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

Keng, Shian‐Ling; Stanton, Michael; Haskins, LeeAnn B.; Almenara, Carlos A.; Ickovics, Jeannette R.; Jones, Antwan; Grigsby-Toussaint, Diana S.; Agostini, Maximilian; Bélanger, Jocelyn J.; Gützkow, Ben; Kreienkamp, Jannis; Lemay, Edward P.; vanDellen, Michelle R.; Abakoumkin, Georgios; Khaiyom, Jamilah Hanum Abdul; Ahmedi, Vjollca; Akkaş, Handan; Atta, Mohsin; Bağcı, Sabahat Çiğdem; Basel, Sima; Kida, Edona Berisha; Bernardo, Allan B. I.; Buttrick, Nicholas R.; Chobthamkit, Phatthanakit; Choi, Hoon‐Seok; Cristea, Mioara; Csaba, Sára; Damnjanović, Kaja; Danyliuk, Ivan; Dash, Arobindu; Santo, Daniela Di; Douglas, Karen M.; Enea, Violeta; Faller, Daiane Gracieli; Fitzsimons, Gavan J.; Gheorghiu, Alexandra; Gómez, Ángel; Hamaidia, Ali; Han, Qing; Helmy, Mai; Hudiyana, Joevarian; Jeronimus, Bertus F.; Jiang, Ding-Yu; Jovanović, Veljko; Kamenov, Željka; Kende, Anna; Kieu, Tra Thi Thanh; Koç, Yasin; Kovyazina, Kamila; Kozytska, Inna; Krause, Joshua; Kruglanski, Arie W.; Kurapov, Anton; Kutlaca, Maja; Lantos, Nóra Anna; Lesmana, Cokorda Bagus Jaya; Louis, Winnifred R.; Lueders, Adrian; Maj, Marta; Malik, Najma Iqbal; Martinez, Anton Philipp; McCabe, Kira O.; Mehulić, Jasmina; Milla, Mirra Noor; Mohammed, Idris; Molinario, Erica; Moyano, Manuel; Muhammad, Hayat; Mula, Silvana; Muluk, Hamdi; Myroniuk, Solomiia; Najafi, Reza; Nisa, Claudia F.; Nyúl, Boglárka; O’Keefe, Paul A.; Osuna, José Javier Olivas; Osin, Evgeny; Park, Joonha; Pica, Gennaro; Pierro, Antonio; Rees, Jonas; Reitsema, Anne Margit; Resta, Elena; Rullo, Marika; Ryan, Michelle K.; Samekin, Adil; Santtila, Pekka; Sasin, Edyta; Schumpe, Birga M.; Selim, Heyla A.; Stroebe, Wolfgang; Sultana, Samiah; Sutton, Robbie M.; Tseliou, Eleftheria; Utsugi, Akira; Breen, Jolien van; Lissa, Caspar J. van; Veen, Kees van; Vázquez, Alexandra; Wollast, Robin; Yeung, Victoria Wai Lan; Zand, Somayeh; Žeželj, Iris; Zheng, Bang; Zick, Andreas; Zúñiga, Claudia; Leander, N. Pontus

doi:10.1016/j.pmedr.2022.101764

Cited by 11 publications

(9 citation statements)

References 36 publications

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“…Individuals who are currently smoking or have escalated their smoking habits may face a heightened risk of coronavirus infection and more severe clinical outcomes (41). Another study found that older age correlated with a lower perceived risk of COVID-19 infection, and current smoking was linked to unhealthy behaviors such as a higher perceived risk of COVID-19 infection, perceived economic burdens, physical inactivity, and unhealthy dietary habits (42).…”

Section: Discussionmentioning

confidence: 99%

Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

Suksatan,

Teravecharoenchai,

Sarayuthpitak

2024

J Nurs Midwifery Sci

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Background: While research has explored the health-promoting behaviors (HPBs) of older adults on a global scale during the first and second waves of COVID-19, there is limited knowledge about the factors that influence HPBs among older adults with non-communicable diseases (NCDs) in the "new normal" following the COVID-19 era. Objectives: The aim of this study was to identify the factors that affect HPBs among community-dwelling older adults with NCDs. Methods: This cross-sectional study involved surveying 250 older adults with NCDs in both urban and rural communities within Ubon Ratchathani province, northeast Thailand, between September 10 and November 10, 2022, during the COVID-19 pandemic. Data collection was conducted using a self-administered questionnaire, which included the Self-rated Abilities Scale for Health Practice, Health Literacy Scale, Access to COVID-19 Preventive Material, Lubben Social Network Scale, and Health-Promoting Behaviors Scale. The analysis utilized descriptive statistics and hierarchical regression analysis, setting the significance level at P < 0.05 for all analyses. Results: Among the 250 older adults with NCDs surveyed, 65.60% had hypertension. These individuals demonstrated HPBs at a good level, along with a high level of perceived self-efficacy, good health literacy, adequate access to COVID-19 preventive materials, and greater social engagement. The analysis indicated that perceived self-efficacy (β = 0.343, P < 0.001), attitudes towards smoking (β = 0.226, P < 0.001), age (β = 0.204, P < 0.001), health literacy (β = 0.199, P = 0.016), and access to COVID-19 preventive materials (β = 0.123, P = 0.026) were significant predictors of HPBs in older adults with NCDs. Conclusions: The results suggest that improved access to COVID-19 preventive materials, enhanced health literacy, and increased self-efficacy contribute to better health-promoting behaviors among older adults with NCDs. Multidisciplinary healthcare teams should consider these factors in their intervention strategies to achieve a deeper understanding and better health outcomes. Future research should investigate the causal relationships among these variables and examine older adults’ perceptions of HPBs in long-term care settings, particularly in the "new normal" era.

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Section: Discussionmentioning

confidence: 99%

Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

Suksatan,

Teravecharoenchai,

Sarayuthpitak

2024

J Nurs Midwifery Sci

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“…In a later stage of the pandemic, researchers dedicated significant efforts to collect more encompassing data. New and existing panel studies directed their attention to the study of the pandemic (see, e.g., Brouard et al, 2022;Kittel et al, 2020), and researchers collected unprecedented large-scale data surveying individuals in tens of countries over many time points (see, e.g., Bacon et al, 2021;Hensel et al, 2022;Keng et al, 2022). Nevertheless, despite the availability of new longitudinal and cross-country data, we argue that one main limitation of existing research-with remarkable exceptions, see, for example, Fridman et al (2021)-is that it does not exploit the features of such data to examine how relationships change over time.…”

Section: Introductionmentioning

confidence: 99%

COVID‐19 vaccine acceptance: A comparative longitudinal analysis of the association between risk perception, confidence, and the acceptance of a COVID‐19 vaccine

Martinelli

Veltri

2023

Risk Analysis

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Following the outbreak of COVID‐19, scientists rushed to develop vaccines to protect individuals and ferry the world out of the pandemic. Unfortunately, vaccine hesitancy is a major threat to the success of vaccination campaigns. Research on previous pandemics highlighted the centrality of perceived risk and confidence as core determinants of vaccine acceptance. Research on COVID‐19 is less conclusive, and frequently it relies on one‐country, cross‐sectional data, thus making it hard to generalize results across contexts and observe these relationships over time. To bridge these gaps, in this article, we analyzed the association between perceived risk, confidence, and vaccine acceptance cross‐sectionally at individual and country levels. Then, we longitudinally explored whether a within‐country variation in perceived risk and confidence was correlated with a variation in vaccine acceptance. We used data from a large‐scale survey of individuals in 23 countries and 19 time‐points between June 2020 and March 2021 and comparative longitudinal multilevel models to estimate the associations at different levels of analysis simultaneously. Results show the existence of cross‐sectional relationships at the individual and country levels but no significant associations within countries over time. This article contributes to our understanding of the roles of risk perception and confidence in COVID‐19 vaccines’ acceptance by underlining that these relationships might differ at diverse levels of analysis. To foster vaccine uptake, it might be important to address individual concerns and persisting contextual characteristics, but increasing levels of perceived risk and confidence might not be a sufficient strategy to increase vaccine acceptance rates.

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“…Results from a study showed that 60%, 47%, and 30% of university students had insufficient PA, unbalanced diet, and low mental well-being, respectively [ 63 ], and the majority (9 out of 10) of predictors of unhealthy lifestyle behaviors in university students were environmental or institutional barriers [ 63 ]. Data show that the COVID-19 pandemic and social lockdowns have further restricted health behaviors, with PA opportunities particularly affected [ 92 , 93 , 94 ]. A 22% increase in the number of adults having gained weight was reported as a result of unhealthy lifestyle behaviors during the COVID-19 pandemic, mainly resulting from decreased PA levels and overeating [ 92 ].…”

Section: Introductionmentioning

confidence: 99%

Study Protocol of “Sustainably Healthy—From Science 2 Highschool & University”—Prevalence of Mixed, Vegetarian, and Vegan Diets Linked to Sports & Exercise among Austrian Tertiary Students and Lecturers/Academic Staff

Wirnitzer

Motevalli

Tanous

et al. 2022

IJERPH

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Healthy lifestyle is the major indicator of individual and public health especially in target populations (e.g., during emerging adulthood). Evidence indicates that unhealthy lifestyle behaviors are strongly associated with the increasing prevalence of chronic diseases. The dual approach of sustainable health (i.e., physical exercise tied to a healthy diet) is an effective lifestyle strategy to control and manage health-related disorders, including overweight/obesity. Based on the evidence on plant-based diets regarding health and considering the growing prevalence of vegans and vegetarians worldwide, limited data exist on the health-related behaviors of those who follow plant-based vs. mixed diets in young adulthood. This multidisciplinary study is the first to examine the association between diet type (mixed, vegetarian, and vegan diets) and various health-related behaviors (primarily physical activity, sport, & exercise) among college/university students and lecturers/academic staff in Austria nationwide. Following a cross-sectional study design and using online questionnaires, 4510 tertiary students and 1043 lecturers/academic staff provided data on sociodemographic characteristics, dietary patterns, physical exercise habits, and other lifestyle behaviors (sleep, alcohol intake, smoking, etc.) along with information on health status and quality of life. While the data will be analyzed based on differentiated sociodemographic and health-related categories, the influence of the COVID-19 pandemic on lifestyle behaviors will also be evaluated. As a study protocol, this article represents comprehensive details of the design, purposes, and associated analytical measures of the present study within the tertiary educational context.

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

Cited by 11 publications

References 36 publications

Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

COVID‐19 vaccine acceptance: A comparative longitudinal analysis of the association between risk perception, confidence, and the acceptance of a COVID‐19 vaccine

Study Protocol of “Sustainably Healthy—From Science 2 Highschool & University”—Prevalence of Mixed, Vegetarian, and Vegan Diets Linked to Sports & Exercise among Austrian Tertiary Students and Lecturers/Academic Staff

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