Evidence map›Paper›PMID 38037040›Full record

ArticleBMC public health2023

Quantifying the benefits of healthy lifestyle behaviors and emotional expressivity in lowering the risk of COVID-19 infection: a national survey of Chinese population.

Yudong Miao, Wanliang Zhang, Yi Li, Jian Wu, Zhanlei Shen, Junwen Bai, Dongfang Zhu, Ruizhe Ren, Jingbao Zhang, Dan Guo and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Yudong MiaoDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Wanliang ZhangDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Yi LiDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Jian WuDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Zhanlei ShenDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Junwen BaiDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Dongfang ZhuDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Ruizhe RenDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Jingbao ZhangDepartment of Health Management, College of Public Health, Zhengzhou University, Henan, China.
Dan GuoDepartment of Neurology, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Henan, China.
Clifford Silver TarimoDepartment of Science and Laboratory Technology, Dar es salaam Institute of Technology, Dar es Salaam, Tanzania.
Chengpeng LiDepartment of Human Resources, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Henan, China.
Wenyong DongDepartment of Hypertension, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Henan, China. vanny89@163.com.
Zhengzhou University · CNHenan Provincial People's Hospital · CNHenan University of Engineering · CNDar es Salaam Institute of Technology · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 is still prevalent in most countries around the world at the low level. Residents' lifestyle behaviors and emotions are critical to prevent COVID-19 and keep healthy, but there is lacking of confirmative evidence on how residents' lifestyle behaviors and emotional expressivity affected COVID-19 infection.

methodsBaseline study was conducted in August 2022 and follow-up study was conducted in February 2023. Baseline survey collected information on residents' basic information, as well as their lifestyle behaviors and emotions. Follow-up study was carried out to gather data on COVID-19 infection condition. Binary logistic regression was utilized to identify factors that may influence COVID-19 infection. Attributable risk (AR) was computed to determine the proportion of unhealthy lifestyle behaviors and emotional factors that could be attributed to COVID-19 infection. Sensitivity analysis was performed to test the robustness of the results.

resultsA total of 5776 participants (46.57% males) were included in this study, yielding an overall COVID-19 infection rate of 54.8% (95%CI: 53.5 - 56.0%). The findings revealed that higher stress levels [aOR = 1.027 (95%CI; 1.005-1.050)] and lower frequency in wearing masks, washing hands, and keeping distance [aOR = 1.615 (95%CI; 1.087-2.401)], were positively associated with an increased likelihood of COVID-19 infection (all P < 0.05). If these associations were causal, 8.1% of COVID-19 infection would have been prevented if all participants had normal stress levels [Attributable Risk Percentage: 8.1% (95%CI: 5.9-10.3%)]. A significant interaction effect between stress and the frequency in wearing masks, washing hands, and keeping distance on COVID-19 infection was observed (β = 0.006, P < 0.001), which also was independent factor of COVID-19 infection.

conclusionsThe overall COVID-19 infection rate among residents is at a medium level. Residents' increasing stress and decreasing frequency in wearing masks and washing hands and keeping distance contribute to increasing risk of infection, residents should increase the frequency of mask-wearing, practice hand hygiene, keep safe distance from others, ensure stable emotional state, minimize psychological stress, providing evidence support for future responses to emerging infectious diseases.

Indexed as

COVID-19Health BehaviorEast Asian PeopleFemaleFollow-Up StudiesHealthy LifestyleHumansMaleMasksSARS-CoV-2ChinaCOVID-19 InfectionEmotional expressivityLifestyle behavior

Identifiers

PMID38037040
PMCPMC10687789
OpenAlexW4389199320

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.