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Table 2 Odds ratios for more severe acute first infection symptoms among adults with a self-reported confirmed or suspected SARS-CoV-2 infection, Canada, January 2020 to August 2022 (n = 9086)

From: Association between pre-existing chronic conditions and severity of first SARS-CoV-2 infection symptoms among adults living in Canada: a population-based survey analysis from January 2020 to August 2022

Characteristics

uOR

95% CI

aOR

95% CI

p value*

Pre-existing chronic conditions

ÌýÌýÌýÌýÌý

 chronic lung disease

2.41

(1.67, 3.48)

1.64

(1.09, 2.46)

0.017

 sleep apnea

1.42

(1.14, 1.76)

1.17

(0.93, 1.49)

0.186

 a²õ³Ù³ó³¾²¹

1.59

(1.29, 1.95)

1.22

(0.98, 1.52)

0.072

 chronic heart disease

1.17

(0.83, 1.64)

0.88

(0.61, 1.27)

0.502

 d¾±²¹²ú±ð³Ù±ð²õ

1.12

(0.85, 1.46)

0.87

(0.66, 1.17)

0.360

 chronic kidney disease

1.13

(0.71, 1.80)

0.95

(0.55, 1.65)

0.865

 high blood pressure

1.36

(1.16, 1.59)

1.35

(1.13, 1.62)

&±ô³Ù; 0.001

 chronic blood disorder

1.18

(0.59, 2.36)

0.66

(0.30, 1.45)

0.299

 o²õ³Ù±ð´Ç±è´Ç°ù´Ç²õ¾±²õ

1.08

(0.72, 1.62)

0.58

(0.39, 0.87)

0.009

 back problems

1.62

(1.36, 1.93)

1.11

(0.91, 1.36)

0.321

 urinary incontinence

1.33

(0.96, 1.85)

0.91

(0.65, 1.27)

0.563

 bowel disorder

1.71

(1.29, 2.26)

1.06

(0.81, 1.40)

0.658

 weakened immune system

2.35

(1.76, 3.12)

1.46

(1.08, 1.98)

0.015

 chronic neurological disorder

1.73

(1.10, 2.70)

0.94

(0.60, 1.49)

0.801

 chronic fatigue syndrome or fibromyalgia

4.57

(3.00, 6.97)

2.20

(1.39, 3.50)

&±ô³Ù; 0.001

 s³Ù°ù´Ç°ì±ð

1.06

(0.58, 1.94)

0.77

(0.40, 1.50)

0.446

 mental health condition

1.64

(1.39, 1.95)

1.12

(0.93, 1.35)

0.238

 a°ù³Ù³ó°ù¾±³Ù¾±²õ

1.7

(1.44, 2.00)

1.28

(1.04, 1.56)

0.019

Age at infection (ref = 15–34)

-

-

-

-

&±ô³Ù; 0.001

 35–49

1.02

(0.90, 1.16)

1.04

(0.91, 1.19)

0.540

 50–64

1.10

(0.96, 1.26)

0.96

(0.83, 1.12)

0.632

 65+

0.87

(0.74, 1.02)

0.66

(0.54, 0.81)

&±ô³Ù; 0.001

Sex (ref = male)

-

-

-

-

&±ô³Ù; 0.001

 f±ð³¾²¹±ô±ð

1.44

(1.29, 1.60)

1.30

(1.15, 1.46)

&±ô³Ù; 0.001

Ethnicity (ref = white)

-

-

-

-

0.023

 I²Ô»å¾±²µ±ð²Ô´Ç³Ü²õ

1.26

(0.97, 1.64)

1.10

(0.84, 1.46)

0.487

 South Asian

0.97

(0.71, 1.32)

0.94

(0.68, 1.31)

0.715

 East/Southeast Asian

0.64

(0.51, 0.80)

0.63

(0.49, 0.80)

&±ô³Ù; 0.001

 B±ô²¹³¦°ì

0.90

(0.57, 1.44)

0.81

(0.50, 1.31)

0.387

 Arab/West Asian

0.73

(0.48, 1.10)

0.73

(0.47, 1.15)

0.176

 Latin American

0.87

(0.56, 1.34)

0.89

(0.58, 1.38)

0.604

 M¾±³æ±ð»å/°¿³Ù³ó±ð°ù

1.09

(0.80, 1.47)

1.09

(0.79, 1.51)

0.600

Ethno-cultural composition (ref = first quintile)a

-

-

-

-

0.001

 s±ð³¦´Ç²Ô»å

1.27

(1.07, 1.51)

1.26

(1.05, 1.52)

0.013

 t³ó¾±°ù»å

1.21

(1.03, 1.42)

1.19

(1.00, 1.42)

0.050

 f´Ç³Ü°ù³Ù³ó

1.40

(1.19, 1.64)

1.43

(1.20, 1.70)

&±ô³Ù; 0.001

 fifth (highest)

1.20

(0.99, 1.44)

1.38

(1.12, 1.69)

0.002

 u²Ô°ì²Ô´Ç·É²Ô

1.37

(1.11, 1.70)

1.43

(1.11, 1.84)

0.006

Situational vulnerability (ref = first quintile)b

-

-

-

-

&±ô³Ù; 0.001

 s±ð³¦´Ç²Ô»å

0.96

(0.82, 1.13)

0.98

(0.82, 1.16)

0.782

 t³ó¾±°ù»å

1.02

(0.87, 1.19)

0.96

(0.81, 1.14)

0.639

 f´Ç³Ü°ù³Ù³ó

1.06

(0.90, 1.25)

0.99

(0.83, 1.18)

0.902

 fifth (highest)

0.78

(0.65, 0.93)

0.68

(0.56, 0.83)

&±ô³Ù; 0.001

 u²Ô°ì²Ô´Ç·É²Ôc

1.09

(0.89, 1.33)

-

-

-

Pre-existing chronic health symptoms

ÌýÌýÌýÌýÌý

 f²¹³Ù¾±²µ³Ü±ð

1.98

(1.70, 2.29)

1.22

(1.00, 1.48)

0.047

 loss of appetite

3.08

(1.94, 4.89)

1.82

(1.12, 2.94)

0.016

Number of pre-existing chronic health symptoms (ref = 0)

-

-

-

-

&±ô³Ù; 0.001

 1 or 2

1.29

(1.11, 1.47)

1.21

(1.06, 1.38)

0.005

 3

1.74

(1.43, 2.11)

1.56

(1.26, 1.93)

&±ô³Ù; 0.001

 &²µ³Ù; 3

2.21

(1.92, 2.54)

1.47

(1.20, 1.81)

&±ô³Ù; 0.001

Months since last vaccine dose prior to the month of infection (ref = 3 months or less)

-

-

-

-

&±ô³Ù; 0.001

 not vaccinated

1.96

(1.67, 2.30)

1.54

(1.19, 2.00)

0.001

 4–6 months

1.23

(1.08, 1.40)

1.31

(1.15, 1.50)

&±ô³Ù; 0.001

 > 6 months

1.22

(1.02, 1.46)

1.27

(1.05, 1.52)

0.013

 u²Ô°ì²Ô´Ç·É²Ô

1.11

(0.76, 1.61)

1.01

(0.71, 1.44)

0.960

Time period of first infection (ref = pre-omicron)

-

-

-

-

0.005

 Omicron (December 1, 2021 – date of electronic questionnaire completion)

0.57

(0.50, 0.66)

0.70

(0.55, 0.90)

0.005

 u²Ô°ì²Ô´Ç·É²Ô

1.14

(0.42, 3.11)

1.83

(0.62, 5.36)

0.271

Household member testing positive for SARS-CoV-2 infection (ref = no)

-

-

-

-

&±ô³Ù; 0.001

 y±ð²õ

0.76

(0.68, 0.85)

0.83

(0.74, 0.94)

0.002

 u²Ô°ì²Ô´Ç·É²Ô

1.42

(0.73, 2.77)

1.71

(0.88, 3.34)

0.116

  1. Notes: Estimates for Canada exclude the territories. All estimates are weighted. The reference category for a pre-existing chronic condition or symptom are adults without the chronic condition or symptom, respectively
  2. Abbreviations: aOR = adjusted odds ratio, CI = confidence interval, n = unweighted number of respondents included in the final model, ref = reference, uOR = unadjusted odds ratio
  3. *p value is only for the fully adjusted model
  4. a Ethno-cultural composition quantifies a neighbourhood’s makeup of immigrant populations
  5. b Situational vulnerability quantifies a neighbourhood’s education level, Indigenous composition, and extent of dwellings in need of major repairs
  6. c For the dimensions of deprivation, values for an individual were either known or unknown for all dimensions. Consequently, the parameter for unknown situational vulnerability has a value of 0 in the final adjusted model because it is a linear combination of the parameter for unknown ethnocultural composition