Dataset Information

COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries.

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.

SUBMITTER: Keng SL

PROVIDER: S-EPMC8928741 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries.

Keng Shian-Ling SL Stanton Michael V MV Haskins LeeAnn B LB Almenara Carlos A CA Ickovics Jeannette J Jones Antwan A Grigsby-Toussaint Diana D Agostini Maximilian M Bélanger Jocelyn J JJ Gützkow Ben B Kreienkamp Jannis J Lemay Edward P EP vanDellen Michelle R MR Abakoumkin Georgios G Abdul Khaiyom Jamilah Hanum JH Ahmedi Vjollca V Akkas Handan H Atta Mohsin M Bagci Sabahat Cigdem SC Basel Sima S Berisha Kida Edona E Bernardo Allan B I ABI Buttrick Nicholas R NR Chobthamkit Phatthanakit P Choi Hoon-Seok HS Cristea Mioara M Csaba Sára S Damnjanovic Kaja K Danyliuk Ivan I Dash Arobindu A Di Santo Daniela D Douglas Karen M KM Enea Violeta V Faller Daiane G DG Fitzsimons Gavan G Gheorghiu Alexandra A Gómez Ángel Á Hamaidia Ali A Han Qing Q Helmy Mai M Hudiyana Joevarian J Jeronimus Bertus F BF Jiang Ding-Yu DY Jovanović Veljko V Kamenov Željka Ž Kende Anna A Kieu Tra Thi Thanh TTT Koc Yasin Y Kovyazina Kamila K Kozytska Inna I Krause Joshua J Kruglanski Arie W AW Kurapov Anton A Kutlaca Maja M Lantos Nóra Anna NA Lesmana Cokorda Bagus Jaya CBJ Louis Winnifred R WR Lueders Adrian A Maj Marta M Malik Najma Iqbal NI Martinez Anton A McCabe Kira O KO Mehulić Jasmina J Milla Mirra Noor MN Mohammed Idris I Molinario Erica E Moyano Manuel M Muhammad Hayat H Mula Silvana S Muluk Hamdi H Myroniuk Solomiia S Najafi Reza R Nisa Claudia F CF Nyúl Boglárka B O'Keefe Paul A PA Osuna Jose Javier Olivas JJO Osin Evgeny N EN Park Joonha J Pica Gennaro G Pierro Antonio A Rees Jonas J Reitsema Anne Margit AM Resta Elena E Rullo Marika M Ryan Michelle K MK Samekin Adil A Santtila Pekka P Sasin Edyta M EM Schumpe Birga M BM Selim Heyla A HA Stroebe Wolfgang W Sultana Samiah S Sutton Robbie M RM Tseliou Eleftheria E Utsugi Akira A van Breen Jolien Anne JA Van Lissa Caspar J CJ Van Veen Kees K Vázquez Alexandra A Wollast Robin R Yeung Victoria Wai-Lan VW Zand Somayeh S Žeželj Iris Lav IL Zheng Bang B Zick Andreas A Zúñiga Claudia C Leander N Pontus NP

Preventive medicine reports 20220317

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 s ...[more]

PMID: 35313454

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Project description:ObjectivesThe objective was to provide a longitudinal assessment of anxiety levels and work and home concerns of U.S. emergency physicians during the COVID-19 pandemic.MethodsWe performed a longitudinal, cross-sectional email survey of clinically active emergency physicians (attending, fellow, and resident) at seven academic emergency departments. Follow-up surveys were sent 4 to 6 weeks after the initial survey and assessed the following: COVID-19 patient exposure, availability of COVID-19 testing, levels of home and workplace anxiety/stress, changes in behaviors, and performance on a primary care posttraumatic stress disorder screen (PC-PTSD-5). Logistic regression explored factors associated with a high PC-PTSD-5 scale score (≥3), indicating increased risk for PTSD.ResultsOf the 426 surveyed initial respondents, 262 (61.5%) completed the follow-up survey. While 97.3% (255/262) reported treating suspected COVID-19 patients, most physicians (162/262, 61.8%) had not received testing themselves. In follow-up, respondents were most concerned about the relaxing of social distancing leading to a second wave (median score = 6, IQR = 4-7). Physicians reported a consistently high ability to order COVID-19 tests for patients (median score = 6, IQR = 5-7) and access to personal protective equipment (median score = 6, IQR = 5-6). Women physicians were more likely to score ≥ 3 than men on the PC-PTSD-5 screener on the initial survey (43.3% vs. 22.5%; Δ 20.8%, 95% confidence interval [CI] = 9.3% to 31.5%), and despite decreases in overall proportions, this discrepancy remained in follow-up (34.7% vs. 16.8%; Δ 17.9%, 95% CI = 7.1% to 28.1%). In examining the relationship between demographics, living situations, and institution location on having a PC-PTSD-5 score ≥ 3, only female sex was associated with a PC-PTSD-5 score ≥ 3 (adjusted odds ratio = 2.48, 95% CI = 1.28 to 4.79).ConclusionsWhile exposure to suspected COVID-19 patients was nearly universal, stress levels in emergency physicians decreased with time. At both initial and follow-up assessments, women were more likely to test positive on the PC-PTSD-5 screener compared to men.

Dataset Information

COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries.

Publications

COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries.

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