Evidence map›Paper›PMID 39841477›Full record

ArticleJAMA network open2025

Sex Differences in Long COVID.

Dimpy P Shah, Tanayott Thaweethai, Elizabeth W Karlson, Hector Bonilla, Benjamin D Horne, Janet M Mullington, Juan P Wisnivesky, Mady Hornig, Daniel J Shinnick, Jonathan D Klein and 51 more

Erratum issuedAbstract read
In one paragraph

Article in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing 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

78 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Prevalence of Long COVID inJournal of clinical tuberculosis and other mycobacterial diseases · 2026
    Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Observational
  14. Review
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

61 authors.

Dimpy P ShahLong School of Medicine, University of Texas Health Science Center, San Antonio.
Tanayott ThaweethaiMassachusetts General Hospital Biostatistics, Somerville.
Elizabeth W KarlsonBrigham and Women's Hospital, Boston, Massachusetts.
Hector BonillaDivision of Infectious Diseases, Department of Medicine, Stanford University, Palo Alto, California.
Benjamin D HorneIntermountain Heart Institute, Intermountain Health, Salt Lake City, Utah.
Janet M MullingtonDepartment of Medicine, Harvard Medical School, Boston, Massachusetts.
Juan P WisniveskyDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Mady HornigColumbia University Mailman School of Public Health, New York, New York.
Daniel J ShinnickMassachusetts General Hospital Biostatistics, Somerville.
Jonathan D KleinDepartment of Pediatrics, Stanford University, Palo Alto, California.
Nathaniel B ErdmannDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham.
Shari B BrosnahanDepartment of Medicine, NYU Grossman School of Medicine, New York, New York.
Joyce K Lee-IannottiDepartment of Neurology, University of Arizona College of Medicine, Phoenix.
Torri D MetzDepartment of Obstetrics and Gynecology, University of Utah Health, Salt Lake City.
Christine MaughanRECOVER Patient, Caregiver, or Community Representative, New York, New York.
Ighovwerha OfotokunDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Harrison T ReederMassachusetts General Hospital Biostatistics, Somerville.
Lauren E StilesRECOVER Patient, Caregiver, or Community Representative, New York, New York.
Aasma ShaukatDepartment of Medicine, NYU Grossman School of Medicine, New York, New York.
Rachel HessDepartment of Population Health Sciences, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City.
Hassan AshktorabHoward University College of Medicine, Washington, DC.
Logan BartramDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Ingrid V BassettDepartment of Medicine, Massachusetts General Hospital, Boston.
Jacqueline H BeckerDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Hassan BrimHoward University College of Medicine, Washington, DC.
Alexander W CharneyDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Tananshi ChopraCedars-Sinai Medical Center, Los Angeles, California.
Rebecca G CliftonDepartment of Epidemiology, The George Washington University, Washington, DC.
Steven G DeeksDepartment of Medicine, University of California San Francisco.
Kristine M ErlandsonDivision of Infectious Diseases, Department of Medicine, University of Colorado-Anschutz Medical Campus, Aurora.
Daniel S FiererDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Valerie J FlahermanDepartment of Pediatrics, University of California San Francisco.
Vivian FonsecaDepartment of Medicine, Tulane University Health Sciences Center, New Orleans, Louisiana.
Jennifer C GanderCenter for Research and Evaluation, Kaiser Permanente of Georgia, Atlanta.
Sally L HodderDepartment of Medicine, West Virginia University, Morgantown.
Vanessa L JacobyDepartment of Medicine, University of California San Francisco.
Pavitra Kotini-ShahIllinois Research Network, University of Illinois Chicago.
Jerry A KrishnanIllinois Research Network, University of Illinois Chicago.
Andre KumarDivision of Infectious Diseases, Department of Medicine, Stanford University, Palo Alto, California.
Bruce D LevyBrigham and Women's Hospital, Boston, Massachusetts.
David LiebermanBanner Health, Tucson, Arizona.
Jenny J LinDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Jeffrey N MartinDepartment of Epidemiology and Biostatistics, University of California San Francisco.
Grace A McComseyUniversity Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Talal MoukabaryUniversity of Arizona, Tucson.
Megumi J OkumuraDepartment of Medicine, University of California San Francisco.
Michael J PelusoDepartment of Medicine, University of California San Francisco.
Clifford J RosenMaineHealth Institute for Research, Scarborough.
George SaadeDepartment of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston.
Pankil K ShahLong School of Medicine, University of Texas Health Science Center, San Antonio.
Zaki A SherifHoward University College of Medicine, Washington, DC.
Barbara S TaylorLong School of Medicine, University of Texas Health Science Center, San Antonio.
Katherine R TuttleProvidence Inland Northwest Health, Spokane, Washington.
Alfredo E UrdanetaDepartment of Emergency Medicine, Division of Emergency Critical Care, Stanford University, Palo Alto, California.
Julie A WallickSwedish Health Services, Seattle, Washington.
Zanthia WileyDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
David ZhangBiological Sciences Division, University of Chicago, Chicago, Illinois.
Leora I HorwitzDepartment of Medicine, NYU Grossman School of Medicine, New York, New York.
Andrea S FoulkesMassachusetts General Hospital Biostatistics, Somerville.
Nora G SingerUniversity Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio.
RECOVER Consortium

Funding

ACTIV Integration of Host-targeting Therapies for COVID-19 Administrative Coordinating CenterOT2HL156812 · NHLBI · RESEARCH TRIANGLE INSTITUTE · PI NOLEN, TRACY L, THOMAS, SONIA M · 2020 to 2024
$1270.7M
OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
Interactive Data Portals and Robust Analytic Tools to Wrap PASC Cohorts (iDRAW) OTA-21-015AOT2HL161841 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI FOULKES, ANDREA S, KARLSON, ELIZABETH W · 2021 to 2024
$182.2M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Institutional Career Development Core (KL2)KL2TR002646 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI TSEVAT, JOEL · 2018 to 2022
$3.4M
Myosin Light Chain Dephosphorylation by PPP1R12C Promotes Atrial Hypocontractility and Atrial FibrillationR01HL151508 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MCCAULEY, MARK D · 2020 to 2024
$3.2M
Statistical Methods in COVID-19/PASC Clinical ResearchR01HL162373 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Andrea S Foulkes · 2023 to 2026
$1.7M
NCATS NIH HHS KL2 TR002646NCATS NIH HHS UM1 TR004409NCATS NIH HHS UM1 TR004528NHLBI NIH HHS OT2 HL156812NHLBI NIH HHS OT2 HL161841NHLBI NIH HHS OT2 HL161847NHLBI NIH HHS R01 HL151508NHLBI NIH HHS R01 HL162373
6 · The paper itself

Abstract

Importance: A substantial number of individuals worldwide experience long COVID, or post-COVID condition. Other postviral and autoimmune conditions have a female predominance, but whether the same is true for long COVID, especially within different subgroups, is uncertain. Objective: To evaluate sex differences in the risk of developing long COVID among adults with SARS-CoV-2 infection. Design, Setting, and Participants: This cohort study used data from the National Institutes of Health (NIH) Researching COVID to Enhance Recovery (RECOVER)-Adult cohort, which consists of individuals enrolled in and prospectively followed up at 83 sites in 33 US states plus Washington, DC, and Puerto Rico. Data were examined from all participants enrolled between October 29, 2021, and July 5, 2024, who had a qualifying study visit 6 months or more after their initial SARS-CoV-2 infection. Exposure: Self-reported sex (male, female) assigned at birth. Main Outcomes and Measures: Development of long COVID, measured using a self-reported symptom-based questionnaire and scoring guideline at the first study visit that occurred at least 6 months after infection. Propensity score matching was used to estimate risk ratios (RRs) and risk differences (95% CIs). The full model included demographic and clinical characteristics and social determinants of health, and the reduced model included only age, race, and ethnicity. Results: Among 12 276 participants who had experienced SARS-CoV-2 infection (8969 [73%] female; mean [SD] age at infection, 46 [15] years), female sex was associated with higher risk of long COVID in the primary full (RR, 1.31; 95% CI, 1.06-1.62) and reduced (RR, 1.44; 95% CI, 1.17-1.77) models. This finding was observed across all age groups except 18 to 39 years (RR, 1.04; 95% CI, 0.72-1.49). Female sex was associated with significantly higher overall long COVID risk when the analysis was restricted to nonpregnant participants (RR, 1.50; 95%: CI, 1.27-1.77). Among participants aged 40 to 54 years, the risk ratio was 1.42 (95% CI, 0.99-2.03) in menopausal female participants and 1.45 (95% CI, 1.15-1.83) in nonmenopausal female participants compared with male participants. Conclusions and Relevance: In this prospective cohort study of the NIH RECOVER-Adult cohort, female sex was associated with an increased risk of long COVID compared with male sex, and this association was age, pregnancy, and menopausal status dependent. These findings highlight the need to identify biological mechanisms contributing to sex specificity to facilitate risk stratification, targeted drug development, and improved management of long COVID.

Indexed as

COVID-19AdultAgedCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesPuerto RicoRisk FactorsSARS-CoV-2Sex FactorsUnited StatesYoung Adult

Identifiers

PMID39841477
PMCPMC11755195

What OpenQuestion holds

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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.