Health Behavior Changes During COVID-19 Pandemic and Subsequent "Stay-at-Home" Orders.

Gregory Knell,Karla S Mendez,Katie Burford,Erin E Dooley,Michael C Robertson

doi:10.3390/ijerph17176268

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.

Highlights

IntroductionOn 11 March 2020, the World Health Organization reached consensus that COVID-19, the respiratory disease cause by the SARS-CoV-2 virus, had reached pandemic proportions [1]
On 11 March 2020, the World Health Organization reached consensus that COVID-19, the respiratory disease cause by the SARS-CoV-2 virus, had reached pandemic proportions [1].Subsequently, the United States (U.S.) issued a national state of emergency, and in March and April state governments enacted sweeping “Stay-at-Home” orders to curb the spread of the disease
This study describes how positive and negative health behaviors changed during the COVID-19 pandemic and subsequent “Stay-at-Home” orders time period (March–April 2020), who was more likely to change their behaviors, and for what reasons these changes may have occurred, among a convenience sample of U.S adults

Summary

Introduction

On 11 March 2020, the World Health Organization reached consensus that COVID-19, the respiratory disease cause by the SARS-CoV-2 virus, had reached pandemic proportions [1]. The United States (U.S.) issued a national state of emergency, and in March and April state governments enacted sweeping “Stay-at-Home” orders to curb the spread of the disease. Res. Public Health 2020, 17, 6268; doi:10.3390/ijerph17176268 www.mdpi.com/journal/ijerph

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