Document Type

Capstone Experience

Graduation Date

12-2023

Degree Name

Master of Public Health

Department

Epidemiology

First Committee Member

Nicole Kolm-Valdivia

Second Committee Member

Anthony Blake

Third Committee Member

Patrick Maloney

Abstract

Objective. To evaluate the association of healthcare access with Long COVID and clinical and sociodemographic factors.

Methods. Data were from the CDC's 2022 Behavioral Risk Factor Surveillance System (BRFSS) surveys regarding four measures of healthcare access and Long COVID. There were 25,549 respondents who reported Long COVID and 95,830 respondents who did not report Long COIVD.

Results. 25,549 (22.0%) of respondents reported Long COVID. Significant associations were found in respondents with public health insurance and delayed medical care due to cost. Those with chronic health conditions were more likely to report Long COVID. Women, certain racial/ethnic groups, respondents with some college education, and residents of rural areas also showed higher odds of Long COVID.

Conclusions. Delayed medical care due to cost and insurance costs, were significantly associated with increased odds of Long COVID. After controlling for confounders, healthcare coverage, delayed care due to cost, gender, age, rural status, education, and presence of chronic health conditions remained statistically significant.

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