Skip to main content
Journal cover image

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

Publication ,  Journal Article
Keng, S-L; Stanton, MV; Haskins, LB; Almenara, CA; Ickovics, J; Jones, A; Grigsby-Toussaint, D; Agostini, M; Bélanger, JJ; Gützkow, B; Akkas, H ...
Published in: Preventive medicine reports
June 2022

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Preventive medicine reports

DOI

EISSN

2211-3355

ISSN

2211-3355

Publication Date

June 2022

Volume

27

Start / End Page

101764

Related Subject Headings

  • 4206 Public health
  • 4203 Health services and systems
  • 4202 Epidemiology
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Keng, S.-L., Stanton, M. V., Haskins, L. B., Almenara, C. A., Ickovics, J., Jones, A., … Leander, N. P. (2022). COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries. Preventive Medicine Reports, 27, 101764. https://doi.org/10.1016/j.pmedr.2022.101764
Keng, Shian-Ling, Michael V. Stanton, LeeAnn B. Haskins, Carlos A. Almenara, Jeannette Ickovics, Antwan Jones, Diana Grigsby-Toussaint, et al. “COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries.Preventive Medicine Reports 27 (June 2022): 101764. https://doi.org/10.1016/j.pmedr.2022.101764.
Keng S-L, Stanton MV, Haskins LB, Almenara CA, Ickovics J, Jones A, et al. COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries. Preventive medicine reports. 2022 Jun;27:101764.
Keng, Shian-Ling, et al. “COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries.Preventive Medicine Reports, vol. 27, June 2022, p. 101764. Epmc, doi:10.1016/j.pmedr.2022.101764.
Keng S-L, 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. COVID-19 stressors and health behaviors: A multilevel longitudinal study across 86 countries. Preventive medicine reports. 2022 Jun;27:101764.
Journal cover image

Published In

Preventive medicine reports

DOI

EISSN

2211-3355

ISSN

2211-3355

Publication Date

June 2022

Volume

27

Start / End Page

101764

Related Subject Headings

  • 4206 Public health
  • 4203 Health services and systems
  • 4202 Epidemiology
  • 1117 Public Health and Health Services