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

Shian Ling Keng; Michael V. Stanton; Lee Ann B. Haskins; Carlos A. Almenara; Jeannette Ickovics; Antwan Jones; Diana Grigsby-Toussaint; Maximilian Agostini; Jocelyn J. Bélanger; Ben Gützkow; Jannis Kreienkamp; Edward P. Lemay; Michelle R. vanDellen; Georgios Abakoumkin; Jamilah Hanum Abdul Khaiyom; Vjollca Ahmedi; Handan Akkas; Mohsin Atta; Sabahat Cigdem Bagci; Sima Basel; Edona Berisha Kida; Allan B.I. Bernardo; Nicholas R. Buttrick; Phatthanakit Chobthamkit; Hoon Seok Choi; Mioara Cristea; Sára Csaba; Kaja Damnjanovic; Ivan Danyliuk; Arobindu Dash; Daniela Di Santo; Karen M. Douglas; Violeta Enea; Daiane G. Faller; Gavan Fitzsimons; Alexandra Gheorghiu; Ángel Gómez; Ali Hamaidia; Qing Han; Mai Helmy; Joevarian Hudiyana; Bertus F. Jeronimus; Ding Yu Jiang; Veljko Jovanović; Željka Kamenov; Anna Kende; Tra Thi Thanh Kieu; Yasin Koc; Kamila Kovyazina; Michelle K. Ryan

doi:10.1016/j.pmedr.2022.101764

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

Shian Ling Keng^*, Michael V. Stanton, Lee Ann B. Haskins, Carlos A. Almenara, Jeannette Ickovics, Antwan Jones, Diana Grigsby-Toussaint, Maximilian Agostini, Jocelyn J. Bélanger, Ben Gützkow, Jannis Kreienkamp, Edward P. Lemay, Michelle R. vanDellen, Georgios Abakoumkin, Jamilah Hanum Abdul Khaiyom, Vjollca Ahmedi, Handan Akkas, Mohsin Atta, Sabahat Cigdem Bagci, Sima BaselEdona Berisha Kida, Allan B.I. Bernardo, Nicholas R. Buttrick, Phatthanakit Chobthamkit, Hoon Seok Choi, Mioara Cristea, Sára Csaba, Kaja Damnjanovic, Ivan Danyliuk, Arobindu Dash, Daniela Di Santo, Karen M. Douglas, Violeta Enea, Daiane G. Faller, Gavan Fitzsimons, Alexandra Gheorghiu, Ángel Gómez, Ali Hamaidia, Qing Han, Mai Helmy, Joevarian Hudiyana, Bertus F. Jeronimus, Ding Yu Jiang, Veljko Jovanović, Željka Kamenov, Anna Kende, Tra Thi Thanh Kieu, Yasin Koc, Kamila Kovyazina, Michelle K. Ryan

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

22 Citations (Scopus)

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
Article number	101764
Number of pages	8
Journal	Preventive Medicine Reports
Volume	27
DOIs	https://doi.org/10.1016/j.pmedr.2022.101764
Publication status	Published - Jun 2022
Externally published	Yes

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10.1016/j.pmedr.2022.101764

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Keng, S. L., Stanton, M. V., Haskins, L. A. 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., ... Ryan, M. K. (2022). COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries. Preventive Medicine Reports, 27, Article 101764. https://doi.org/10.1016/j.pmedr.2022.101764

@article{bd6b40c0159346989bae839a22489f7d,

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.",

keywords = "COVID-19, Economic burden, Health behaviors, Infection risk",

author = "Keng, \{Shian Ling\} and Stanton, \{Michael V.\} and Haskins, \{Lee Ann B.\} and Almenara, \{Carlos A.\} and Jeannette Ickovics and Antwan Jones and Diana Grigsby-Toussaint and Maximilian Agostini and B{\'e}langer, \{Jocelyn J.\} and Ben G{\"u}tzkow and Jannis Kreienkamp and Lemay, \{Edward P.\} and vanDellen, \{Michelle R.\} and Georgios Abakoumkin and \{Abdul Khaiyom\}, \{Jamilah Hanum\} and Vjollca Ahmedi and Handan Akkas and Mohsin Atta and Bagci, \{Sabahat Cigdem\} and Sima Basel and \{Berisha Kida\}, Edona and Bernardo, \{Allan B.I.\} and Buttrick, \{Nicholas R.\} and Phatthanakit Chobthamkit and Choi, \{Hoon Seok\} and Mioara Cristea and S{\'a}ra Csaba and Kaja Damnjanovic and Ivan Danyliuk and Arobindu Dash and \{Di Santo\}, Daniela and Douglas, \{Karen M.\} and Violeta Enea and Faller, \{Daiane G.\} and Gavan Fitzsimons and Alexandra Gheorghiu and {\'A}ngel G{\'o}mez and Ali Hamaidia and Qing Han and Mai Helmy and Joevarian Hudiyana and Jeronimus, \{Bertus F.\} and Jiang, \{Ding Yu\} and Veljko Jovanovi{\'c} and {\v Z}eljka Kamenov and Anna Kende and Kieu, \{Tra Thi Thanh\} and Yasin Koc and Kamila Kovyazina and Ryan, \{Michelle K.\}",

note = "Publisher Copyright: {\textcopyright} 2022",

year = "2022",

month = jun,

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

language = "English",

volume = "27",

journal = "Preventive Medicine Reports",

issn = "2211-3355",

publisher = "Elsevier Inc.",

}

Keng, SL, Stanton, MV, Haskins, LAB, 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, HS, 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, DY, Jovanović, V, Kamenov, Ž, Kende, A, Kieu, TTT, Koc, Y, Kovyazina, K & Ryan, MK 2022, 'COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries', Preventive Medicine Reports, vol. 27, 101764. 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, Shian Ling

AU - Stanton, Michael V.

AU - Haskins, Lee Ann 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 - Damnjanovic, Kaja

AU - Danyliuk, Ivan

AU - Dash, Arobindu

AU - Di Santo, Daniela

AU - Douglas, Karen M.

AU - Enea, Violeta

AU - Faller, Daiane G.

AU - Fitzsimons, Gavan

AU - Gheorghiu, 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 - Ryan, Michelle K.

PY - 2022/6

Y1 - 2022/6

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.

KW - COVID-19

KW - Economic burden

KW - Health behaviors

KW - Infection risk

UR - https://www.scopus.com/pages/publications/85126622555

U2 - 10.1016/j.pmedr.2022.101764

DO - 10.1016/j.pmedr.2022.101764

M3 - Article

AN - SCOPUS:85126622555

SN - 2211-3355

VL - 27

JO - Preventive Medicine Reports

JF - Preventive Medicine Reports

M1 - 101764

ER -

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

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