Michigan COVID-19 Recovery Surveillance Study (MI CReSS)

MI-CRESS LogoThe Michigan COVID-19 Recovery Surveillance Study (MI CReSS) is a joint project between the University of Michigan School of Public Health and the Michigan Department of Health and Human Services (MDHHS).

Study Goals

  • Conduct public health surveillance to learn about Michiganders’ experiences with COVID-19 using a representative sample of confirmed cases within
    the state.
  • Document sociodemographic inequities in COVID-19 treatment and the differential impact of COVID-19 illness on communities throughout the state.
  • Disseminate findings broadly to lay the foundation for data-driven change.

Study Design

A probability sample of 2,000 cases was drawn from the Michigan Disease Surveillance System in June 2020. The sample consisted of noninstitutionalized adults from Michigan with COVID-19 onset on or before April 15, 2020, who were alive at the time of the study. A total of 638 surveys were completed. Responses were weighted to be representative of adults with COVID-19 onset during the designated timeframe who met our inclusion criteria. 

Michigan COVID-19 Recovery Surveillance Study Data Report 2: Black-White Differences in Access to Care, Recovery, and the Social Impact of COVID-19 January 29, 2021

  • Black COVID-19 survivors had a more severe disease course than White respondents. More Black than White respondents reported severe or very severe symptoms (72.9% vs. 60.5%) or required an overnight hospital stay (45.4% vs. 27.9%).
  • Black respondents reported poorer experiences than White respondents when attempting to access COVID-19 care.
    • 8.7% of Black respondents believed their experiences seeking healthcare were worse than people from other races, while 18.9% of White respondents believed their experiences were better than people from other races.
    • 10.6% of Black respondents (vs. 1.6% of White respondents) reported that their COVID-19 testing or treatment made them feel emotionally upset due to how they were treated based on their race.
  • More Black respondents reported increased social stressors since the start of the pandemic, with 25.6% being unable to pay important bills like mortgage, rent, or utilities (vs. 10.3% of White respondents).
  • More Black respondents (23.0%) were afraid to disclose their COVID-19 status to their friends or family than White respondents (9.8%).


Michigan COVID-19 Recovery Surveillance Study - October 2020

  • Nearly a quarter (23.0%) of respondents waited more than a week to seek medical care following COVID-19 symptom onset.
  • At the time of survey completion, 26.2% of respondents had not recovered from COVID-19 to their usual state of health. Among those who had recovered, there was a wide range in symptom duration, ranging from less than 1 week to 18 weeks.
  • The COVID-19 outbreak worsened stress levels and mental health for 52.7% of respondents.
  • When asked about challenges faced by themselves or their family members since the pandemic began, nearly 60% reported experiencing a loss of employment or reduction in hours worked and nearly 20% reported being unable to pay important bills.
  • More than two-thirds (68.6%) of employed respondents had to physically report to work following the "Stay Home, Stay Safe" executive order. Among employed respondents, 34.0% did not take sick leave during their COVID-19 illness.

Download the October 2020 report