Evidence map›Paper›PMID 39618261›Full record

ArticleHealth services research2025

Long COVID and financial hardship: A disaggregated analysis at income and education levels.

Biplab Kumar Datta, Ishtiaque Fazlul, M Mahmud Khan

Abstract read
In one paragraph

Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Biplab Kumar DattaDepartment of Health Economics and Policy, Augusta University, Augusta, Georgia, USA.ORCID https://orcid.org/0000-0002-2559-850X
Ishtiaque FazlulDepartment of Health Policy and Management, University of Georgia, Athens, Georgia, USA.ORCID https://orcid.org/0000-0003-3493-6192
M Mahmud KhanDepartment of Health Policy and Management, University of Georgia, Athens, Georgia, USA.

Funding

No external funding was received for this project.
6 · The paper itself

Abstract

objectivesTo examine how long COVID is associated with financial hardship (food insecurity, inability to pay bills, or threat of losing service) across income and education levels, and to assess the role of employment loss or reduced work hours in this hardship. DATA SOURCE AND STUDY

settingWe used nationally representative data on 271,076 adults from the 2022 Behavioral Risk Factor Surveillance System (BRFSS). STUDY

designWe used multivariable binomial logistic regression models to estimate the average marginal effect of long COVID on financial hardships across multiple income and education groups. PRINCIPAL

findingsIn general, we found a significant positive association between long COVID and the three measures of financial hardships across income and education groups (1-11 percentage points increase, 95% CI 0.00-0.02 and 0.07-0.14, respectively). Mediation analysis showed that lost or reduced hours of employment accounted for a significant portion (6%-20%) of the changes in financial distress.

conclusionsLong COVID has affected the economic wellbeing of people from all socioeconomic statuses, although at a higher rate for lower income groups. Policy attention is needed to address its economic impacts across income and education levels.

Indexed as

COVID-19Educational StatusFinancial StressIncomeAdolescentAdultAgedBehavioral Risk Factor Surveillance SystemEmploymentFemaleFood InsecurityHumansMaleMiddle AgedSARS-CoV-2Socioeconomic Factorsdisparityfinancial hardshiplong COVIDsocioeconomic statusUnited States

Identifiers

PMID39618261
PMCPMC11911214

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.