Long COVID, a chronic condition persisting for at least three months after SARS-CoV-2 infection, affects millions of people in the United States. This study examines disparities in access and barriers to Long COVID care among adults in Michigan who have ever experienced Long COVID, using data from the Michigan COVID-19 Recovery Surveillance Study (MI CReSS). We calculated weighted prevalence estimates on access and barriers to Long COVID care overall and by sex (male, female), age (18-34, 35-54, 55-64, 65+ years), and race and ethnicity (Hispanic, non-Hispanic White (White), non-Hispanic Black (Black), Another race or ethnicity). Among adults who ever experienced Long COVID, only 34.5% sought medical care for their symptoms. Many adults faced barriers such as cost, transportation, work obligations, caregiving responsibilities, and uncertainty about where to seek care. Generally, these barriers disproportionately affected females, young adults aged 18 to 34, and adults identifying as Hispanic, Black, or Another race or ethnicity. For example, females had higher percentages of delaying care due to transportation, inability to get off work, and caregiving responsibilities, compared to males. Policies aimed at improving accessibility, affordability and awareness of Long COVID care can alleviate these disparities, thus promoting health equity.
