TY - JOUR AU - Keng, Shian-Ling AU - Stanton, Michael Vicente AU - Haskins, LeaAnn B. AU - Almenara, Carlos A. AU - Ickovics, Jeannette AU - Jones, Antwan AU - Grigsby-Toussaint, Diana AU - Agostini, Maximilian AU - Bélanger, Jocelyn J. AU - Gützkow, Ben AU - Kreienkamp, Jannis AU - Lemay, Edward P. AU - vanDellen, Michelle R. AU - Abakoumkin, Georgios AU - Abdul Khaiyom, Jamilah Hanum AU - Ahmedi, Vjollca AU - Akkas, Handan AU - Atta, Mohsin AU - Bagci, Sabahat Cigdem AU - Basel, Sima AU - Berisha Kida, Edona AU - Bernardo, Allan B. I. AU - Buttrick, Nicholas R. AU - Chobthamkit, Phatthanakit AU - Choi, Hoon-Seok AU - Cristea, Mioara AU - Csaba, Sára AU - Damnjanović, Kaja AU - Danyliuk, Ivan AU - Dash, Arobindu AU - Di Santo, Daniela AU - Douglas, Karen M. AU - Enea, Violeta AU - Faller, Daiane Gracieli AU - Fitzsimons, Gavan AU - Gheorghi, Alexandra AU - Gómez, Ángel AU - Hamaidia, Ali AU - Han, Qing AU - Helmy, Mai AU - Hudiyana, Joevarian AU - Jeronimus, Bertus F. AU - Jiang, Ding-Yu AU - Jovanović, Veljko AU - Kamenov, Željka AU - Kende, Anna AU - Kieu, Tra Thi Thanh AU - Koc, Yasin AU - Kovyazina, Kamila AU - Kozytska, Inna AU - Krause, Joshua AU - Kruglanski, Arie W. AU - Kurapov, Anton AU - Kutlaca, Maja AU - Lantos, Nóra Anna AU - Lesmana, Cokorda Bagus Jaya AU - Louis, Winnifred R. AU - Lueders, Adrian AU - Maj, Marta AU - Malik, Najma Iqbal AU - Martinez, Anton P. AU - McCabe, Kira O. AU - Mehulić, Jasmina AU - Milla, Mirra Noor AU - Mohammed, Idris AU - Molinario, Erica AU - Moyano, Manuel AU - Muhammad, Hayat AU - Mula, Silvana AU - Muluk, Hamdi AU - Myroniuk, Solomiia AU - Najafi, Reza AU - Nisa, Claudia F. AU - Nyúl, Boglárka AU - O'Keefe, Paul A. AU - Olivas Osuna, Jose Javier AU - Osin, Evgeny N. AU - Park, Joonha AU - Pica, Gennaro AU - Pierro, Antonio AU - Rees, Jonas H. AU - Reitsema, Anne Margit AU - Resta, Elena AU - Rullo, Marika AU - Ryan, Michelle K. AU - Samekin, Adil AU - Santtila, Pekka AU - Sasin, Edyta AU - Schumpe, Birga M. AU - Selim, Heyla A. AU - Stroebe, Wolfgang AU - Sutton, Robbie M. AU - Tseliou, Eleftheria AU - Utsugi, Akira AU - van Breen, Jolien Anne AU - van Lissa, Caspar J. AU - Vázquez, Alexandra AU - Wollast, Robin AU - Yeung, Victoria Wai-Lan AU - Zand, Somayeh AU - Žeželj, Iris Lav AU - Zheng, Bang AU - Zick, Andreas AU - Zúñiga, Claudia AU - Leander, N. Pontus PY - 2022 DA - March TI - COVID-19 Stressors and Health Behaviors: A Multilevel Longitudinal Study across 86 Countries JO - Preventive Medicine Reports VL - 27 DO - https://doi.org/10.1016/j.pmedr.2022.101764 AB - 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. PB - Elsevier UR - https://researchportal.hw.ac.uk/en/publications/4273eabb-e3b6-4fe7-b720-f69c684b3d24 KW - Coronavirus (COVID-19) KW - Mental health and wellbeing KW - Socioeconomic factors ER