@article{Guzman:2025:10.1111/hex.70476,
author = {Guzman, V and Di, Gravio C and Cooper, E and Lound, A and Smith, N and O'hara, M and Atchison, CJ and Cooke, G and Chadeau, M and Elliott, P and Ward, H},
doi = {10.1111/hex.70476},
journal = {Health Expectations},
title = {"I put a lot of emphasis on work because I want to keep my job": a population-based interview study of long Covid and employment changes in England},
url = {http://dx.doi.org/10.1111/hex.70476},
volume = {28},
year = {2025}
}

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TY  - JOUR
AB  - BackgroundLong Covid is a complex condition characterised by persistent multisystemic symptoms following a Covid-19 infection, which can influence an individual's capability to sustain employment. However, there is limited evidence of how diverse presentations of long Covid can shape employment and what support strategies might be useful for different groups.AimTo address this, we aimed to explore the experiences of employment changes among people living with long Covid in England and to identify the perceived barriers and enablers they face to cope with work.Design and MethodsWe conducted a qualitative analysis of data from the Real-time Assessment of Community Transmission (REACT) Study. Using a framework analysis approach, we analysed 60 semi-structured interviews with people who experienced persistent Covid-19 symptoms for 12 weeks or more.ResultsWe identified three key themes: (1) Persistent Covid-19 symptoms at work; (2) Ripple effects of balancing work, identity and well-being with persistent Covid-19 symptoms; and (3) Employment changes to cope with and manage persistent Covid-19 symptoms. Participants identified multiple employment changes, including reduction of working hours, restructuring of roles and modification of responsibilities, and adapted ways of working. Drivers of employment changes included disruptive and fluctuating symptoms but also broader pandemic circumstances and the opportunities available for accessing organizational support and putting in place appropriate management strategies.ConclusionOur results provide a thorough understanding of the work changes experienced by people living with long Covid and highlight the need for intersectional, adaptable work accommodations to support their sustainable employment and overall well-being.Patient and Public ContributionMembers of the public who are part of a Public Advisory Group (PAG) have provided ongoing input into various aspects of the umbrella cohort study, the Real-time Assessment of Com
AU  - Guzman,V
AU  - Di,Gravio C
AU  - Cooper,E
AU  - Lound,A
AU  - Smith,N
AU  - O'hara,M
AU  - Atchison,CJ
AU  - Cooke,G
AU  - Chadeau,M
AU  - Elliott,P
AU  - Ward,H
DO  - 10.1111/hex.70476
PY  - 2025///
SN  - 1369-6513
TI  - "I put a lot of emphasis on work because I want to keep my job": a population-based interview study of long Covid and employment changes in England
T2  - Health Expectations
UR  - http://dx.doi.org/10.1111/hex.70476
UR  - https://onlinelibrary.wiley.com/doi/10.1111/hex.70476
VL  - 28
ER  - 

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