@article{Keng_S-2022_66633,
title = {COVID-19 Stressors and Health Behaviors: A Multilevel Longitudinal Study across 86 Countries},
author = {Keng, S. and Stanton, M. and Haskins, L. and Almenara, C. and Ickovics, J. and Jones, A. and Grigsby-Toussaint, D. and Agostini, M. and Bélanger, J. and Gützkow, B. and Kreienkamp, J. and Lemay, E. and vanDellen, M. and Abakoumkin, G. and Abdul Khaiyom, J. and Ahmedi, V. and Akkas, H. and Atta, M. and Bagci, S. and Basel, S. and Berisha Kida, E. and Bernardo, A. and Buttrick, N. and Chobthamkit, P. and Choi, H. and Cristea, M. and Csaba, S. and Damnjanović, K. and Danyliuk, I. and Dash, A. and Di Santo, D. and Douglas, K. and Enea, V. and Faller, D. and Fitzsimons, G. and Gheorghi, A. and Gómez, Á. and Hamaidia, A. and Han, Q. and Helmy, M. and Hudiyana, J. and Jeronimus, B. and Jiang, D. and Jovanović, V. and Kamenov, Ž. and Kende, A. and Kieu, T. and Koc, Y. and Kovyazina, K. and Kozytska, I. and Krause, J. and Kruglanski, A. and Kurapov, A. and Kutlaca, M. and Lantos, N. and Lesmana, C. and Louis, W. and Lueders, A. and Maj, M. and Malik, N. and Martinez, A. and McCabe, K. and Mehulić, J. and Milla, M. and Mohammed, I. and Molinario, E. and Moyano, M. and Muhammad, H. and Mula, S. and Muluk, H. and Myroniuk, S. and Najafi, R. and Nisa, C. and Nyúl, B. and O'Keefe, P. and Olivas Osuna, J. and Osin, E. and Park, J. and Pica, G. and Pierro, A. and Rees, J. and Reitsema, A. and Resta, E. and Rullo, M. and Ryan, M. and Samekin, A. and Santtila, P. and Sasin, E. and Schumpe, B. and Selim, H. and Stroebe, W. and Sutton, R. and Tseliou, E. and Utsugi, A. and van Breen, J. and van Lissa, C. and Vázquez, A. and Wollast, R. and Yeung, V. and Zand, S. and Žeželj, I. and Zheng, B. and Zick, A. and Zúñiga, C. and Leander, N.},
month = {mar},
year = {2022},
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.},
volume = {27},
journal = {Preventive Medicine Reports},
publisher = {Elsevier},
url = {https://doi.org/10.1016/j.pmedr.2022.101764},
}
