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Yang Z, Tang Y, Kong L, Wang X, Li J, Hao Y, Wang Z, Gu J. Self-Reported Long COVID and Its Impact on COVID-19-Related Worries and Behaviors After Lifting the COVID-19 Restrictions in China. Healthcare (Basel) 2025; 13:262. [PMID: 39942451 PMCID: PMC11817031 DOI: 10.3390/healthcare13030262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2024] [Revised: 01/18/2025] [Accepted: 01/27/2025] [Indexed: 02/16/2025] Open
Abstract
OBJECTIVE Since the lifting of the COVID-19 restrictions in China in November 2022, there has been a notable surge in the COVID-19 infection rate. Little is known about the prevalence of long COVID among the general adult population and its impact on COVID-19-related worries and behaviors after the policy change. METHODS This cross-sectional study recruited 1530 adults with prior COVID-19 infection in Guangzhou from February to March 2023. Logistic regression analyses and trend analyses were performed to investigate the associations between long COVID- and COVID-19-related worries and preventive behaviors. RESULTS The estimated prevalence of long COVID among adults in China was 18.0% (95% confidence interval: 16.1% to 20.0%). Common long COVID symptoms included cough (60.7%), fatigue (47.6%), dyspnea (34.5%), palpitation (26.2%), and insomnia (25.1%). Adjusted for background variables, individuals with long COVID exhibited higher level of COVID-19-related worries compared to those who had fully recovered from the infection (reference: without long COVID; adjusted odds ratios ranged from 1.87 to 2.55, all p values < 0.001). Participants primarily expressed worries regarding the potential for COVID-19 reinfection, the impact of the pandemic on daily life, the increasing number of COVID-19 cases and deaths, and the capacity of the healthcare system. While long COVID did not statistically significantly affect their preventive behaviors. CONCLUSIONS Long COVID was prevalent among the general adult population in China after lifting the COVID-19 restrictions, and it had a significant impact on COVID-19-related worries. This study highlights the importance of monitoring the mental health of individuals with long COVID and developing targeted intervention strategies to improve their adherence to preventive measures.
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Affiliation(s)
- Ziying Yang
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74, Zhongshan Second Road, Guangzhou 510080, China; (Z.Y.); (Y.T.); (L.K.); (X.W.); (J.L.); (Y.H.)
| | - Yihan Tang
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74, Zhongshan Second Road, Guangzhou 510080, China; (Z.Y.); (Y.T.); (L.K.); (X.W.); (J.L.); (Y.H.)
| | - Lingyu Kong
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74, Zhongshan Second Road, Guangzhou 510080, China; (Z.Y.); (Y.T.); (L.K.); (X.W.); (J.L.); (Y.H.)
| | - Xu Wang
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74, Zhongshan Second Road, Guangzhou 510080, China; (Z.Y.); (Y.T.); (L.K.); (X.W.); (J.L.); (Y.H.)
| | - Jinghua Li
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74, Zhongshan Second Road, Guangzhou 510080, China; (Z.Y.); (Y.T.); (L.K.); (X.W.); (J.L.); (Y.H.)
- Guangzhou Joint Research Center for Disease Surveillance, Early Warning, and Risk Assessment, Guangzhou 510080, China
- Sun Yat-Sen Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-Sen University, Guangzhou 510080, China
- Guangdong Key Laboratory of Health Informatics, Guangzhou 510080, China
- Research Center of Health Informatics, Sun Yat-Sen University, Guangzhou 510080, China
| | - Yuantao Hao
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74, Zhongshan Second Road, Guangzhou 510080, China; (Z.Y.); (Y.T.); (L.K.); (X.W.); (J.L.); (Y.H.)
- Sun Yat-Sen Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-Sen University, Guangzhou 510080, China
- Guangdong Key Laboratory of Health Informatics, Guangzhou 510080, China
- Research Center of Health Informatics, Sun Yat-Sen University, Guangzhou 510080, China
- Peking University Center for Public Health and Epidemic Preparedness and Response, Peking University, Beijing 100191, China
| | - Zhiwei Wang
- Department of 12320 Health Hotline, Guangzhou Center for Disease Control and Prevention, Guangzhou 510120, China
| | - Jing Gu
- Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74, Zhongshan Second Road, Guangzhou 510080, China; (Z.Y.); (Y.T.); (L.K.); (X.W.); (J.L.); (Y.H.)
- Guangzhou Joint Research Center for Disease Surveillance, Early Warning, and Risk Assessment, Guangzhou 510080, China
- Sun Yat-Sen Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-Sen University, Guangzhou 510080, China
- Guangdong Key Laboratory of Health Informatics, Guangzhou 510080, China
- Research Center of Health Informatics, Sun Yat-Sen University, Guangzhou 510080, China
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Sun M, Yan S, Cao T, Zhang J. The impact of COVID-19 pandemic on the world's major economies: based on a multi-country and multi-sector CGE model. Front Public Health 2024; 12:1338677. [PMID: 38566793 PMCID: PMC10986737 DOI: 10.3389/fpubh.2024.1338677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 02/29/2024] [Indexed: 04/04/2024] Open
Abstract
Objective To quantitatively assess the impact of COVID-19 pandemic on public health, as well as its economic and social consequences in major economies, which is an international public health concern. The objective is to provide a scientific basis for policy interventions. Subject and methods This study utilizes a multi-country, multi-sector CGE-COVID-19 model to analyze the repercussions of the pandemic in 2022. The re-search focuses on quantifying the effects of COVID-19 on the macroeconomy and various industry sectors within six economies: the United States, China, the EU, the United Kingdom, Japan, and South Korea. Results The COVID-19 pandemic shock had the most significant impact on China and the EU, followed by notable effects observed in the United States and the United Kingdom. In contrast, South Korea and Japan experienced relatively minimal effects. The reduction in output caused by the pandemic has affected major economies in multiple sectors, including real industries such as forestry and fisheries, and the services such as hotels and restaurants. Conclusion The overall negative macroeconomic impact of the epidemic on major economies has been significant. Strategic interventions encompassing initiatives like augmenting capital supply, diminishing corporate taxes and fees, offering individual subsidies, and nurturing international cooperation held the potential to mitigate the detrimental economic consequences and enhance the global-economic amid the pan-demic. Consequently, this study contributes to the advancement of global anti-epidemic policies targeting economic recovery. Moreover, using the CGE-COVID-19 model has enriched the exploration of general equilibrium models in PHEIC events.
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Affiliation(s)
- Mingsong Sun
- School of Economics and Finance, Huaqiao University, Quanzhou, China
| | - Shiling Yan
- Department of Agriculture and Forestry Technology, Weifang Engineering Vocational College, Qingzhou, China
| | - Tingting Cao
- Department of Economics and Management, Weifang University of Science and Technology, Shouguang, China
- Postdoctoral Station, Dongbei University of Finance & Economics, Dalian, China
| | - Jingwen Zhang
- Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Scotti F, Flori A, Bonaccorsi G, Pammolli F. Do We Learn From Errors? The Economic Impact of Differentiated Policy
Restrictions in Italy. INTERNATIONAL REGIONAL SCIENCE REVIEW 2023:01600176231168027. [PMCID: PMC10107071 DOI: 10.1177/01600176231168027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/28/2023]
Abstract
This paper investigates the economic impact of the three tiers risk framework
implemented in Italy against the COVID-19 pandemic during the Autumn of 2020.
Exploiting a large-scale dataset encompassing daily credit card transactions
mediated by a large Italian bank, we estimate a set of panel event study models
to disentangle the impact of restrictions with low, medium and high stringency
levels in terms of consumption reduction. We show that space-time differentiated
policies tend to produce stronger welfare losses for progressively more
stringent restrictions in specific sectors targeted by these policies such as
Retail and Restaurants. However, when we compare provinces implementing the same
level of policy stringency, we show that territories with higher income per
capita and larger concentration of manufacturing and service activities
experience both significantly worse economic and epidemiological performances.
Overall, our results suggest that policy makers should properly account for
local socio-economic characteristics when designing tailored restrictions
entailing an equal and homogeneous impact across territories.
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Affiliation(s)
- Francesco Scotti
- Impact, Department of Management,
Economics and Industrial Engineering, Politecnico di Milano, Milano, Italy
| | - Andrea Flori
- Impact, Department of Management,
Economics and Industrial Engineering, Politecnico di Milano, Milano, Italy
| | - Giovanni Bonaccorsi
- Impact, Department of Management,
Economics and Industrial Engineering, Politecnico di Milano, Milano, Italy
| | - Fabio Pammolli
- Impact, Department of Management,
Economics and Industrial Engineering, Politecnico di Milano, Milano, Italy
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Funke M, Ho TK, Tsang A. Containment measures during the COVID pandemic: The role of non-pharmaceutical health policies. JOURNAL OF POLICY MODELING 2023; 45:90-102. [PMID: 36532102 PMCID: PMC9743694 DOI: 10.1016/j.jpolmod.2022.12.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 09/27/2022] [Accepted: 10/09/2022] [Indexed: 05/27/2023]
Abstract
Many countries have imposed a set of non-pharmaceutical health policy interventions in an effort to slow the spread of the COVID-19 pandemic. The objective of this paper is to examine the effects of the interventions, drawing on evidence from the OECD countries. A special feature here is the mechanism that underlies the impact of the containment policies. To this end, a causal mediation analysis decomposing the total effect into a direct and an indirect effect is conducted. The key finding is a dual cause-effect channel. On the one hand, there is a direct effect of the non-pharmaceutical interventions on the various health variables. Beyond this, a quantitatively dominant indirect impact of non-pharmaceutical interventions operating via voluntary changes in social distancing is shown.
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Affiliation(s)
- Michael Funke
- Hamburg University, Department of Economics, Germany
- Tallinn University of Technology, Department of Economics and Finance, Estonia
| | - Tai-Kuang Ho
- National Taiwan University, Department of Economics, Taiwan
| | - Andrew Tsang
- ASEAN+3 Macroeconomic Research Office - AMRO, Singapore
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Han Y. The impact of the COVID-19 pandemic on China's economic structure: An input-output approach. STRUCTURAL CHANGE AND ECONOMIC DYNAMICS 2022; 63:181-195. [PMID: 36212988 PMCID: PMC9526993 DOI: 10.1016/j.strueco.2022.09.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 09/19/2022] [Accepted: 09/28/2022] [Indexed: 06/16/2023]
Abstract
Recognizing the impact of COVID-19 on economic structure is an urgently required task for the post-pandemic era. However, studies have been hampered in undertaking this task by a lack of current data and the use of inappropriate methods. This paper fills the gap in the literature by applying a network analysis method using the newly released input-output tables of China and evaluating the structural impacts on the economy, including the changes in the sectoral closeness, betweenness, risk condition, and network backbone. The modelling results demonstrate that the pandemic has accelerated the structural transformation process of the Chinese economy: the traditional growth engines, such as the petroleum and finance industries, have lagged, whereas new growth engine sectors, including the digital services and scientific research industries, have expanded rapidly. Accordingly, we propose that the government formulate policies to stabilize old growth engine industries and foster new drivers to promote a sustainable economic recovery in China.
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Affiliation(s)
- Yang Han
- School of Economics and Management, Harbin Institute of Technology, Shenzhen 518055, China
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