1. Association between combination COVID-19-influenza vaccination and long COVID in middle-aged and older Europeans: A cross-sectional study.
- Author
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Wu W, Zheng X, Ding H, Miao T, Zang Y, Shen S, and Gao Y
- Subjects
- Humans, Cross-Sectional Studies, Male, Female, Middle Aged, Europe epidemiology, Aged, SARS-CoV-2 immunology, Post-Acute COVID-19 Syndrome, Aged, 80 and over, European People, Influenza Vaccines administration & dosage, COVID-19 prevention & control, COVID-19 epidemiology, Influenza, Human prevention & control, Influenza, Human epidemiology, Vaccination statistics & numerical data, COVID-19 Vaccines administration & dosage
- Abstract
The potential impact of combined COVID-19 and influenza vaccination on long COVID remains uncertain. In the present cross-sectional study, we aimed to investigate the plausible association between them in middle-aged and older Europeans based on the Survey of Health, Ageing, and Retirement in Europe (SHARE). A total of 1910 participants were recruited in the analyses. The study outcome was long COVID. Participants were divided into 4 groups through the self-reported status of COVID-19 and influenza vaccination. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated. 1397 participants experienced long COVID. After multivariable adjustment, those vaccinated with neither COVID-19 nor influenza vaccine had higher risk of long COVID (OR, 1.72; 95% CI, 1.26-2.35) compared to those vaccinated with both vaccines. Furthermore, adding the 4 statuses of COVID-19 vaccination/influenza vaccination to conventional risk model improved risk reclassification for long COVID (continuous net reclassification improvement was 16.26% [ p = .003], and integrated discrimination improvement was 0.51% [ p = .005]). No heterogeneity was found in the subgroup analyses (all p -interaction ≥0.05). Our study might provide a strategy for people aged 50 and over to reduce the occurrence of long COVID, that is, to combine the use of the COVID-19 vaccine and influenza vaccines.
- Published
- 2024
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