Trajectories of health behaviors during the COVID-19 pandemic: a longitudinal analysis of handwashing, mask wearing, social contact limitations, and physical distancing.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Psychology & Health Pub Date : 2024-12-01 Epub Date: 2023-11-20 DOI:10.1080/08870446.2023.2278706
Robin Wollast, Mathias Schmitz, Alix Bigot, Niko Speybroeck, Éric Lacourse, Roxane de la Sablonnière, Olivier Luminet
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Abstract

Aim: This study aimed to investigate the associations between health behavior adherence and psychological factors during the COVID-19 pandemic, with a particular focus on identifying trajectories of handwashing, mask wearing, social contact limitations, and physical distancing.

Methods: We employed a multi-trajectory group-based approach to analyze data from 6026 Belgian residents, including 60% women, with an average age of 52.65. Data were collected over six waves spanning from April 2021 to December 2021.

Results: Participants were categorized into trajectory groups based on persistently low (11.9%), moderate-low (20.9%), moderate-high (39.1%), and high (28.1%) levels of adherence to the specified health behaviors. Our findings indicate a declining trend in health behavior adherence over the study period. Additionally, we observed that females, older individuals, and those with prior COVID-19 infection had a higher likelihood of belonging to trajectory groups characterized by the highest levels of health behavior adherence. Similarly, individuals with positive vaccination intentions, a heightened perception of consequences, and increased health anxiety demonstrated greater adherence to health behaviors over time. Furthermore, our investigation into the relationship between health behaviors and mental health revealed that participants in trajectory groups with higher levels of adherence to social contact limitations and physical distancing reported increased feelings of loneliness and decreased life satisfaction.

Conclusions: The COVID-19 pandemic has reshaped our lives, and while vaccines have marked progress, maintaining health behaviors is crucial for virus prevention. To address potential mental health challenges from sanitary measures, policies and communication should promote health behaviors while acknowledging their psychological impact.

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COVID-19大流行期间健康行为轨迹:洗手、戴口罩、社会接触限制和保持身体距离的纵向分析
目的:本研究旨在调查COVID-19大流行期间健康行为依从性与心理因素之间的关系,特别关注洗手、戴口罩、限制社交接触和保持身体距离的轨迹。方法:采用多轨迹分组方法分析6026名比利时居民的数据,其中60%为女性,平均年龄为52.65岁。数据从2021年4月到2021年12月分六波收集。结果:参与者根据持续低(11.9%)、中低(20.9%)、中高(39.1%)和高(28.1%)水平坚持特定健康行为被分为轨迹组。我们的研究结果表明,在研究期间,健康行为依从性呈下降趋势。此外,我们观察到,女性、老年人和先前感染过COVID-19的人更有可能属于以最高水平的健康行为坚持为特征的轨迹组。同样,具有积极接种意愿的个体,对后果的认知增强,健康焦虑增加,随着时间的推移,表现出更强的健康行为依从性。此外,我们对健康行为与心理健康之间关系的调查显示,在社会接触限制和身体距离坚持程度较高的轨迹组中,参与者报告的孤独感增加,生活满意度降低。结论:2019冠状病毒病大流行重塑了我们的生活,虽然疫苗取得了显著进展,但保持健康行为对于病毒预防至关重要。为了解决卫生措施带来的潜在心理健康挑战,政策和沟通应促进健康行为,同时承认其心理影响。
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来源期刊
CiteScore
7.30
自引率
3.00%
发文量
95
期刊介绍: Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.
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