Evidence map›Paper›PMID 41455934›Full record

ArticleBMC public health2025

Long COVID symptoms and loneliness: findings from the World Trade Center Health Registry.

Julia S Sisti, Samuel E Packard, Janna Metzler

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Cellular Metabolic Signatures of Long COVID-19.Infectious disease reports · 2026
    Article
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.

Julia S SistiNew York City Department of Health and Mental Hygiene, World Trade Center Health Registry Long Island City, 30-30 47th Avenue, New York, 11101, United States. jsisti@health.nyc.gov.
Samuel E PackardNew York City Department of Health and Mental Hygiene, Bureau of Epidemiology Services Long Island City, New York, 11101, United States.
Janna MetzlerNew York City Department of Health and Mental Hygiene, World Trade Center Health Registry Long Island City, 30-30 47th Avenue, New York, 11101, United States.

Funding

CDC HHS NE11OE000057NIOSH CDC HHS U50 OH009739NIOSH CDC HHS U50OH009739OSELS CDC HHS U47 OE000057
6 · The paper itself

Abstract

backgroundSymptoms of long COVID can profoundly impact affected individuals' functioning, including their ability to participate in social activities. While individuals experiencing long COVID symptoms frequently report loneliness, few studies to date have investigated whether loneliness is more common among those with symptoms compared to those without. We examined associations between long COVID symptoms and loneliness among World Trade Center Health Registry (WTCHR) enrollees.

methodsAmong WTCHR enrollees who reported an acute COVID-19 infection in 2022-23 on a self-administered survey, we used modified Poisson regression to estimate multivariable-adjusted prevalence ratios (PR) and 95% confidence intervals (95% CI) for associations of self-reported long COVID symptoms (any vs. none, selected from a predefined symptom list) with loneliness. Overall loneliness was assessed with the 6-item de Jong Gierveld loneliness scale (range: 0-6); social and emotional loneliness were assessed with their respective subscales (range: 0-3). We also assessed whether level of social support prior to COVID-19 infection modified associations of long COVID symptoms with loneliness.

resultsAnalyses included 5,692 enrollees (mean age: 62 years); prevalence of loneliness was 61%. In fully adjusted models, enrollees who reported any long COVID symptoms had higher prevalence of loneliness compared to those without symptoms (PR = 1.19, 95% CI:1.13, 1.25). Associations were somewhat stronger for emotional loneliness than for social loneliness (PR = 1.22, 95% CI:1.15, 1.29 and PR = 1.12, 95% CI:1.07, 1.18, respectively). Effect modification by social support was not observed on either the additive or multiplicative scale.

conclusionLong COVID symptoms were associated with prevalence of loneliness in a sample of primarily older adults. As loneliness itself is associated with subsequent adverse health outcomes, addressing loneliness among people living with long COVID may help prevent further reductions in quality of life.

Indexed as

COVID-19LonelinessSeptember 11 Terrorist AttacksAdultAgedFemaleHumansMaleMiddle AgedNew York CityPrevalenceRegistriesSocial SupportCOVID-19 pandemicLonelinessLong COVIDSocial support

Identifiers

PMID41455934
PMCPMC12853770

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.