Health Behavior Changes During COVID-19 Pandemic and Subsequent “Stay-at-Home” Orders

The COVID-19 pandemic, and resultant “Stay-at-Home” orders, may have impacted adults’ positive health behaviors (sleep, physical activity) and negative health behaviors (alcohol consumption, drug use, and tobacco use). The purpose of this study was to investigate how these health behaviors changed (...

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Vydáno v:	International journal of environmental research and public health Ročník 17; číslo 17; s. 6268
Hlavní autoři:	Knell, Gregory, Robertson, Michael C., Dooley, Erin E., Burford, Katie, Mendez, Karla S.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Switzerland MDPI AG 28.08.2020 MDPI
Témata:	Addictive behaviors Adult Alcohol Alcohol use Betacoronavirus College graduates Communicable Disease Control Coronavirus Infections - epidemiology Coronaviruses COVID-19 Drug use Ethnicity Exercise Female Health Behavior Humans Male Middle Aged Pandemics Pneumonia, Viral - epidemiology Public health SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Sleep Social Isolation Social networks Surveys and Questionnaires Tobacco United States United States United States > US COVID-19 sleep alcohol use health behaviors marijuana use tobacco use physical activity
ISSN:	1660-4601, 1661-7827, 1660-4601
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Abstract	The COVID-19 pandemic, and resultant “Stay-at-Home” orders, may have impacted adults’ positive health behaviors (sleep, physical activity) and negative health behaviors (alcohol consumption, drug use, and tobacco use). The purpose of this study was to investigate how these health behaviors changed (increased/improved or decreased/worsened) at the early stages of the pandemic, what participant characteristics were associated with health behavior changes, and why these behavioral changes may have occurred. A convenience sample of 1809 adults residing in the United States completed a 15-min self-report questionnaire in April and May 2020. Multinomial logistic regressions and descriptive statistics were used to evaluate how, for whom, and why these health behaviors changed. Participants were primarily female (67.4%), aged 35–49 years (39.8%), college graduates (83.3%), non-tobacco users (74.7%), and had previously used marijuana (48.6%). Overall, participants primarily reported a decrease in physical activity, while sleep and all of the negative health behaviors remained the same. Changes in negative health behaviors were related (p < 0.05) to sex, age, parental status, educational status, job status, BMI, and depression scores. Changes in positive health behaviors were related (p < 0.05) to sex, parental status, job status, and depression scores. Having more time available during the pandemic was the most commonly cited reason for changing health behaviors (negative and positive). Public health efforts should address the potential for long-term health consequences due to behavior change during COVID-19.
AbstractList	The COVID-19 pandemic, and resultant "Stay-at-Home" orders, may have impacted adults' positive health behaviors (sleep, physical activity) and negative health behaviors (alcohol consumption, drug use, and tobacco use). The purpose of this study was to investigate how these health behaviors changed (increased/improved or decreased/worsened) at the early stages of the pandemic, what participant characteristics were associated with health behavior changes, and why these behavioral changes may have occurred. A convenience sample of 1809 adults residing in the United States completed a 15-min self-report questionnaire in April and May 2020. Multinomial logistic regressions and descriptive statistics were used to evaluate how, for whom, and why these health behaviors changed. Participants were primarily female (67.4%), aged 35-49 years (39.8%), college graduates (83.3%), non-tobacco users (74.7%), and had previously used marijuana (48.6%). Overall, participants primarily reported a decrease in physical activity, while sleep and all of the negative health behaviors remained the same. Changes in negative health behaviors were related ( < 0.05) to sex, age, parental status, educational status, job status, BMI, and depression scores. Changes in positive health behaviors were related ( < 0.05) to sex, parental status, job status, and depression scores. Having more time available during the pandemic was the most commonly cited reason for changing health behaviors (negative and positive). Public health efforts should address the potential for long-term health consequences due to behavior change during COVID-19. The COVID-19 pandemic, and resultant "Stay-at-Home" orders, may have impacted adults' positive health behaviors (sleep, physical activity) and negative health behaviors (alcohol consumption, drug use, and tobacco use). The purpose of this study was to investigate how these health behaviors changed (increased/improved or decreased/worsened) at the early stages of the pandemic, what participant characteristics were associated with health behavior changes, and why these behavioral changes may have occurred. A convenience sample of 1809 adults residing in the United States completed a 15-min self-report questionnaire in April and May 2020. Multinomial logistic regressions and descriptive statistics were used to evaluate how, for whom, and why these health behaviors changed. Participants were primarily female (67.4%), aged 35-49 years (39.8%), college graduates (83.3%), non-tobacco users (74.7%), and had previously used marijuana (48.6%). Overall, participants primarily reported a decrease in physical activity, while sleep and all of the negative health behaviors remained the same. Changes in negative health behaviors were related (p < 0.05) to sex, age, parental status, educational status, job status, BMI, and depression scores. Changes in positive health behaviors were related (p < 0.05) to sex, parental status, job status, and depression scores. Having more time available during the pandemic was the most commonly cited reason for changing health behaviors (negative and positive). Public health efforts should address the potential for long-term health consequences due to behavior change during COVID-19.The COVID-19 pandemic, and resultant "Stay-at-Home" orders, may have impacted adults' positive health behaviors (sleep, physical activity) and negative health behaviors (alcohol consumption, drug use, and tobacco use). The purpose of this study was to investigate how these health behaviors changed (increased/improved or decreased/worsened) at the early stages of the pandemic, what participant characteristics were associated with health behavior changes, and why these behavioral changes may have occurred. A convenience sample of 1809 adults residing in the United States completed a 15-min self-report questionnaire in April and May 2020. Multinomial logistic regressions and descriptive statistics were used to evaluate how, for whom, and why these health behaviors changed. Participants were primarily female (67.4%), aged 35-49 years (39.8%), college graduates (83.3%), non-tobacco users (74.7%), and had previously used marijuana (48.6%). Overall, participants primarily reported a decrease in physical activity, while sleep and all of the negative health behaviors remained the same. Changes in negative health behaviors were related (p < 0.05) to sex, age, parental status, educational status, job status, BMI, and depression scores. Changes in positive health behaviors were related (p < 0.05) to sex, parental status, job status, and depression scores. Having more time available during the pandemic was the most commonly cited reason for changing health behaviors (negative and positive). Public health efforts should address the potential for long-term health consequences due to behavior change during COVID-19. The COVID-19 pandemic, and resultant “Stay-at-Home” orders, may have impacted adults’ positive health behaviors (sleep, physical activity) and negative health behaviors (alcohol consumption, drug use, and tobacco use). The purpose of this study was to investigate how these health behaviors changed (increased/improved or decreased/worsened) at the early stages of the pandemic, what participant characteristics were associated with health behavior changes, and why these behavioral changes may have occurred. A convenience sample of 1809 adults residing in the United States completed a 15-min self-report questionnaire in April and May 2020. Multinomial logistic regressions and descriptive statistics were used to evaluate how, for whom, and why these health behaviors changed. Participants were primarily female (67.4%), aged 35–49 years (39.8%), college graduates (83.3%), non-tobacco users (74.7%), and had previously used marijuana (48.6%). Overall, participants primarily reported a decrease in physical activity, while sleep and all of the negative health behaviors remained the same. Changes in negative health behaviors were related (p < 0.05) to sex, age, parental status, educational status, job status, BMI, and depression scores. Changes in positive health behaviors were related (p < 0.05) to sex, parental status, job status, and depression scores. Having more time available during the pandemic was the most commonly cited reason for changing health behaviors (negative and positive). Public health efforts should address the potential for long-term health consequences due to behavior change during COVID-19.
Author	Burford, Katie Dooley, Erin E. Mendez, Karla S. Robertson, Michael C. Knell, Gregory
AuthorAffiliation	2 Center for Pediatric Population Health, The University of Texas Health Science Center at Houston (UTHealth), Dallas, TX 75390, USA 5 Department of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA 3 Children’s Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, TX 75024, USA 6 Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA 4 Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA; michael.c.robertson@uth.tmc.edu (M.C.R.); erin.dooley@uth.tmc.edu (E.E.D.); kathryn.burford@uth.tmc.edu (K.B.) 1 Department of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA; karla.mendez@uth.tmc.edu
AuthorAffiliation_xml	– name: 4 Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA; michael.c.robertson@uth.tmc.edu (M.C.R.); erin.dooley@uth.tmc.edu (E.E.D.); kathryn.burford@uth.tmc.edu (K.B.) – name: 3 Children’s Health Andrews Institute for Orthopaedics and Sports Medicine, Plano, TX 75024, USA – name: 6 Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA – name: 2 Center for Pediatric Population Health, The University of Texas Health Science Center at Houston (UTHealth), Dallas, TX 75390, USA – name: 1 Department of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA; karla.mendez@uth.tmc.edu – name: 5 Department of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Author_xml	– sequence: 1 givenname: Gregory orcidid: 0000-0002-5067-544X surname: Knell fullname: Knell, Gregory – sequence: 2 givenname: Michael C. surname: Robertson fullname: Robertson, Michael C. – sequence: 3 givenname: Erin E. surname: Dooley fullname: Dooley, Erin E. – sequence: 4 givenname: Katie surname: Burford fullname: Burford, Katie – sequence: 5 givenname: Karla S. surname: Mendez fullname: Mendez, Karla S.
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32872179$$D View this record in MEDLINE/PubMed
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SubjectTerms	Addictive behaviors Adult Alcohol Alcohol use Betacoronavirus College graduates Communicable Disease Control Coronavirus Infections - epidemiology Coronaviruses COVID-19 Drug use Ethnicity Exercise Female Health Behavior Humans Male Middle Aged Pandemics Pneumonia, Viral - epidemiology Public health SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Sleep Social Isolation Social networks Surveys and Questionnaires Tobacco United States
Title	Health Behavior Changes During COVID-19 Pandemic and Subsequent “Stay-at-Home” Orders
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