)

Ref.

Ref.

30–39

78,302

5,805 (7.4)

1.13 (1.10–1.18)

0.94 (0.90–0.97)

40–49

75,349

5,784 (7.7)

1.14 (1.10–1.18)

0.89 (0.86-0.93)

50–59

73,262

5,485 (7.5)

1.07 (1.04–1.11)

0.80 (0.77–0.83)

60–69

35,932

2,790 (7.8)

1.09 (1.05–1.14)

0.74 (0.70–0.78)

≥70

25,323

3,073 (12.1)

1.39 (1.33–1.45)

0.75 (0.70–0.81)

Ethnicity

    

White

246,717

20,462 (8.3)

Ref.

Ref.

Asianb

47,788

3,647 (7.6)

0.90 (0.82–0.99)

0.99 (0.89–1.09)

Black

15,846

1,053 (6.7)

1.01 (0.91–1.11)

1.21 (1.10–1.34)

Mixed

5,976

407 (6.8)

0.98 (0.92–1.04)

1.14 (1.07–1.22)

Otherc

5,438

404 (7.4)

0.94 (0.91–0.97)

1.06 (1.03–1.10)

Missing

62,372

3,896 (6.3)

0.74 (0.71–0.76)

0.92 (0.88–0.95)

BMI (kgm−2)

    

<18.5

10,312

762 (7.4)

0.93 (0.86–1.00)

0.93 (0.86–1.00)

18.5–25

117,630

8,849 (7.5)

Ref.

Ref.

25–30

109,707

8,612 (7.9)

1.06 (1.03–1.09)

1.07 (1.04–1.10)

>30

95,799

9,233 (9.6)

1.29 (1.25–1.33)

1.10 (1.07–1.14)

Missing

50,689

2,413 (4.8)

0.63 (0.60–0.65)

0.91 (0.86–0.95)

Smoking status

    

Non-smoker

141,967

9,671 (6.8)

Ref.

Ref.

Ex-smoker

139,294

12,407 (8.9)

1.33 (1.29–1.36)

1.08 (1.05–1.11)

Current smoker

85,765

7,072 (8.3)

1.31 (1.27–1.35)

1.12 (1.08–1.15)

Missing

17,111

719 (4.2)

0.61 (0.56–0.65)

0.90 (0.83–0.97)

Socioeconomic status quintile (IMD)

    

1 (least deprived)

66,564

4,392 (6.6)

Ref.

Ref.

2

68,657

4,963 (7.2)

1.09 (1.05–1.13)

1.05 (1.00–1.09)

3

70,699

5,486 (7.8)

1.19 (1.14–1.24)

1.10 (1.05–1.14)

4

84,002

6,523 (7.8)

1.20 (1.16–1.25)

1.07 (1.03–1.11)

5 (most deprived)

87,270

7,883 (9.0)

1.33 (1.28–1.38)

1.11 (1.07–1.16)

Missing

6,945

622 (9.0)

1.28 (1.7–1.39)

1.10 (1.01–1.20)

Symptoms recorded before COVID-19

78,880

13,207 (16.7)

2.92 (2.85–2.99)

2.07 (2.02–2.12)

Comorbidities

    

COPD

8,040

1,741 (21.7)

2.71 (2.58–2.85)

1.55 (1.47–1.64)

BPH

4,961

596 (12.0)

1.39 (1.28–1.51)

1.39 (1.28–1.52)

Fibromyalgia

4,031

900 (22.3)

3.17 (2.97–3.39)

1.37 (1.28–1.47)

Anxiety

77,753

10,481 (13.5)

2.17 (2.12–2.23)

1.35 (1.31–1.39)

Erectile dysfunction

16,678

1,551 (9.3)

1.15 (1.09–1.21)

1.33 (1.26–1.41)

Depression

83,903

11,222 (13.4)

2.22 (2.17–2.27)

1.31 (1.27–1.34)

Migraine

43,043

5,597 (13.0)

1.88 (1.83–1.94)

1.26 (1.22–1.30)

Multiple sclerosis

791

98 (12.4)

1.52 (1.25–1.85)

1.26 (1.03–1.53)

Celiac disease

1,669

207 (12.4)

1.58 (1.38–1.81)

1.25 (1.09–1.43)

Learning disability

3,283

295 (9.0)

1.22 (1.09–1.37)

1.24 (1.11–1.40)

IBS

27,492

3,691 (13.4)

1.84 (1.78–1.91)

1.20 (1.15–1.24)

Endometriosis

5,727

800 (14.0)

1.92 (1.79–2.06)

1.19 (1.11–1.28)

Low Hb

20,039

2,683 (13.4)

1.78 (1.71–1.85)

1.18 (1.13–1.23)

Deafness

3,767

514 (13.6)

1.53 (1.40–1.67)

1.16 (1.06–1.27)

Eating disorder

3,488

504 (14. 5)

1.92 (1.75–2.09)

1.16 (1.06–1.27)

Substance misuse

6,449

775 (12.0)

1.69 (1.58–1.82)

1.15 (1.07–1.23)

Back pain

5,483

718 (13.1)

1.76 (1.64–1.90)

1.15 (1.07–1.24)

Asthma

76,946

8,527 (11.1)

1.59 (1.55–1.63)

1.15 (1.12–1.18)

Chronic sinusitis

6,838

873 (12.8)

1.63 (1.52–1.74)

1.14 (1.07–1.22)

PCOS

9,599

1,166 (12.2)

1.73 (1.63–1.84)

1.14 (1.07–1.21)

  1. aaHRs estimated using a multivariable Cox proportional hazards model, including age, sex, ethnic group, socioeconomic status, index year, vaccination status, symptoms recorded before COVID-19 and comorbidities. bThe Asian category consisted of participants with origin from all over Asia including India, Pakistan, China, Cambodia, Thailand, Vietnam, Malaysia, Sri Lanka, Nepal, Bangladesh, Japan or Taiwan. cThe other ethnicity category consisted of patients with native American, Middle Eastern or Polynesian origin.
  2. COPD, chronic obstructive pulmonary disease; BPH, benign prostatic hyperplasia; IBS, irritable bowel syndrome; Hb, hemoglobin; PCOS; polycystic ovary syndrome; Ref., reference.