424 KB47 KB200220262026Belščak, AndrejaHočevar-Grom, AdaJeriček Klanšček, HelenaJeriček Klanšček, HelenaLavtar, DarjaRehberger, MarušaŠinko, Marinaštevilka:2letnik:65str. 104-113ISSN:0351-0026DOI:10.2478/sjph-2026-0013COBISSID_HOST:280704515URN:URN:NBN:SI:doc-MI41E2N2enNacionalni inštitut za javno zdravjeZdravstveno varstvoconsequencesdolgi covidlong COVIDnumber of infectionsposledicerisk of a depressive disorderSARS-CoV-2 virusštevilo okužbtveganje za depresijoLong COVID and its impact on daily functioning| findings from the SI-PANDA behavioural insights survey in Slovenia| Dolgotrajni covid in njegov vpliv na vsakodnevno delovanje| ugotovitve raziskave SI-PANDA v Sloveniji|Introduction Research on the long-term consequences of COVID-19 has initially focused on the symptoms and prevalence of long COVID. However, few studies have fully incorporated the World Health Organization definition or explored its diverse predictors, including mental health factors. This study aims to deepen the understanding of long-term outcomes of COVID-19 and their associated factors. Methods Data were drawn from the SI-PANDA Behavioural Insights survey on COVID-19, an online questionnaire administered to a selected sample of participants from an online access panel in Slovenia. The study included 5,961 participants aged 18 to 74. A multivariate logistic regression model was used to identify factors associated with reporting long COVID. Results Among the 5,961 respondents, 3,234 reported having been infected with SARS-CoV-2 at least once. Of those, 38% reported persistent fatigue and lack of energy. Long COVID developed in 16.1% (n = 520) of respondents who had been infected. The factor most strongly associated with long COVID was experiencing at least one severe episode of COVID-19, which was associated with a fourfold increase in the odds (OR = 3.99; 95% CI: 3.25–4.91). Other significant associations were observed for risk of a depressive disorder (OR = 2.50; 95% CI: 1.79–3.44), three or more SARS-CoV-2 infections (OR = 2.30; 95% CI: 1.45–3.64), risky stress behaviour (OR = 2.10; 95% CI: 1.38–3.30), and the presence of at least one chronic disease (OR = 1.50; 95% CI: 1.24–1.91). Conclusions Understanding and effectively addressing infectious diseases like COVID-19 requires not only insight into the virus’s biology and evolution but also recognition of the important role of mental health and psychological factorsUvod Raziskave o dolgoročnih posledicah okužbe s covidom-19 so se sprva osredotočale predvsem na simptome in razširjenost dolgega covida. Vendar le malo študij vključuje definicijo dolgega covida, kakor ga definira Svetovna zdravstvena organizacija, ali raziskuje raznolike napovednike, vključno s kazalniki duševnega zdravja. Namen te študije je poglobiti razumevanje dolgoročnih izidov po covidu-19 in z njimi povezanih dejavnikov. Metode Podatki so bili zbrani v spletni raziskavi SI-PANDA na vzorcu oseb, vključenih v komercialni spletni panel. V analizo je bilo vključenih 5961 odraslih, starih med 18 in 74 let. Za prepoznavanje dejavnikov, povezanih s poročanjem o dolgem covidu, smo uporabili multivariatni logistični regresijski model. Rezultati Med 5961 anketiranci jih je 3234 poročalo, da so bili vsaj enkrat okuženi z virusom SARS-CoV-2. Od teh jih je 38 % poročalo o vztrajajoči utrujenosti in pomanjkanju energije. Dolgi covid se je razvil pri 16,1 % (n = 520) okuženih. Dejavnik, ki je bil najmočneje povezan z dolgim covidom, je bila izkušnja vsaj ene hude epizode covida-19, kar je bilo povezano s približno štirikrat večjimi obeti za pojav dolgega covida (OR = 3,99; 95 % IZ: 3,25–4,91). Poleg tega je bilo z dolgim covidom pomembno povezano tudi tveganje za depresivno motnjo (OR = 2,50; 95 % IZ: 1,79–3,44), tri ali več okužbe s SARS-CoV-2 (OR = 2,30; 95 % IZ: 1,45–3,64), tvegano stresno vedenje (OR = 2,10; 95 % IZ: 1,38–3,30) ter prisotnost vsaj ene kronične bolezni (OR = 1,50; 95 % IZ: 1,24–1,91). Zaključki Učinkovito razumevanje in obravnavanje infekcijskih bolezni, kot je covid-19, zahteva ne le poznavanje biologije in evolucije virusa, ampak tudi prepoznavanje ključne vloge duševnega zdravja in psiholoških dejavnikov tveganjaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaNacionalni inštitut za javno zdravje