COVID-19 Stressors and Health Behaviors: A Multilevel Longitudinal Study across 86 Countries

Shian-Ling Keng, Michael Vicente Stanton, LeaAnn B. Haskins, Carlos A. Almenara, Jeannette Ickovics, Antwan Jones, Diana Grigsby-Toussaint, Maximilian Agostini, Jocelyn J. Bélanger, Ben Gützkow, Jannis Kreienkamp, Edward P. Lemay, Michelle R. vanDellen, Georgios Abakoumkin, Jamilah Hanum Abdul Khaiyom, Vjolica Ahmedi, Handan Akkas, Mohsin Atta, Sabahat Cigdem Bagci, Sima BaselEdona Berisha Kida, Allan B. I. Bernardo, Nicholas R. Buttrick, Phatthanakit Chobthamkit, Hoon-Seok Choi, Mioara Cristea, Sára Csaba, Kaja Damnjanović, Ivan Danyliuk, Arobindu Dash, Daniela Di Santo, Karen M. Douglas, Violeta Enea, Daiane Gracieli Faller, Gavan J. Fitzsimons, Alexandra Gheorghiu, Ángel Gómez, Ali Hamaidia, Qing Han, Mai Helmy, Joevarian Hudiyana, Bertus F. Jeronimus, Ding-Yu Jiang, Veljko Jovanović, Željka Kamenov, Anna Kende, Tra Thi Thanh Kieu, Yasin Koç, Kamila Kovyazina, Inna Kozytska, Joshua Krause, Arie W. Kruglanski, Anton Kurapov, Maja Kutlaca, Nóra Anna Lantos, Cokorda Bagus Jaya Lesmana, Winnifred R. Louis, Adrian Lueders, Marta Maj, Najma Iqbal Malik, Anton P. Martinez, Kira O. McCabe, Jasmina Mehulić, Mirra Noor Milla, Idris Mohammed, Erica Molinario, Manuel Moyano, Hayat Muhammad, Silvana Mula, Hamdi Muluk, Solomiia Myroniuk, Reza Najafi, Claudia F. Nisa, Boglárka Nyúl, Paul A. O'Keefe, Jose Javier Olivas Osuna, Evgeny N. Osin, Joonha Park, Gennaro Pica, Antonio Pierro, Jonas H. Rees, Anne-Margit Reitsema, Elena Resta, Marika Rullo, Michelle K. Ryan, Adil Samekin, Pekka Santtila, Edyta Sasin, Birga M. Schumpe, Heyla A. Selim, Wolfgang Stroebe, Robbie M. Sutton, Eleftheria Tseliou, Akira Utsugi, Jolien Anne van Breen, Caspar J. van Lissa, Alexandra Vázquez, Robin Wollast, Victoria Wai-Lan Yeung, Somayeh Zand, Iris Lav Žeželj, Bang Zheng, Andreas Zick, Claudia Zúñiga, N. Pontus Leander

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Abstract

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.
Original languageEnglish
Article number101764
JournalPreventive Medicine Reports
Volume27
Early online date17 Mar 2022
DOIs
Publication statusPublished - Jun 2022

Keywords

  • COVID-19
  • Economic burden
  • Health behaviors
  • Infection risk

ASJC Scopus subject areas

  • Health Informatics
  • Public Health, Environmental and Occupational Health

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