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. 

Study Findings - 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