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Changes in Population Health-Related Behaviors During a COVID-19 Surge: A Natural Experiment.


ABSTRACT:

Background

The study of impact of lockdowns on individual health-related behaviors has produced divergent results.

Purpose

To identify patterns of change in multiple health-related behaviors analyzed as a whole, and their individual determinants.

Methods

Between March and August 2020, we collected data on smoking, alcohol, physical activity, weight, and sleep in a population-based cohort from Catalonia who had available pre-pandemic data. We performed multiple correspondence and cluster analyses to identify patterns of change in health-related behaviors and built multivariable multinomial logistic regressions to identify determinants of behavioral change.

Results

In 10,032 participants (59% female, mean (SD) age 55 (8) years), 8,606 individuals (86%) modified their behavior during the lockdown. We identified five patterns of behavioral change that were heterogeneous and directed both towards worsening and improvement in diverse combinations. Patterns ranged from "global worsening" (2,063 participants, 21%) characterized by increases in smoking, alcohol consumption, and weight, and decreases in physical activity levels and sleep time, to "improvement" (2,548 participants, 25%) characterized by increases in physical activity levels, decreases in weight and alcohol consumption, and both increases and decreases in sleep time. Being female, of older age, teleworking, having a higher education level, assuming caregiving responsibilities, and being more exposed to pandemic news were associated with changing behavior (all p < .05), but did not discriminate between favorable or unfavorable changes.

Conclusions

Most of the population experienced changes in health-related behavior during lockdowns. Determinants of behavior modification were not explicitly associated with the direction of changes but allowed the identification of older, teleworking, and highly educated women who assumed caregiving responsibilities at home as susceptible population groups more vulnerable to lockdowns.

SUBMITTER: Delgado-Ortiz L 

PROVIDER: S-EPMC10074031 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Publications

Changes in Population Health-Related Behaviors During a COVID-19 Surge: A Natural Experiment.

Delgado-Ortiz Laura L   Carsin Anne-Elie AE   Merino Jordi J   Cobo Inés I   Koch Sarah S   Goldberg Ximena X   Chevance Guillaume G   Bosch de Basea Magda M   Castaño-Vinyals Gemma G   Espinosa Ana A   Carreras Anna A   Cortes Martínez Beatriz B   Straif Kurt K   de Cid Rafael R   Kogevinas Manolis M   Garcia-Aymerich Judith J  

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 20230401 3


<h4>Background</h4>The study of impact of lockdowns on individual health-related behaviors has produced divergent results.<h4>Purpose</h4>To identify patterns of change in multiple health-related behaviors analyzed as a whole, and their individual determinants.<h4>Methods</h4>Between March and August 2020, we collected data on smoking, alcohol, physical activity, weight, and sleep in a population-based cohort from Catalonia who had available pre-pandemic data. We performed multiple correspondenc  ...[more]

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