Post-COVID conditions and healthcare utilization among adults with and without disabilitiesd2021 Porter Novelli FallStyles survey

Background: Adults with disabilities are at increased risk for SARS-CoV-2 infection and severe disease; whether adults with disabilities are at an increased risk for ongoing symptoms after acute SARS-CoV-2 infection is unknown.Objectives: To estimate the frequency and duration of long-term symptoms (>4 weeks) and health care utilization among adults with and without disabilities who self-report positive or negative SARS-CoV-2 test results.Methods: Data from a nationwide survey of 4510 U.S. adults administered from September 24, 2021 eOctober 7, 2021, were analyzed for 3251 (79%) participants who self-reported disability status, symp-tom(s), and SARS-CoV-2 test results (a positive test or only negative tests). Multivariable models were used to estimate the odds of having >= 1 COVID-19elike symptom(s) lasting >4 weeks by test result and disability status, weighted and adjusted for socio-demographics.Results: Respondents who tested positive for SARS-CoV-2 had higher odds of reporting >= 1 long-term symptom (with disability: aOR = 4.50 [95% CI: 2.37, 8.54] and without disability: aOR = 9.88 [95% CI: 7.13, 13.71]) compared to respondents testing negative. Among respondents who tested positive, those with disabilities were not significantly more likely to experience long-term symptoms compared to respondents without disabilities (aOR = 1.65 [95% CI: 0.78, 3.50]). Health care utilization for reported symptoms was higher among respondents with disabilities who tested positive (40%) than among re-spondents without disabilities who tested positive (18%). Conclusions: Ongoing symptoms among adults with and without disabilities who also test positive for SARS-CoV-2 are common; however, the frequency of health care utilization for ongoing symptoms is two-fold among adults with disabilities.Published by Elsevier Inc.