TY - JOUR
T1 - COVID-19 stressors and health behaviors
T2 - A multilevel longitudinal study across 86 countries
AU - PsyCorona Collaboration
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 - Jeronimus, Bertus F.
AU - Koc, Yasin
AU - Krause, Joshua
AU - Kutlaca, Maja
AU - Martinez, Anton
AU - McCabe, Kira O.
AU - Myroniuk, Solomiia
AU - Nyúl, Boglárka
AU - Reitsema, Anne Margit
AU - Ryan, Michelle K.
AU - Sasin, Edyta M.
AU - Stroebe, Wolfgang
AU - Sultana, Samiah
AU - van Breen, Jolien Anne
AU - Van Veen, Kees
AU - Leander, N. Pontus
N1 - Funding Information:
The authors would like to acknowledge Maleyka Mammadova for her assistance with literature review and data coding. This research received support from the New York University Abu Dhabi (VCDSF/75-71015), the University of Groningen (Sustainable Society & Ubbo Emmius Fund), and the Instituto de Salud Carlos III (COV20/00086). The COVID-19 risk perception item measured at baseline was previously reported in unrelated test of effects on subjective well-being and mental health.
Publisher Copyright:
© 2022
PY - 2022/6
Y1 - 2022/6
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
UR - http://www.scopus.com/inward/record.url?scp=85126622555&partnerID=8YFLogxK
U2 - 10.1016/j.pmedr.2022.101764
DO - 10.1016/j.pmedr.2022.101764
M3 - Article
AN - SCOPUS:85126622555
SN - 2211-3355
VL - 27
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
M1 - 101764
ER -