Perceived risk, behavior changes and Health-related outcomes during COVID-19 pandemic: Findings among adults with and without diabetes in China

Abstract

To examine perceived infection risk of COVID-19 and the health and related behavior changes among people with diabetes, compared with people without diabetes, and to examine factors associated with self-reported health during the national quarantine period in China. Methods: The 2020 China COVID-19 Survey is an anonymous 74-item survey administered via social media across China. A national sample of 10,545 adults in all 31 provinces in mainland China provided data on sociodemographic characteristics, awareness, attitudes towards COVID-19, lifestyle factors, and health outcomes during the quarantine. Regression models tested associations among study variables adjusting for covariates. Results: Among the 9,016 total participants (42.6% men and 57.4% women), 585 reported having diagnosed diabetes and 8,431 had no diabetes. Participants with diabetes perceived themselves to be at higher risk and were more worried about being infected with COVID-19 when compared to non-diabetic individuals (p < 0.001). During the COVID-19 pandemic, participants with diabetes were more likely to experience food and drug shortages and to increase their physical activity, compared to their counterparts. Among diabetic respondents, a high proportion of current smokers (74.1%) and drinkers (68.5%) reported increased

The impact of COVID-19 lockdown on snacking habits, fast-food and alcohol consumption: A systematic review of the evidence

“…A total of 1489 studies were identified through databases and reference searching and after removal of 642 duplicates, 847 studies were screened. Hence, 32 studies [ [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ] (all cross-sectional) were included in this systematic review. Characteristics of the 32 cross-sectional included studies can be found in Table 1 .…”

“…Changes in alcohol consumption during the lockdown period were reported in 23 cross-sectional studies [ 16 , 17 , 21 , 23 , 24 , [26] , [27] , [28] , [29] , 31 , [33] , [34] , [35] , [36] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ]. Results showed that in 17 out of those 23 studies, alcohol consumption remained unchanged during the lockdown for the majority of participants [ 17 , 21 , 23 , 24 , [26] , [27] , [28] , 33 , 35 , 36 , [38] , [39] , [40] , [41] , 43 , 44 , 46 ].…”

“…However, a tendency towards increased alcohol consumption has been be observed for the rest of their examined participants (14.2–38.5%) in the majority of these studies (13 of 17) [ 17 , 23 , 24 , 26 , 27 , 35 , [38] , [39] , [40] , [41] , 43 , 44 , 46 ]. A decline in alcohol consumption for the majority of participants during the lockdown period was reported in four studies [ 16 , 31 , 34 , 45 ] and an increase of alcohol consumption was reported for the majority of the survey participants in two studies [ 29 , 42 ].…”

“…[ 42 ] more than a half of the included population has increased its alcohol consumption, whereas in Yan et al. around 25% reported an increase [ 45 ]. However, in both studies the sample was not representative of the country's population.…”

Diabetology Care During COVID-19 Lockdown in Bosnia and Herzegovina - Diabetologists and Patients Perspective

“…Both diabetologists and patients included in our study claimed that new circumstances will affect treatment outcomes. Study from China showed that people with diabetes perceived risk of COVID-19 infection and increased their smoking and drinking during the pandemic ( 19 ). COVID-19 also risks contributing to worse diabetes outcomes due to disruptions caused by the pandemic, including stress and changes to routine care, diet, and physical activity.…”