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Socio-Cognitive Factors Associated With Lifestyle Changes in Response to the COVID-19 Epidemic in the General Population: Results From a Cross-Sectional Study in France.

作者信息

Constant Aymery, Conserve Donaldson Fadael, Gallopel-Morvan Karine, Raude Jocelyn

机构信息

EHESP School of Public Health, Rennes, France.

INRAE, INSERM, Univ Rennes, Nutrition Metabolisms and Cancer institute, NuMeCan, Rennes, France.

出版信息

Front Psychol. 2020 Sep 29;11:579460. doi: 10.3389/fpsyg.2020.579460. eCollection 2020.


DOI:10.3389/fpsyg.2020.579460
PMID:33132989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7550454/
Abstract

BACKGROUND: The aims of the present study were to assess changes in lifestyles in the general population in response to coronavirus disease 2019 (COVID-19) lockdown and the influence of COVID-19 perceptions, as assessed by the Extended Parallel Process Model (EPPM), on these changes. METHODS: Data were collected from 4005 individuals through an online survey conducted 3-4 weeks after the nationwide lockdown implementation in France. Participants were asked whether they practiced five behaviors (i.e., screen watching, snacking, eating fruits and vegetables, exercising, and walking) less often, as often as, or more often than prior to the lockdown. Beliefs and expectations toward the COVID-19 epidemic were also assessed using an adapted version of Witte's EPPM, together with sociodemographic and environmental variables. Among the respondents consuming regularly alcohol and tobacco, logistic regressions were performed to estimate the Odds ratios (ORs) of increase (yes/no) and decrease (yes/no) in drinking and smoking since the lockdown. RESULTS: More than 8 in 10 respondents reported unhealthy changes in lifestyle since the lockdown, mostly in relation to physical activity. The unhealthy changes were positively associated with male sex (RR = 1.17; confidence interval [95% CI] = 1.10-1.24), living urban density, having a garden (RR = 1.16 [1.07-1.26]), financial difficulties because of COVID-19 (RR = 1.09 [1.02-1.18]), and lack of fear control (RR = 1.04 [1.01-1.09]) and negatively with cognitive avoidance (RR = 0.92 [0.89-0.95]). Less than 4 in 10 respondents reported healthy changes over the same period, mostly in relation to better eating habits. They were positively associated with living with more than two persons (RR = 1.22 [1.02-1.45]), having a terrace (RR = 1.14 [1.02-1.29], and perceived efficacy (RR = 1.11 [1.04-1.08]) and negatively with being aged 40 or higher. Alcohol consumption overall declined in regular drinkers, while a slight increase in tobacco use was observed in regular smokers. DISCUSSION: The COVID-19 pandemic and lockdown resulted in frequent and mostly unhealthy changes in lifestyle among the general population. These changes were related to individual and environmental characteristics but also to EPPM appraisals in the wake of fear appeal from COVID-19 campaigns. Communication and preventive measures should include messages and initiatives toward the maintenance of healthy lifestyles during pandemics such as the adaptation of physical activity and eating guidelines to the particular contexts of mobility restriction and infection control.

摘要

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[5]
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本文引用的文献

[1]
Determinants of Preventive Behaviors in Response to the COVID-19 Pandemic in France: Comparing the Sociocultural, Psychosocial, and Social Cognitive Explanations.

Front Psychol. 2020-11-30

[2]
The double-edged relationship between COVID-19 stress and smoking: Implications for smoking cessation.

Tob Induc Dis. 2020-7-27

[3]
Alcohol Consumption Reported during the COVID-19 Pandemic: The Initial Stage.

Int J Environ Res Public Health. 2020-6-29

[4]
Depression, anxiety, and stress and socio-demographic correlates among general Indian public during COVID-19.

Int J Soc Psychiatry. 2020-6-20

[5]
Mortality and psychological stress in pregnant and postnatal women during COVID-19 outbreak in West Sumatra, Indonesia.

J Psychosom Obstet Gynaecol. 2020-12

[6]
Loneliness, isolation, and social support factors in post-COVID-19 mental health.

Psychol Trauma. 2020-6-18

[7]
Short-term stress-related increasing cases of alopecia areata during the COVID-19 pandemic.

J Dermatolog Treat. 2022-3

[8]
Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults.

Int J Environ Res Public Health. 2020-6-7

[9]
Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey.

Nutrients. 2020-5-28

[10]
Americans' COVID-19 Stress, Coping, and Adherence to CDC Guidelines.

J Gen Intern Med. 2020-5-29

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