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

S.L. Keng; M.V. Stanton; L.B. Haskins; C.A. Almenara; J. Ickovics; A. Jones; D. Grigsby-Toussaint; M. Agostini; J.J. Bélanger; B. Gützkow; J. Kreienkamp; E.P. Lemay; M.R. vanDellen; G. Abakoumkin; J.H. Abdul Khaiyom; V. Ahmedi; H. Akkas; M. Atta; S.C. Bagci; S. Basel; E. Berisha Kida; A.B.I. Bernardo; N.R. Buttrick; P. Chobthamkit; H.-S. Choi; M. Cristea; S. Csaba; K. Damnjanovic; I. Danyliuk; A. Dash; D. Di Santo; K.M. Douglas; V. Enea; D.G. Faller; G. Fitzsimons; A. Gheorghiu; Á. Gómez; A. Hamaidia; Q. Han; M. Helmy; J. Hudiyana; B.F. Jeronimus; D.-Y. Jiang; V. Jovanović; Ž. Kamenov; A. Kende; T.T.T. Kieu; Y. Koc; K. Kovyazina; I. Kozytska; J. Krause; A.W. Kruglanski; A. Kurapov; M. Kutlaca; N.A. Lantos; C.B.J. Lesmana; W.R. Louis; A. Lueders; M. Maj; N.I. Malik; A. Martinez; K.O. McCabe; J. Mehulić; M.N. Milla; I. Mohammed; E. Molinario; M. Moyano; H. Muhammad; S. Mula; H. Muluk; S. Myroniuk; R. Najafi; C.F. Nisa; B. Nyúl; P.A. O'Keefe; J.J.O. Osuna; E.N. Osin; J. Park; G. Pica; A. Pierro; J. Rees; A.M. Reitsema; E. Resta; M. Rullo; M.K. Ryan; A. Samekin; P. Santtila; E.M. Sasin; B.M. Schumpe; H.A. Selim; W. Stroebe; S. Sultana; R.M. Sutton; E. Tseliou; A. Utsugi; J.A. van Breen; C.J. Van Lissa; K. Van Veen; A. Vázquez; R. Wollast; V.W.-L. Yeung; S. Zand; I.L. Žeželj; B. Zheng; A. Zick; C. Zúñiga; N.P. Leander

doi:10.1016/j.pmedr.2022.101764

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

S.L. Keng^*, M.V. Stanton, L.B. Haskins, C.A. Almenara, J. Ickovics, A. Jones, D. Grigsby-Toussaint, M. Agostini, J.J. Bélanger, B. Gützkow, J. Kreienkamp, E.P. Lemay, M.R. vanDellen, G. Abakoumkin, J.H. Abdul Khaiyom, V. Ahmedi, H. Akkas, M. Atta, S.C. Bagci, S. BaselE. Berisha Kida, A.B.I. Bernardo, N.R. Buttrick, P. Chobthamkit, H.-S. Choi, M. Cristea, S. Csaba, K. Damnjanovic, I. Danyliuk, A. Dash, D. Di Santo, K.M. Douglas, V. Enea, D.G. Faller, G. Fitzsimons, A. Gheorghiu, Á. Gómez, A. Hamaidia, Q. Han, M. Helmy, J. Hudiyana, B.F. Jeronimus, D.-Y. Jiang, V. Jovanović, Ž. Kamenov, A. Kende, T.T.T. Kieu, Y. Koc, K. Kovyazina, I. Kozytska, J. Krause, A.W. Kruglanski, A. Kurapov, M. Kutlaca, N.A. Lantos, C.B.J. Lesmana, W.R. Louis, A. Lueders, M. Maj, N.I. Malik, A. Martinez, K.O. McCabe, J. Mehulić, M.N. Milla, I. Mohammed, E. Molinario, M. Moyano, H. Muhammad, S. Mula, H. Muluk, S. Myroniuk, R. Najafi, C.F. Nisa, B. Nyúl, P.A. O'Keefe, J.J.O. Osuna, E.N. Osin, J. Park, G. Pica, A. Pierro, J. Rees, A.M. Reitsema, E. Resta, M. Rullo, M.K. Ryan, A. Samekin, P. Santtila, E.M. Sasin, B.M. Schumpe, H.A. Selim, W. Stroebe, S. Sultana, R.M. Sutton, E. Tseliou, A. Utsugi, J.A. van Breen, C.J. Van Lissa, K. Van Veen, A. Vázquez, R. Wollast, V.W.-L. Yeung, S. Zand, I.L. Žeželj, B. Zheng, A. Zick, C. Zúñiga, N.P. Leander

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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.

Original language	English
Journal	Preventive Medicine Reports
DOIs	https://doi.org/10.1016/j.pmedr.2022.101764
Publication status	Published - 2022

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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., vanDellen, M. R., Abakoumkin, G., Abdul Khaiyom, J. H., Ahmedi, V., Akkas, H., Atta, M., Bagci, S. C., ... Leander, N. P. (2022). COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries. Preventive Medicine Reports. https://doi.org/10.1016/j.pmedr.2022.101764

@article{ae64c5c176424838947802a0cb82b297,

title = "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.",

author = "S.L. Keng and M.V. Stanton and L.B. Haskins and C.A. Almenara and J. Ickovics and A. Jones and D. Grigsby-Toussaint and M. Agostini and J.J. B{\'e}langer and B. G{\"u}tzkow and J. Kreienkamp and E.P. Lemay and M.R. vanDellen and G. Abakoumkin and {Abdul Khaiyom}, J.H. and V. Ahmedi and H. Akkas and M. Atta and S.C. Bagci and S. Basel and {Berisha Kida}, E. and A.B.I. Bernardo and N.R. Buttrick and P. Chobthamkit and H.-S. Choi and M. Cristea and S. Csaba and K. Damnjanovic and I. Danyliuk and A. Dash and {Di Santo}, D. and K.M. Douglas and V. Enea and D.G. Faller and G. Fitzsimons and A. Gheorghiu and {\'A}. G{\'o}mez and A. Hamaidia and Q. Han and M. Helmy and J. Hudiyana and B.F. Jeronimus and D.-Y. Jiang and V. Jovanovi{\'c} and {\v Z}. Kamenov and A. Kende and T.T.T. Kieu and Y. Koc and K. Kovyazina and I. Kozytska and J. Krause and A.W. Kruglanski and A. Kurapov and M. Kutlaca and N.A. Lantos and C.B.J. Lesmana and W.R. Louis and A. Lueders and M. Maj and N.I. Malik and A. Martinez and K.O. McCabe and J. Mehuli{\'c} and M.N. Milla and I. Mohammed and E. Molinario and M. Moyano and H. Muhammad and S. Mula and H. Muluk and S. Myroniuk and R. Najafi and C.F. Nisa and B. Ny{\'u}l and P.A. O'Keefe and J.J.O. Osuna and E.N. Osin and J. Park and G. Pica and A. Pierro and J. Rees and A.M. Reitsema and E. Resta and M. Rullo and M.K. Ryan and A. Samekin and P. Santtila and E.M. Sasin and B.M. Schumpe and H.A. Selim and W. Stroebe and S. Sultana and R.M. Sutton and E. Tseliou and A. Utsugi and {van Breen}, J.A. and {Van Lissa}, C.J. and {Van Veen}, K. and A. V{\'a}zquez and R. Wollast and V.W.-L. Yeung and S. Zand and I.L. {\v Z}e{\v z}elj and B. Zheng and A. Zick and C. Z{\'u}{\~n}iga and N.P. Leander",

year = "2022",

doi = "10.1016/j.pmedr.2022.101764",

language = "English",

journal = "Preventive Medicine Reports",

issn = "2211-3355",

publisher = "Elsevier",

}

Keng, SL, Stanton, MV, Haskins, LB, Almenara, CA, Ickovics, J, Jones, A, Grigsby-Toussaint, D, Agostini, M, Bélanger, JJ, Gützkow, B, Kreienkamp, J, Lemay, EP, vanDellen, MR, Abakoumkin, G, Abdul Khaiyom, JH, Ahmedi, V, Akkas, H, Atta, M, Bagci, SC, Basel, S, Berisha Kida, E, Bernardo, ABI, Buttrick, NR, Chobthamkit, P, Choi, H-S, Cristea, M, Csaba, S, Damnjanovic, K, Danyliuk, I, Dash, A, Di Santo, D, Douglas, KM, Enea, V, Faller, DG, Fitzsimons, G, Gheorghiu, A, Gómez, Á, Hamaidia, A, Han, Q, Helmy, M, Hudiyana, J, Jeronimus, BF, Jiang, D-Y, Jovanović, V, Kamenov, Ž, Kende, A, Kieu, TTT, Koc, Y, Kovyazina, K, Kozytska, I, Krause, J, Kruglanski, AW, Kurapov, A, Kutlaca, M, Lantos, NA, Lesmana, CBJ, Louis, WR, Lueders, A, Maj, M, Malik, NI, Martinez, A, McCabe, KO, Mehulić, J, Milla, MN, Mohammed, I, Molinario, E, Moyano, M, Muhammad, H, Mula, S, Muluk, H, Myroniuk, S, Najafi, R, Nisa, CF, Nyúl, B, O'Keefe, PA, Osuna, JJO, Osin, EN, Park, J, Pica, G, Pierro, A, Rees, J, Reitsema, AM, Resta, E, Rullo, M, Ryan, MK, Samekin, A, Santtila, P, Sasin, EM, Schumpe, BM, Selim, HA, Stroebe, W, Sultana, S, Sutton, RM, Tseliou, E, Utsugi, A, van Breen, JA, Van Lissa, CJ, Van Veen, K, Vázquez, A, Wollast, R, Yeung, VW-L, Zand, S, Žeželj, IL, Zheng, B, Zick, A, Zúñiga, C & Leander, NP 2022, 'COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries', Preventive Medicine Reports. https://doi.org/10.1016/j.pmedr.2022.101764

TY - JOUR

T1 - COVID-19 stressors and health behaviors

T2 - A multilevel longitudinal study across 86 countries

AU - Keng, S.L.

AU - Stanton, M.V.

AU - Haskins, L.B.

AU - Almenara, C.A.

AU - Ickovics, J.

AU - Jones, A.

AU - Grigsby-Toussaint, D.

AU - Agostini, M.

AU - Bélanger, J.J.

AU - Gützkow, B.

AU - Kreienkamp, J.

AU - Lemay, E.P.

AU - vanDellen, M.R.

AU - Abakoumkin, G.

AU - Abdul Khaiyom, J.H.

AU - Ahmedi, V.

AU - Akkas, H.

AU - Atta, M.

AU - Bagci, S.C.

AU - Basel, S.

AU - Berisha Kida, E.

AU - Bernardo, A.B.I.

AU - Buttrick, N.R.

AU - Chobthamkit, P.

AU - Choi, H.-S.

AU - Cristea, M.

AU - Csaba, S.

AU - Damnjanovic, K.

AU - Danyliuk, I.

AU - Dash, A.

AU - Di Santo, D.

AU - Douglas, K.M.

AU - Enea, V.

AU - Faller, D.G.

AU - Fitzsimons, G.

AU - Gheorghiu, A.

AU - Gómez, Á.

AU - Hamaidia, A.

AU - Han, Q.

AU - Helmy, M.

AU - Hudiyana, J.

AU - Jeronimus, B.F.

AU - Jiang, D.-Y.

AU - Jovanović, V.

AU - Kamenov, Ž.

AU - Kende, A.

AU - Kieu, T.T.T.

AU - Koc, Y.

AU - Kovyazina, K.

AU - Kozytska, I.

AU - Krause, J.

AU - Kruglanski, A.W.

AU - Kurapov, A.

AU - Kutlaca, M.

AU - Lantos, N.A.

AU - Lesmana, C.B.J.

AU - Louis, W.R.

AU - Lueders, A.

AU - Maj, M.

AU - Malik, N.I.

AU - Martinez, A.

AU - McCabe, K.O.

AU - Mehulić, J.

AU - Milla, M.N.

AU - Mohammed, I.

AU - Molinario, E.

AU - Moyano, M.

AU - Muhammad, H.

AU - Mula, S.

AU - Muluk, H.

AU - Myroniuk, S.

AU - Najafi, R.

AU - Nisa, C.F.

AU - Nyúl, B.

AU - O'Keefe, P.A.

AU - Osuna, J.J.O.

AU - Osin, E.N.

AU - Park, J.

AU - Pica, G.

AU - Pierro, A.

AU - Rees, J.

AU - Reitsema, A.M.

AU - Resta, E.

AU - Rullo, M.

AU - Ryan, M.K.

AU - Samekin, A.

AU - Santtila, P.

AU - Sasin, E.M.

AU - Schumpe, B.M.

AU - Selim, H.A.

AU - Stroebe, W.

AU - Sultana, S.

AU - Sutton, R.M.

AU - Tseliou, E.

AU - Utsugi, A.

AU - van Breen, J.A.

AU - Van Lissa, C.J.

AU - Van Veen, K.

AU - Vázquez, A.

AU - Wollast, R.

AU - Yeung, V.W.-L.

AU - Zand, S.

AU - Žeželj, I.L.

AU - Zheng, B.

AU - Zick, A.

AU - Zúñiga, C.

AU - Leander, N.P.

PY - 2022

Y1 - 2022

N2 - 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.

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.

UR - http://www.scopus.com/inward/record.url?eid=2-s2.0-85126622555&partnerID=MN8TOARS

U2 - 10.1016/j.pmedr.2022.101764

DO - 10.1016/j.pmedr.2022.101764

M3 - Article

SN - 2211-3355

JO - Preventive Medicine Reports

JF - Preventive Medicine Reports

ER -

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

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