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Associations between Lifestyle Changes, Risk Perception and Anxiety during COVID-19 Lockdowns: A Case Study in Xi’an

Author

Listed:
  • Huan Yang

    (College of Landscape Architecture and Art, Northwest A&F University, Yangling 712100, China)

  • Qingyun Zhao

    (College of Landscape Architecture and Art, Northwest A&F University, Yangling 712100, China)

  • Zhengkai Zhang

    (College of Landscape Architecture and Art, Northwest A&F University, Yangling 712100, China)

  • Wenxiao Jia

    (College of Landscape Architecture and Art, Northwest A&F University, Yangling 712100, China)

Abstract

The outbreak of COVID-19 dramatically changed individuals’ lifestyles, which in turn triggered psychological stress and anxiety. Many previous studies have discussed the relationships between lifestyle changes and anxiety and risk perception and anxiety independently. However, few papers have discussed these factors in a comprehensive and systematic manner. We established a six-dimensional system to assess changes in individuals’ lifestyles, which include dietary habits, physical activity (PA), sleep, screen time, smoking and alcohol consumption, and interaction with neighbors. Then, we collected information relating to socio-demographics, lifestyle changes, risk perception, and anxiety, and discussed their associations using multilinear and stepwise logistic regressions. The results show that not all lifestyle changes had an influence on anxiety. Changes in PA and interaction with neighbors were not significantly associated with anxiety. Risk perception was found to be inversely related to anxiety. Changes in dietary habits, family harmony, and net income were negatively related to anxiety among the group with higher risk perception. As individuals perceived a higher severity of COVID-19, the impact of their financial status on anxiety increased. These findings provide a valuable resource for local governments seeking to refine their pandemic strategies by including approaches such as advocating healthy lifestyles and stabilizing the job market to improve individuals’ mental health during lockdowns.

Suggested Citation

  • Huan Yang & Qingyun Zhao & Zhengkai Zhang & Wenxiao Jia, 2022. "Associations between Lifestyle Changes, Risk Perception and Anxiety during COVID-19 Lockdowns: A Case Study in Xi’an," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13379-:d:944274
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    References listed on IDEAS

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    1. Qi Zhu & Min Li & Yu Ji & Youpeng Shi & Jie Zhou & Qianyue Li & Ruoyu Qin & Xun Zhuang, 2021. "“Stay-at-Home” Lifestyle Effect on Weight Gain during the COVID-19 Outbreak Confinement in China," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
    2. Cuiyan Wang & Riyu Pan & Xiaoyang Wan & Yilin Tan & Linkang Xu & Cyrus S. Ho & Roger C. Ho, 2020. "Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China," IJERPH, MDPI, vol. 17(5), pages 1-25, March.
    3. Ruud Raaijmakers & Jörg Krywkow & Anne Veen, 2008. "Flood risk perceptions and spatial multi-criteria analysis: an exploratory research for hazard mitigation," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 46(3), pages 307-322, September.
    4. Robert Stanton & Quyen G. To & Saman Khalesi & Susan L. Williams & Stephanie J. Alley & Tanya L. Thwaite & Andrew S. Fenning & Corneel Vandelanotte, 2020. "Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
    5. Fei Qin & Yiqing Song & George P Nassis & Lina Zhao & Yanan Dong & Cuicui Zhao & Yiwei Feng & Jiexiu Zhao, 2020. "Physical Activity, Screen Time, and Emotional Well-Being during the 2019 Novel Coronavirus Outbreak in China," IJERPH, MDPI, vol. 17(14), pages 1-16, July.
    6. Aviana O. Rosen & Ashley L. Holmes & Nekane Balluerka & Maria Dolores Hidalgo & Arantxa Gorostiaga & Juana Gómez-Benito & Tania B. Huedo-Medina, 2022. "Is Social Media a New Type of Social Support? Social Media Use in Spain during the COVID-19 Pandemic: A Mixed Methods Study," IJERPH, MDPI, vol. 19(7), pages 1-20, March.
    7. Michael Fletcher & Kate C. Prickett & Simon Chapple, 2022. "Immediate employment and income impacts of Covid-19 in New Zealand: evidence from a survey conducted during the Alert Level 4 lockdown," New Zealand Economic Papers, Taylor & Francis Journals, vol. 56(1), pages 73-80, January.
    8. Liliana Cori & Fabrizio Bianchi & Ennio Cadum & Carmen Anthonj, 2020. "Risk Perception and COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-6, April.
    9. Janet Z. Yang & Haoran Chu, 2018. "Who is afraid of the Ebola outbreak? The influence of discrete emotions on risk perception," Journal of Risk Research, Taylor & Francis Journals, vol. 21(7), pages 834-853, July.
    10. Xiaodong Zheng & Yinglin Wang & Yue Zhang & Tinghe Deng & Yuanzheng Yang, 2022. "Impacts of COVID-19 Pandemic on Dietary Consumption among Chinese Residents: Evidence from Provincial-Level Panel Data," IJERPH, MDPI, vol. 19(13), pages 1-16, June.
    11. Wei-Po Chou & Peng-Wei Wang & Shiou-Lan Chen & Yu-Ping Chang & Chia-Fen Wu & Wei-Hsin Lu & Cheng-Fang Yen, 2020. "Risk Perception, Protective Behaviors, and General Anxiety during the Coronavirus Disease 2019 Pandemic among Affiliated Health Care Professionals in Taiwan: Comparisons with Frontline Health Care Pro," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
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    1. Zhengkai Zhang & Hanjiang Zhang & Huan Yang & Bingzhi Zhong, 2023. "Home Greenery: Alleviating Anxiety during Lockdowns with Varied Landscape Preferences," Sustainability, MDPI, vol. 15(21), pages 1-14, October.

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