ArticleInternational journal of environmental research and public health2021
Engagement in Health Risk Behaviours before and during the COVID-19 Pandemic in German University Students: Results of a Cross-Sectional Study.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.
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Who cites it
56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 112 citations in OpenAlex.
- [Impact of the COVID-19 pandemic on cannabis use in young adults and general population: a systematic review].Revista espanola de salud publica · 2023Pooled 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
- Factors Associated with Substance Use and Physical Activity Among German University Students 20 Months into the COVID-19 Pandemic.Journal of prevention (2022) · 2025Article
- Factor structure for measures of bystander likelihood, barriers, and actions to prevent problematic alcohol use among college students.Journal of American college health : J of ACH · 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
- Beyond Confinement: A Systematic Review on Factors Influencing Binge Drinking Among Adolescents and Young Adults During the Pandemic.Journal of clinical medicine · 2025Review
- Health risky behaviors among rural-to-urban migrant workers in China: prevalence, patterns, and association with distal and proximal factors.Frontiers in public health · 2025Article
- Prevalence of health-related behaviours and associated factors in university students in Ireland: a 4-year repeated cross-sectional study.BMJ public health · 2024Article
- Co-occurrence of obesogenic behaviors and their implications for mental health during the COVID-19 pandemic: a study with university students.BMC public health · 2024Article
- Association between Changes in Daily Life Due to COVID-19 and Depressive Symptoms in South Korea.Healthcare (Basel, Switzerland) · 2024Article
- Factors related to increased alcohol misuse by students compared to non-students during the first Covid-19 lockdown in France: the Confins study.BMC public health · 2024Article
- University Students' Financial Situation During COVID-19 and Anxiety and Depressive Symptoms: Results of the COVID-19 German Student Well-Being Study (C19 GSWS).Psychology research and behavior management · 2024Article
- The impact of online classes on sleep, physical activity, and cognition functioning among physical education students.Frontiers in psychology · 2024Article
- Stability of clustering of lifestyle risk factors in the Dutch adult population and the association with mental health.European journal of public health · 2023Article
- An international comparison of gender differences in mental health among higher-education students during the first wave of the COVID-19 pandemic: a multilevel design.Archives of public health = Archives belges de sante publique · 2023Article
- Changes in self-reported cannabis use during the COVID-19 pandemic: a scoping review.BMC public health · 2023Article
- Prevalence and clustering of health behaviours and the association with socio-demographics and mental well-being in Dutch university students.Preventive medicine reports · 2023Article
- Changes in alcohol consumption among medical students during the COVID-19 pandemic - results from POLLEK study.International journal of occupational medicine and environmental health · 2023Article
- Mental Wellbeing and Health-Risk Behaviours of University Students in Brunei: A Cross-Sectional Study during COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2023Article
- University students' (binge) drinking during COVID-19 lockdowns: An investigation of depression, social context, resilience, and changes in alcohol use.Social science & medicine (1982) · 2023Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tobacco and cannabis use, alcohol consumption and inactivity are health risk behaviors (HRB) of crucial importance for health and wellbeing. The impact of the COVID-19 pandemic on university students' engagement in HRB has yet received limited attention. We investigated whether HRB changed during the COVID-19 pandemic, assessed factors associated with change and profiles of HRB changes in university students. A web-based survey was conducted in May 2020, including 5021 students of four German universities (69% female, the mean age of 24.4 years (SD = 5.1)). Sixty-one percent of students reported consuming alcohol, 45.8% binge drinking, 44% inactivity, 19.4% smoking and 10.8% cannabis use. While smoking and cannabis use remained unchanged during the COVID-19 pandemic, 24.4% reported a decrease in binge drinking while 5.4% reported an increase. Changes to physical activity were most frequently reported, with 30.6% reporting an increase and 19.3% reporting a decrease in vigorous physical activity. Being female, younger age, being bored, not having a trusted person and depressive symptoms were factors associated with a change in HRB. Five substance use behavior profiles were identified, which also remained fairly unchanged. Efforts to promote student health and wellbeing continue to be required, also in times of the COVID-19 pandemic.
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