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

Keng S.-L. Stanton M.V. Haskins L.B. Almenara C.A. Ickovics J. Jones A. Grigsby-Toussaint D. Agostini M. Bélanger J.J. Gützkow B. Kreienkamp J. Lemay E.P., Jr. vanDellen M.R. Abakoumkin G. Abdul Khaiyom J.H. Ahmedi V. Akkas H. Atta M. Bagci S.C. Basel S. Berisha Kida E. Bernardo A.B.I. Buttrick N.R. Chobthamkit P. Choi H.-S. Cristea M. Csaba S. Damnjanovic K. Danyliuk I. Dash A. Di Santo D. Douglas K.M. Enea V. Faller D.G. Fitzsimons G. Gheorghiu A. Gómez Á. Hamaidia A. Han Q. Helmy M. Hudiyana J. Jeronimus B.F. Jiang D.-Y. Jovanović V. Kamenov Ž. Kende A. Kieu T.T.T. Koc Y. Kovyazina K. Kozytska I. Krause J. Kruglanski A.W. Kurapov A. Kutlaca M. Lantos N.A. Lesmana C.B.J. Louis W.R. Lueders A. Maj M. Malik N.I. Martinez A. McCabe K.O. Mehulić J. Milla M.N. Mohammed I. Molinario E. Moyano M. Muhammad H. Mula S. Muluk H. Myroniuk S. Najafi R. Nisa C.F. Nyúl B. OKeefe P.A. Osuna J.J.O. Osin E.N. Park J. Pica G. Pierro A. Rees J. Reitsema A.M. Resta E. Rullo M. Ryan M.K. Samekin A. Santtila P. Sasin E.M. Schumpe B.M. Selim H.A. Stroebe W. Sultana S. Sutton R.M. Tseliou E. Utsugi A. van Breen J.A. Van Lissa C.J. Van Veen K. Vázquez A. Wollast R. Yeung V.W.-L. Zand S. Žeželj I.L. Zheng B. Zick A. Zúñiga C. Leander N.P.
June 2022 Elsevier Inc.

Preventive Medicine Reports
2022 #27

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.

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

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Monash University Malaysia, Malaysia
California State University, East Bay, United States
University of Georgia, United States
Universidad Peruana de Ciencias Aplicadas, Peru
Yale University, United States
The George Washington University, United States
Brown University, United States
University of Groningen, Netherlands
New York University Abu Dhabi, United Arab Emirates
University of Thessaly, Volos, Greece
International Islamic University Malaysia, Gombak, Malaysia
University of Pristina, Kosovo, Pristina
Ankara Science University, Ankara, Turkey
University of Sargodha, Sargodha, Pakistan
Sabanci University, Istanbul, Turkey
De La Salle University, Manila, Philippines
University of Virginia, Charlottesville, United States
Thammasat University, Bangkok, Thailand
Sungkyunkwan University, Seoul, South Korea
Heriot Watt University, United Kingdom
Eötvös Loránd University (ELTE), Budapest, Hungary
University of Belgrade, Belgrade, Serbia
Taras Shevchenko National University of Kyiv, Kiev, Ukraine
Leuphana University Luneburg, Lüneburg, Germany
Sapienza University of Rome, Rome, Italy
University of Kent, UK, Canterbury, United Kingdom
Alexandru Ioan Cuza University of Iasi, Iasi, Romania
Duke University, Durham, United States
Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain
University Setif 2, Sétif, Algeria
University of Bristol, UK, Bristol, United Kingdom
Menoufia University, Al Minufiyah, Egypt
Universitas Indonesia, Depok, Indonesia
National Chung-Cheng University, Chiayi, Taiwan
University of Novi Sad, Novi Sad, Serbia
University of Zagreb, Zagreb, Croatia
HCMC University of Education, Ho Chi Minh City, Viet Nam
Independent Researcher, Nur-Sultan, Kazakhstan
University of Maryland, College Park, United States
Durham University, UK, Durham, United Kingdom
Udayana University, Denpasar, Indonesia
University of Queensland, Brisbane, Australia
University of Limerick, Ireland
Jagiellonian University, Kraków, Poland
University of Sheffield, UK, Sheffield, United Kingdom
Carleton University, Canada
Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria
University of Cordoba, Córdoba, Spain
University of Peshawar, Peshawar, Pakistan
University of Padova, Italy
National Research University Higher School of Economics, Moscow, Russian Federation
NUCB Business School, Nagoya, Japan
University of Camerino, Camerino, Italy
University of Bielefeld, Bielefeld, Germany
University of Siena, Siena, Italy
University of Exeter, UK, Exeter, United Kingdom
School of Liberal Arts, M. Narikbayev KAZGUU University, Nur-Sultan, Kazakhstan
New York University Shanghai, Shanghai, China
King Saud University, Riyadh, Saudi Arabia
Nagoya University, Nagoya, Japan
Leiden University, Leiden, Netherlands
Utrecht University, Utrecht, Netherlands
Lingnan University, Tuen Mun, Hong Kong
Imperial College London, UK, London, United Kingdom
Universidad de Chile, Santiago, Chile
National University of Singapore, Singapore, Singapore
Sultan Qaboos University, Egypt
Florida Gulf Coast University, United States
Yale-NUS College, Singapore, Singapore
National Distance Education University, Spain
Université Clermont-Auvergne, France
University of Milano-Bicocca, Italy
University of Amsterdam, Netherlands
Wayne State University, United States

Monash University Malaysia
California State University
University of Georgia
Universidad Peruana de Ciencias Aplicadas
Yale University
The George Washington University
Brown University
University of Groningen
New York University Abu Dhabi
University of Thessaly
International Islamic University Malaysia
University of Pristina
Ankara Science University
University of Sargodha
Sabanci University
De La Salle University
University of Virginia
Thammasat University
Sungkyunkwan University
Heriot Watt University
Eötvös Loránd University (ELTE)
University of Belgrade
Taras Shevchenko National University of Kyiv
Leuphana University Luneburg
Sapienza University of Rome
University of Kent
Alexandru Ioan Cuza University of Iasi
Duke University
Universidad Nacional de Educación a Distancia (UNED)
University Setif 2
University of Bristol
Menoufia University
Universitas Indonesia
National Chung-Cheng University
University of Novi Sad
University of Zagreb
HCMC University of Education
Independent Researcher
University of Maryland
Durham University
Udayana University
University of Queensland
University of Limerick
Jagiellonian University
University of Sheffield
Carleton University
Usmanu Danfodiyo University Sokoto
University of Cordoba
University of Peshawar
University of Padova
National Research University Higher School of Economics
NUCB Business School
University of Camerino
University of Bielefeld
University of Siena
University of Exeter
School of Liberal Arts
New York University Shanghai
King Saud University
Nagoya University
Leiden University
Utrecht University
Lingnan University
Imperial College London
Universidad de Chile
National University of Singapore
Sultan Qaboos University
Florida Gulf Coast University
Yale-NUS College
National Distance Education University
Université Clermont-Auvergne
University of Milano-Bicocca
University of Amsterdam
Wayne State University

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