Changes in population health-related behaviors during a COVID-19 surge. A natural experiment
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- dc.contributor.author Delgado Ortiz, Laura
- dc.contributor.author Carsin, Anne-Elie
- dc.contributor.author Merino, Jordi
- dc.contributor.author Cobo, Inés
- dc.contributor.author Koch, Sarah
- dc.contributor.author Goldberg, Ximena
- dc.contributor.author Chevance, Guillaume
- dc.contributor.author Bosch de Basea i Gómez, Magda, 1982-
- dc.contributor.author Castaño Vinyals, Gemma
- dc.contributor.author Espinosa Díaz, Ana
- dc.contributor.author Carreras, Anna
- dc.contributor.author Cortes Martínez, Beatriz
- dc.contributor.author Straif, Kurt
- dc.contributor.author Cid Ibeas, Rafael de
- dc.contributor.author Kogevinas, Manolis
- dc.contributor.author García Aymerich, Judith
- dc.date.accessioned 2023-02-21T07:23:40Z
- dc.date.available 2023-02-21T07:23:40Z
- dc.date.issued 2022
- dc.description Data de publicació electrónica: 17-11-2022
- dc.description.abstract Background: the study of impact of lockdowns on individual health-related behaviors has produced divergent results. Purpose: to identify patterns of change in multiple health-related behaviors analyzed as a whole, and their individual determinants. Methods: between March and August 2020, we collected data on smoking, alcohol, physical activity, weight, and sleep in a population-based cohort from Catalonia who had available pre-pandemic data. We performed multiple correspondence and cluster analyses to identify patterns of change in health-related behaviors and built multivariable multinomial logistic regressions to identify determinants of behavioral change. Results: in 10,032 participants (59% female, mean (SD) age 55 (8) years), 8,606 individuals (86%) modified their behavior during the lockdown. We identified five patterns of behavioral change that were heterogeneous and directed both towards worsening and improvement in diverse combinations. Patterns ranged from "global worsening" (2,063 participants, 21%) characterized by increases in smoking, alcohol consumption, and weight, and decreases in physical activity levels and sleep time, to "improvement" (2,548 participants, 25%) characterized by increases in physical activity levels, decreases in weight and alcohol consumption, and both increases and decreases in sleep time. Being female, of older age, teleworking, having a higher education level, assuming caregiving responsibilities, and being more exposed to pandemic news were associated with changing behavior (all p < .05), but did not discriminate between favorable or unfavorable changes. Conclusions: most of the population experienced changes in health-related behavior during lockdowns. Determinants of behavior modification were not explicitly associated with the direction of changes but allowed the identification of older, teleworking, and highly educated women who assumed caregiving responsibilities at home as susceptible population groups more vulnerable to lockdowns.
- dc.format.mimetype application/pdf
- dc.identifier.citation Delgado-Ortiz L, Carsin AE, Merino J, Cobo I, Koch S, Goldberg X, et al. Changes in population health-related behaviors during a COVID-19 surge. A natural experiment. Ann Behav Med. 2022 Nov 17: kaac054. DOI: 10.1093/abm/kaac054
- dc.identifier.doi http://dx.doi.org/10.1093/abm/kaac054
- dc.identifier.issn 0883-6612
- dc.identifier.uri http://hdl.handle.net/10230/55830
- dc.language.iso eng
- dc.publisher Oxford University Press
- dc.rights © Delgado-Ortiz L, Carsin AE, Merino J, Cobo I, Koch S, Goldberg X, et al. 2022. Published by Oxford University Press on behalf of the Society of Behavioral Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/ licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/ licenses/by-nc/4.0/
- dc.subject.keyword Behavioral research
- dc.subject.keyword COVID-19
- dc.subject.keyword Health behavior
- dc.subject.keyword Social determinants of health
- dc.title Changes in population health-related behaviors during a COVID-19 surge. A natural experiment
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion