Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Ostrava, Czechia.
Centre for Epidemiological Research, Faculty of Medicine, University of Ostrava, Ostrava, Czechia.
Int J Public Health. 2022 May 12;67:1604395. doi: 10.3389/ijph.2022.1604395. eCollection 2022.
Evidence of the impact of COVID-19 pandemic on mental and physical health behaviours is limited. This study presents results of two cross-sectional surveys on mental health changes and its consequences on healthy and unhealthy lifestyle behaviours. An online survey was distributed during Spring 2020 ( = 9,168) and Autumn 2020 ( = 1,042) in the Czech Republic. Differences in mental health observed in both surveys were evaluated using Mann-Whitney test and logistic regressions were used to examine demographic and socio-economic determinants of COVID-19-related mental health issues and resulting healthy and unhealthy lifestyle behaviours. In multivariable models, the youngest individuals, females, people with increased work demands and participants with a reduced personal income due to the COVID-19 pandemic were all negatively associated with self-reported mental health issues ( < 0.05). A worsened quality of sleep, dietary habits, physical activity and unhealthy behaviours were highly associated with affected mental health in the models adjusted for potential covariates ( < 0.05). Taken together, these findings suggest that health promotion strategies directed to individuals who are at risk should be encouraged to adopt and/or maintain positive health-related behaviours.
关于 COVID-19 大流行对心理健康和身体健康行为影响的证据有限。本研究报告了两项关于心理健康变化及其对健康和不健康生活方式行为影响的横断面调查结果。2020 年春季（n=9168）和秋季（n=1042）在捷克共和国进行了在线调查。使用曼-惠特尼检验评估了这两项调查中观察到的心理健康差异，并使用逻辑回归检验了与 COVID-19 相关的心理健康问题以及由此产生的健康和不健康生活方式行为的人口统计学和社会经济决定因素。在多变量模型中，最年轻的个体、女性、工作需求增加的个体以及因 COVID-19 大流行而个人收入减少的个体与自我报告的心理健康问题呈负相关（<0.05）。在调整了潜在协变量的模型中，睡眠质量下降、饮食习惯、体力活动和不健康行为与心理健康受影响高度相关（<0.05）。总之，这些发现表明，应鼓励针对处于风险中的个人的健康促进策略，以鼓励他们采取和/或维持与健康相关的积极行为。
