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

Keng, Shian Ling and Stanton, Michael V. and Haskins, Lee Ann B. and Almenara, Carlos A. and Ickovics, Jeannette and Jones, Antwan and Grigsby-Toussaint, Diana and Agostini, Maximilian and Bélanger, Jocelyn J. and Gützkow, Ben and Kreienkamp, Jannis and Lemay, Edward P. and vanDellen, Michelle R. and Abakoumkin, Georgios and Abdul Khaiyom, Jamilah Hanum and Ahmedi, Vjollca and Akkas, Handan and Atta, Mohsin and Bağcı, Çiğdem and Basel, Sima and Berisha Kida, Edona and Bernardo, Allan B.I. and Buttrick, Nicholas R. and Chobthamkit, Phatthanakit and Choi, Hoon Seok and Cristea, Mioara and Csaba, Sára and Damnjanovic, Kaja and Danyliuk, Ivan and Dash, Arobindu and Di Santo, Daniela and Douglas, Karen M. and Enea, Violeta and Faller, Daiane G. and Fitzsimons, Gavan and Gheorghiu, Alexandra and Gómez, Ángel and Hamaidia, Ali and Han, Qing and Helmy, Mai and Hudiyana, Joevarian and Jeronimus, Bertus F. and Jiang, Ding Yu and Jovanović, Veljko and Kamenov, Željka and Kende, Anna and Kieu, Tra Thi Thanh and Koc, Yasin and Kovyazina, Kamila and Kozytska, Inna and Krause, Joshua and Kruglanski, Arie W. and Kurapov, Anton and Kutlaca, Maja and Lantos, Nóra Anna and Lesmana, Cokorda Bagus Jaya and Louis, Winnifred R. and Lueders, Adrian and Maj, Marta and Malik, Najma Iqbal and Martinez, Anton and McCabe, Kira O. and Mehulić, Jasmina and Milla, Mirra Noor and Mohammed, Idris and Molinario, Erica and Moyano, Manuel and Muhammad, Hayat and Mula, Silvana and Muluk, Hamdi and Myroniuk, Solomiia and Najafi, Reza and Nisa, Claudia F. and Nyúl, Boglárka and O'Keefe, Paul A. and Osuna, Jose Javier Olivas and Osin, Evgeny N. and Park, Joonha and Pica, Gennaro and Pierro, Antonio and Rees, Jonas and Reitsema, Anne Margit and Resta, Elena and Rullo, Marika and Ryan, Michelle K. and Samekin, Adil and Santtila, Pekka and Sasin, Edyta M. and Schumpe, Birga M. and Selim, Heyla A. and Stroebe, Wolfgang and Sultana, Samiah and Sutton, Robbie M. and Tseliou, Eleftheria and Utsugi, Akira and van Breen, Jolien Anne and Van Lissa, Caspar J. and Van Veen, Kees and Vázquez, Alexandra and Wollast, Robin and Yeung, Victoria Wai lan and Zand, Somayeh and Žeželj, Iris Lav and Zheng, Bang and Zick, Andreas and Zúñiga, Claudia and Leander, N. Pontus (2022) COVID-19 stressors and health behaviors: a multilevel longitudinal study across 86 countries. Preventive Medicine Reports, 27 . ISSN 2211-3355

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Official URL: https://dx.doi.org/10.1016/j.pmedr.2022.101764

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.

Item Type:	Article
Uncontrolled Keywords:	COVID-19; Economic burden; Health behaviors; Infection risk
Divisions:	Faculty of Arts and Social Sciences
Depositing User:	Çiğdem Bağcı
Date Deposited:	23 Aug 2022 21:33
Last Modified:	23 Aug 2022 21:33
URI:	https://research.sabanciuniv.edu/id/eprint/44075

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