ArticleJournal of health equity2026
Association of psychological and financial distress with physical activity among Hispanic/Latino populations during the COVID-19 lockdowns in the United States.
Article in Journal of health equity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We examined the links between COVID-19-related concerns, psychological distress, material hardship, and physical activity (PA) among Hispanic/Latino adults in the U.S. during the pandemic. We conducted a cross-sectional analysis of data from 243 participants in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), collected between January and July 2021. Participants underwent phone interviews assessing COVID-19 concerns, psychological distress via the PHQ-4, and material hardship. PA was measured with wrist-worn accelerometers over seven days, tracking total activity counts/day, active minutes/day, and activity fragmentation (active-to-sedentary transition probability, ASTP). We used regression models adjusted for demographic, behavioral, and health covariates. Participants (mean age = 62; 67% female) showed high psychological distress (63%) and material hardship (33%), with 39% reporting COVID-19 concerns. Concerns were linked to lower total activity counts (β = -231, 95% CI: [-459, -3]) and active minutes/day (β = -42.1, 95% CI: [-76.7, -7.4]) in adjusted models. While ASTP was higher among individuals with COVID-19 concerns, this association diminished after full adjustment. No significant links were found between material hardship or distress and PA. COVID-19-related concerns were associated with reduced and fragmented physical activity, suggesting that addressing psychosocial stressors may help improve health behaviors in this population during public health emergencies.
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