Dyer, Maddy L;
Sallis, Hannah M;
Khouja, Jasmine N;
Dryhurst, Sarah;
Munafò, Marcus R;
(2022)
Associations between COVID-19 risk perceptions and mental health, wellbeing, and risk behaviours.
Journal of Risk Research
, 25
(11-12)
pp. 1372-1394.
10.1080/13669877.2022.2127849.
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Abstract
Mental health has worsened, and substance use has increased for some people during the coronavirus (COVID-19) pandemic. Some cross-sectional studies suggest that higher COVID-19 risk perceptions are related to poorer mental health and greater risk behaviours (e.g. substance use). However, longitudinal and genetic data are needed to help to reduce the likelihood of reverse causality. We used cross-sectional, longitudinal, and polygenic risk score (PRS; for anxiety, depression, wellbeing) data from the Avon Longitudinal Study of Parents and Children (ALSPAC). We examined cross-sectional and prospective longitudinal associations between COVID-19 risk perceptions (i.e. cognitive, affective, self, other, and a combined ‘holistic’ measure) and mental health (i.e. anxiety, depression), wellbeing, and risk behaviours. Pandemic (April–July 2020) and pre-pandemic (2003–2017) data (ns = 233–5,115) were included. Higher COVID-19 risk perceptions (holistic) were associated with anxiety (OR 2.78, 95% confidence interval [CI] 2.20 to 3.52), depression (OR 1.65, 95% CI 1.24 to 2.18), low wellbeing (OR 1.76, 95% CI 1.45 to 2.13), and increased alcohol use (OR 1.46, 95% CI 1.24 to 1.72). Higher COVID-19 risk perceptions were also associated with self-isolating given a suspected COVID-19 infection (OR 1.74, 95% CI 1.13 to 2.68), and less face-to-face contact (OR 0.83, 95% CI 0.70 to 0.98) and physical contact (OR 0.83, 95% CI 0.68 to 1.00). Pre-pandemic anxiety (OR 1.64, 95% CI 1.29 to 2.09) and low wellbeing (OR 1.41, 95% CI 1.15 to 1.74) were associated with higher COVID-19 risk perceptions. The depression PRS (b 0.21, 95% CI 0.02 to 0.40) and wellbeing PRS (b − 0.29, 95% CI −0.48 to −0.09) were associated with higher and lower COVID-19 risk perceptions, respectively. Poorer mental health and wellbeing are associated with higher COVID-19 risk perceptions, and longitudinal and genetic data suggest that they may play a causal role in COVID-19 risk perceptions.
| Type: | Article |
|---|---|
| Title: | Associations between COVID-19 risk perceptions and mental health, wellbeing, and risk behaviours |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/13669877.2022.2127849 |
| Publisher version: | https://doi.org/10.1080/13669877.2022.2127849 |
| Language: | English |
| Additional information: | Copyright © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Coronavirus; risk perception; risk behaviour; mental health; ALSPAC |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10209121 |
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