COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries
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In: Preventive Medicine Reports, Vol. 27, 101764, 01.06.2022.
Research output: Journal contributions › Journal articles › Research › peer-review
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TY - JOUR
T1 - COVID-19 stressors and health behaviors
T2 - A multilevel longitudinal study across 86 countries
AU - Keng, Shian Ling
AU - Stanton, Michael V.
AU - Haskins, Lee Ann B.
AU - Almenara, Carlos A.
AU - Ickovics, Jeannette
AU - Jones, Antwan
AU - Grigsby-Toussaint, Diana
AU - Agostini, Maximilian
AU - Bélanger, Jocelyn J.
AU - Gützkow, Ben
AU - Kreienkamp, Jannis
AU - Lemay, Edward P.
AU - vanDellen, Michelle R.
AU - Abakoumkin, Georgios
AU - Abdul Khaiyom, Jamilah Hanum
AU - Ahmedi, Vjollca
AU - Akkas, Handan
AU - Atta, Mohsin
AU - Bagci, Sabahat Cigdem
AU - Basel, Sima
AU - Berisha Kida, Edona
AU - Bernardo, Allan B.I.
AU - Buttrick, Nicholas R.
AU - Chobthamkit, Phatthanakit
AU - Choi, Hoon Seok
AU - Cristea, Mioara
AU - Csaba, Sára
AU - Damnjanovic, Kaja
AU - Danyliuk, Ivan
AU - Dash, Arobindu
AU - Di Santo, Daniela
AU - Douglas, Karen M.
AU - Enea, Violeta
AU - Faller, Daiane G.
AU - Fitzsimons, Gavan
AU - Gheorghiu, Alexandra
AU - Gómez, Ángel
AU - Hamaidia, Ali
AU - Han, Qing
AU - Helmy, Mai
AU - Hudiyana, Joevarian
AU - Jeronimus, Bertus F.
AU - Jiang, Ding Yu
AU - Jovanović, Veljko
AU - Kamenov, Željka
AU - Kende, Anna
AU - Kieu, Tra Thi Thanh
AU - Koc, Yasin
AU - Kovyazina, Kamila
AU - Kozytska, Inna
AU - Krause, Joshua
AU - Kruglanski, Arie W.
AU - Kurapov, Anton
AU - Kutlaca, Maja
AU - Lantos, Nóra Anna
AU - Lesmana, Cokorda Bagus Jaya
AU - Louis, Winnifred R.
AU - Lueders, Adrian
AU - Maj, Marta
AU - Malik, Najma Iqbal
AU - Martinez, Anton
AU - McCabe, Kira O.
AU - Mehulić, Jasmina
AU - Milla, Mirra Noor
AU - Mohammed, Idris
AU - Molinario, Erica
AU - Moyano, Manuel
AU - Muhammad, Hayat
AU - Mula, Silvana
AU - Muluk, Hamdi
AU - Myroniuk, Solomiia
AU - Najafi, Reza
AU - Nisa, Claudia F.
AU - Nyúl, Boglárka
AU - O'Keefe, Paul A.
AU - Osuna, Jose Javier Olivas
AU - Osin, Evgeny N.
AU - Park, Joonha
AU - Pica, Gennaro
AU - Pierro, Antonio
AU - Rees, Jonas
AU - Reitsema, Anne Margit
AU - Resta, Elena
AU - Rullo, Marika
AU - Ryan, Michelle K.
AU - Samekin, Adil
AU - Santtila, Pekka
AU - Sasin, Edyta M.
AU - Schumpe, Birga M.
AU - Selim, Heyla A.
AU - Stroebe, Wolfgang
AU - Sultana, Samiah
AU - Sutton, Robbie M.
AU - Tseliou, Eleftheria
AU - Utsugi, Akira
AU - van Breen, Jolien Anne
AU - Van Lissa, Caspar J.
AU - Van Veen, Kees
AU - Vázquez, Alexandra
AU - Wollast, Robin
AU - Yeung, Victoria Wai lan
AU - Zand, Somayeh
AU - Žeželj, Iris Lav
AU - Zheng, Bang
AU - Zick, Andreas
AU - Zúñiga, Claudia
AU - Leander, N. Pontus
N1 - © 2022 Published by Elsevier Inc.
PY - 2022/6/1
Y1 - 2022/6/1
N2 - Anxiety associated with the COVID-19 pandemic and home confinement has been associated with adverse health behaviors, such as unhealthy eating, smoking, and drinking. However, most studies have been limited by regional sampling, which precludes the examination of behavioral consequences associated with the pandemic at a global level. Further, few studies operationalized pandemic-related stressors to enable the investigation of the impact of different types of stressors on health outcomes. This study examined the association between perceived risk of COVID-19 infection and economic burden of COVID-19 with health-promoting and health-damaging behaviors using data from the PsyCorona Study: an international, longitudinal online study of psychological and behavioral correlates of COVID-19. Analyses utilized data from 7,402 participants from 86 countries across three waves of assessment between May 16 and June 13, 2020. Participants completed self-report measures of COVID-19 infection risk, COVID-19-related economic burden, physical exercise, diet quality, cigarette smoking, sleep quality, and binge drinking. Multilevel structural equation modeling analyses showed that across three time points, perceived economic burden was associated with reduced diet quality and sleep quality, as well as increased smoking. Diet quality and sleep quality were lowest among respondents who perceived high COVID-19 infection risk combined with high economic burden. Neither binge drinking nor exercise were associated with perceived COVID-19 infection risk, economic burden, or their interaction. Findings point to the value of developing interventions to address COVID-related stressors, which have an impact on health behaviors that, in turn, may influence vulnerability to COVID-19 and other health outcomes.
AB - Anxiety associated with the COVID-19 pandemic and home confinement has been associated with adverse health behaviors, such as unhealthy eating, smoking, and drinking. However, most studies have been limited by regional sampling, which precludes the examination of behavioral consequences associated with the pandemic at a global level. Further, few studies operationalized pandemic-related stressors to enable the investigation of the impact of different types of stressors on health outcomes. This study examined the association between perceived risk of COVID-19 infection and economic burden of COVID-19 with health-promoting and health-damaging behaviors using data from the PsyCorona Study: an international, longitudinal online study of psychological and behavioral correlates of COVID-19. Analyses utilized data from 7,402 participants from 86 countries across three waves of assessment between May 16 and June 13, 2020. Participants completed self-report measures of COVID-19 infection risk, COVID-19-related economic burden, physical exercise, diet quality, cigarette smoking, sleep quality, and binge drinking. Multilevel structural equation modeling analyses showed that across three time points, perceived economic burden was associated with reduced diet quality and sleep quality, as well as increased smoking. Diet quality and sleep quality were lowest among respondents who perceived high COVID-19 infection risk combined with high economic burden. Neither binge drinking nor exercise were associated with perceived COVID-19 infection risk, economic burden, or their interaction. Findings point to the value of developing interventions to address COVID-related stressors, which have an impact on health behaviors that, in turn, may influence vulnerability to COVID-19 and other health outcomes.
KW - COVID-19
KW - Economic burden
KW - Health behaviors
KW - Infection risk
KW - Health sciences
UR - http://www.scopus.com/inward/record.url?scp=85126622555&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/c84a296a-adfe-3991-bd61-625f5251364e/
U2 - 10.1016/j.pmedr.2022.101764
DO - 10.1016/j.pmedr.2022.101764
M3 - Journal articles
C2 - 35313454
AN - SCOPUS:85126622555
VL - 27
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
SN - 2211-3355
M1 - 101764
ER -