ArticleInternational journal of environmental research and public health2020
Health Behavior Changes During COVID-19 Pandemic and Subsequent "Stay-at-Home" Orders.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 7 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
146 citing papers in PubMed, 7 syntheses or guidelines pooled it, 284 citations in OpenAlex.
- Alcohol Consumption During the COVID-19 Pandemic: A Critical Review.Human psychopharmacology · 2025Pooled it
- Impact of COVID-19 lockdown on smoking and vaping: systematic review and meta-analysis.Public health · 2023Pooled it
- Changes in sleep quality and sleep disturbances in the general population from before to during the COVID-19 lockdown: A systematic review and meta-analysis.Frontiers in psychiatry · 2023Pooled it
- The impact of COVID-19 lockdown on snacking habits, fast-food and alcohol consumption: A systematic review of the evidence.Clinical nutrition (Edinburgh, Scotland) · 2022Pooled it
- Changes in alcohol use during COVID-19 and associations with contextual and individual difference variables: A systematic review and meta-analysis.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022Pooled it
- Alcohol and other substance use during the COVID-19 pandemic: A systematic review.Drug and alcohol dependence · 2021Pooled it
- Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review.BMJ open sport & exercise medicine · 2021Pooled it
- Longitudinal changes in physical activity during and after the first national lockdown due to the COVID-19 pandemic in England.Scientific reports · 2021Trial
- Living Alone as a Persistent Risk Factor for Smoking and High-Risk Drinking: A Three-Year Repeated Cross-Sectional Analysis Before and During the COVID-19 Pandemic in the Republic of Korea.Healthcare (Basel, Switzerland) · 2026Article
- Association between lifestyle and combined general and abdominal obesity in Korean adults during the pre-pandemic and pandemic periods: using the Korea National Health and Nutrition Examination Survey (2019-2020).BMC public health · 2026Article
- Intention/Reflection (I/R) Practice Creates a Deeper APPE Connection for Student Pharmacists After COVID-19.Pharmacy (Basel, Switzerland) · 2026Article
- Gender Differences in Employed Parents' Self-Rated Health During COVID-19 School Closures in an Affluent US Community.Sociological inquiry · 2025Article
- Changes in Traumatic Brain Injury Patterns Before and During the COVID-19 Pandemic: A Single-Center Study in Brazil.Cureus · 2025Article
- Change in alcohol consumption during the Covid-19 pandemic and associations with mental health and financial hardship: results from a survey of Wisconsin patients with cancer.Journal of cancer survivorship : research and practice · 2025Article
- Sleep Quality, Depression, and the Risk of Anaemia in Adolescents Aged 10-19 Years During One Year of the COVID-19 Pandemic in Indonesia.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- Detecting Older Adults' Behavior Changes During Adverse External Events Using Ambient Sensing: Longitudinal Observational Study.JMIR nursing · 2025Observational
- The influence of face masks use, immunity boosters and visiting risky places on mental health during the COVID-19 pandemic in Serbia and Republic of Srpska (Bosnia and Herzegovina).Journal of health, population, and nutrition · 2025Article
- Sleep, psychological symptoms, and cannabis use before, during, and after COVID-19 "stay-at-home" orders: a structural equation modeling approach.Journal of cannabis research · 2025Article
- Cancer-related health behaviors during the COVID 19 pandemic in geographically diverse samples across the US.BMC cancer · 2025Article
- Changes in the prevalence of metabolic syndrome before and after the COVID-19 pandemic according to household income levels.Korean journal of family medicine · 2025Article
86 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
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 (
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.