Both genders show increase in consumption behaviors & substance use, but women revealed decrease in consumption of wine during pandemic; men showed more TV hours per day; women stand out in the use of mobile phone per day

Health risk behaviors before and during COVID-19 and gender differences. Cátia Branquinho, Teresa Paiva, Fábio Guedes, Tânia Gaspar, Gina Tomé, Margarida Gaspar de Matos. Journal of Community Psychology, September 13 2021. https://doi.org/10.1002/jcop.22705

Abstract: Changes in routines and habits, fear of contamination from the coronavirus disease 2019 (COVID-19) virus, and economic crisis have resulted in significant impacts upon individuals' lives, health, and risk behaviors. The present study aims to analyze health risk behaviors and gender differences of Portuguese adults before and during the COVID-19 pandemic. A quantitative analysis using SPSS v. 26 software presents the evaluation of 5746 responses (M = 48.5 years, SD = 14.3), of which 67.7% were female. t Test was used to study differences in means before and during the pandemic and analysis of variance test to analyze gender differences. In the comparative study before and during the pandemic showed a decrease in the number of meals per day, physical activity and perception of sleep quality; an increase in tobacco use, beer consumption, and media use (TV, mobile phone, social networks, and online games). Gender differences study demonstrated that the number of meals per day suffered a decrease from pre to pandemic in women, while increasing in men, becoming prominent in the second moment under study. Both genders had an increase in consumption behaviors and substance use, but women revealed a decrease in the consumption of wine during the pandemic, while men revealed more consumption behaviors in the variables under study. The use of media also changed, with men showing a higher level in TV hours per day, social networks and online games before the pandemic and in TV hours per day and games/online during the pandemic. Women stand out in the use of mobile phone per day during the pandemic. Daily physical activity decreased during the pandemic, as did sleep quality. Males revealed a higher practice of physical activity at both periods, as well as sleep quality. Based on the results presented, it is expected that considerations and actions in the scope of public health policies and health prevention and promotion, will be rethought and adapted to the specificities of each gender.

4 CONCLUSIONS AND DISCUSSION

The present study was developed to compare gender differences in health risk behaviors before and during the pandemic scenario.

In general, health behaviors such as the number of meals per day, physical activity practice, declined during the pandemic, as did the perception of sleep quality; while tobacco, beer consumption, and media use (TV, mobile phone, social networks, and online games) increased. In the same sample, shorter sleep duration, poorer nutrition, decline in physical activity, greater media use, and more negative attitudes and behaviors during the pandemic were found to be positively associated with poor sleep and awakening quality (Paiva et al., 2021). Also in a literature review conducted by Stockwell et al. (2021), a decrease in physical activity and increase in sedentary behaviors is highlighted.

Gender differences are clear: Women have, both prior and during the pandemic, a higher number of meals per day when compared with men, but this number decreased in women and increased in men during COVID-19. Although negative impacts on diet are highlighted (Martínez-de-Quel et al., 2021; Ramalho et al., 2021; Rodgers et al., 2020), Janssen et al. (2021) reveal different changes in lifestyles and diet during the pandemic. The authors report that the number of meals per day can increase or decrease depending on the person, and be related to restrictions, frequency of shopping, perceived risk of disease, decreased financial capacity, and sociodemographic factors.

Smoking behavior (number of cigarettes per day), intensified during the pandemic, being higher in men in the prepandemic. The consumption of beer per day also showed an increase during the pandemic in both genders, as well as the number of glasses of wine per day in men (decreasing in women). Satre et al. (2020) and Weerakoon et al. (2021) reveal similar results.

Media use increased from prepandemic to pandemic in both genders, especially in males in the prepandemic (hours TV per day, social networks and online games) and postpandemic (hours TV per day and games/online). Women use more the mobile phone per day during the pandemic. A study also developed in Europe and during the current scenario, presents that males are more prone to gambling, while women tend to spend more time on social networks (Lemenager et al., 2020).

The number of hours of daily physical activity decreased during the pandemic scenario (Park et al., 2021) as did the quality of sleep. In both a higher mean in males stands out. Despite the worse perception of prepandemic sleep quality, the literature has reported that the worries and uncertainties of this period have a greater impact on female sleep (Liu et al., 2020; Pinto et al., 2020; Sinha et al., 2020; Voitsidis et al., 2020). As women often report their sleep quality as less positive, and it is not known whether this is a reality or a perception, it is also true that they report and live with a lower perception of well-being (de Matos, 2019).

4.1 Strengths and limitations

As regards limitations, and due to the constraints associated with the pandemic scenario, the present study was conducted exclusively online to reach a larger number of participants and decrease the exposure of the team and participants to the SARS-CoV-2 virus. Although efforts have been made to have an equitable gender distribution, this was not achieved, but other studies developed in the country show this common reality.

In contrast to the identified limitations, the present study reveals several strengths. The first, the total number of responses obtained, which allows us to increase the validity of its conclusions. The second, the diversity of the sample. Lastly, to our knowledge, this is the first study conducted in the country that includes such a complete diversity of themes in studying the impacts of the COVID-19 pandemic, as well as the involvement of a multidisciplinary team in its design and analysis.