DOI QR코드

DOI QR Code

COVID-19 판데믹 시기 라이프스타일 변화와 일상생활 제한인식: 2020년 지역사회건강조사자료 분석

Lifestyle changes and perceived restrictions in daily life during the COVID-19 pandemic: Analysis of the 2020 Community Health Survey data

  • 송인명 (공주대학교 보건행정학과)
  • Song, Inmyung (Department of Health Administration, Kongju National University)
  • 투고 : 2022.05.26
  • 심사 : 2022.08.20
  • 발행 : 2022.08.28

초록

본 연구는 COVID-19 판데믹 기간 동안 라이프스타일 행동변화 정도, 일상생활 제한인식, 그리고 그 관계를 파악하고자 하였다. 2020년 지역사회건강조사를 이용하여, 한국 성인들이 판데믹 기간 동안 사회인구학적 특성 및 라이프스타일 행동 범주(신체적 활동, 수면기간, 음주, 흡연, 사회적 접촉, 대중교통수단 이용, 음식배달, 인스턴트음식 소비) 별로 일상생활의 제한인식 정도를 산출하였다. 일반화선형모형을 이용하여 행동변화와 제한인식간의 관계를 분석하였다. 총 227,808명의 조사대상자 중 56.70%가 판데믹 기간 동안 자신들의 일상생활이 절반이상 제한받았다고 응답하였다. 대부분의 응답자들은 신체적 활동, 사회적 접촉, 대중교통 이용을 감소시켰다(각각 52.71%, 89.70%, 63.74%). 신체적 활동, 수면시간, 사회적 접촉의 빈도를 줄이거나 음주빈도, 음식배달 및 인스턴트 식품섭취를 늘린 개인들은 그렇지 않은 사람들에 비해 일상생활에 대해서 보다 더 제한받았다고 인식하였다(p<0.001). 결론적으로 사회적 접촉과 신체적 활동의 감소 및 배달음식 이용 및 인스턴트 음식 소비의 증가는 판데믹 기간 중 일상생활에 대한 제한 인식의 증가와 유의한 관련성이 있었다. 판데믹 기간 동안 사람들이 느낄 일상생활에 대한 부정적인 심리적인 영향을 줄이기 위한 노력은 건강한 라이프스타일 행동을 증진하기 위한 노력을 수반해야 할 수 있다.

This study aims to examine the extent of lifestyle behavior changes, perceived restrictions in daily life, and their relationship during the COVID-19 pandemic. Using the 2020 Community Health Survey data, this study calculated perceived restrictions in daily life among adults in Korea during the pandemic by sociodemographic characteristics and lifestyle behavior category (physical activity, sleeping duration, drinking, smoking, social contact, public transport use, food delivery, instant food consumption). The generalized linear model examined the relationship between behavior change and perceived restriction on daily life. A total of 227,808 respondents were analyzed. 56.70% of the population perceived their daily lives restricted by 50% and more during the pandemic. The majority of the population decreased physical activity, social contact, and public transport use (52.71%, 89.70%, and 63.74%, respectively). Individuals who decreased physical activity, sleep duration, and social contact frequency, and those who increased drinking frequency, food delivery, and instant food consumption perceived greater restrictions in daily life than those who did not change respective behaviors (p<0.001). In conclusion, decreases in social contact and physical activity and increases in use of food delivery and instant food consumption were associated with greater perceived restrictions of daily life during the pandemic. Efforts to alleviate the negative impact of the pandemic on psychological well-being may need to involve attempts to improve healthy life behaviors.

키워드

참고문헌

  1. E. Alzueta, P. Perrin, F. C. Baker, S. Caffarra, D. Ramos-Usuga, D. Yuksel & J. C. Arango-Lasprilla. (2021). How the COVID-19 pandemic has changed our lives: A study of psychological correlates across 59 countries. Journal of Clinical Psychology, 77(3), 556-570. DOI : 10.1002/jclp.23082
  2. F. Balkhi, A. Nasir, A. Zehra & R. Riaz. (2020). Psychological and behavioral response to the coronavirus (COVID-19) pandemic. Cureus, 12(5), e7923. DOI : 10.7759/cureus.7923
  3. L. Di Renzo et al. (2020). Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. Journal of Translational Medicine, 18(1), 229. DOI : 10.1186/s12967-020-02399-5
  4. S. Wood, S. E. Harrison, N. Judd, M. A. Bellis, K. Hughes & A. Jones (2021). The impact of behavioural risk factors on communicable diseases: a systematic review of reviews. BMC Public Health, 21(1), 2110. DOI : 10.1186/s12889-021-12148-y
  5. J. Kim, Y. Kim & J. Ha. (2021). Changes in daily life during the COVID-19 pandemic among South Korean older adults with chronic diseases: a qualitative study. International Journal of Environmental Research and Public Health, 18(13), 6781. DOI : 10.3390/ijerph18136781
  6. J. Ingram, G. Maciejewski & C. J. Hand. (2020). Changes in diet, sleep, and physical activity are associated with differences in negative mood during COVID-19 lockdown. Frontiers in Psychology, 11, 2328. DOI : 10.3389/fpsyg.2020.588604
  7. M. T. Tull, K. A. Edmonds, K. M. Scamaldo, J. R. Richmond, J. P. Rose & K. L. Gratz. (2020). Psychological outcomes associated with stay-at-home orders and the perceived impact of COVID-19 on daily life. Psychiatry Research, 289, 113098. DOI : 10.1016/j.psychres.2020.113098
  8. L. K. Lades, K. Laffan, M. Daly & L. Delaney. (2020). Daily emotional well-being during the COVID-19 pandemic. British Journal of Health Psychology, 25(4), 902-911. DOI : 10.1111/bjhp.12450
  9. D. Maison, D. Jaworska, D. Adamczyk & D. Affeltowicz. (2021). The challenges arising from the COVID-19 pandemic and the way people deal with them. A qualitative longitudinal study. PLOS ONE, 16(10), e0258133. DOI : 10.1371/journal.pone.0258133
  10. M. J. Maekelae, N. Reggev, N. Dutra, R. M. Tamayo, R. A. Silva-Sobrinho, K. Klevjer & G. Pfuhl. (2020). Perceived efficacy of COVID-19 restrictions, reactions and their impact on mental health during the early phase of the outbreak in six countries. Royal Society Open Science, 7(8), 200644. DOI : 10.1098/rsos.200644
  11. G. E. Duncan, A. R. Avery, E. Seto & S. Tsang. (2020). Perceived change in physical activity levels and mental health during COVID-19: Findings among adult twin pairs. PLOS ONE, 15(8), e0237695. DOI : 10.1371/journal.pone.0237695
  12. K. H. Park, A. R. Kim, M. A. Yang, S. J. Lim & J. H. Park. (2021). Impact of the COVID-19 pandemic on the lifestyle, mental health, and quality of life of adults in South Korea. PLOS ONE, 16(2), e0247970. DOI : 10.1371/journal.pone.0247970
  13. A. Bussing, D. Rodrigues Recchia, R. Hein & T. Dienberg. (2020). Perceived changes of specific attitudes, perceptions and behaviors during the Corona pandemic and their relation to wellbeing. Health and Quality of Life Outcomes, 18(1), 374. DOI : 10.1186/s12955-020-01623-6
  14. B. Nelson. (2020). The positive effects of covid-19. BMJ, 369, m1785. DOI : 10.1136/bmj.m1785
  15. K. M. Jackson, J. E. Merrill, A. K. Stevens, K. L. Hayes & H. R. White. (2021). Changes in alcohol use and drinking context due to the COVID-19 pandemic: A multimethod study of college student drinkers. Alcoholism: Clinical and Experimental Research, 45(4), 752-764. DOI : 10.1111/acer.14574
  16. Korea Disease Control and Prevention Agency. (2020). Community Health Survey. Retrieved January 15, 2021, Retrieved from: https://chs.kdca.go.kr/chs/rdr/rdrInfoProcessMain.do
  17. Korea Disease Control and Prevention Agency. (2021). Community Health Survey 2020 User Guide. Osong, Korea. Retrieved from: http://chs.kdca.go.kr
  18. D. L. Hahs-Vaughn, C. M. McWayne, R. J. Bulotsky-Shearer, X. Wen & A. M. Faria. (2011). Methodological considerations in using complex survey data: an applied example with the head start family and child experiences survey. Evaluation Review, 35(3), 269-303. DOI : 10.1177/0193841X11412071
  19. J. Hyun et al. (2021). COVID-19 and Risk Factors of Anxiety and Depression in South Korea. Psychiatry Investigation, 18(9), 801-808. DOI : 10.30773/pi.2021.0125
  20. V. Galasso, V. Pons, P. Profeta, M. Becher, S. Brouard & M. Foucault. (2020). Gender differences in COVID-19 attitudes and behavior: Panel evidence from eight countries. P roceedings of the National Academy of Sciences, 117(44), 27285-27291. DOI : 10.1073/pnas.2012520117
  21. M. Kowal et al. (2020). Who is the most stressed during the COVID-19 pandemic? data from 26 countries and areas. Applied Psychology: Health and Well-Being, 12(4), 946-966. DOI : 10.1111/aphw.12234
  22. C. M. Lee, J. M. Cadigan & I.C. Rhew. (2020). Increases in loneliness among young adults during the COVID-19 pandemic and association with increases in mental health problems. The Journal of Adolescent Health, 67(5), 714-717. DOI : 10.1016/j.jadohealth.2020.08.009
  23. K. S. Birditt, A. Turkelson, K. L. Fingerman, C. A. Polenick & A. Oya. (2021). Age differences in stress, life changes, and social ties during the COVID-19 pandemic: implications for psychological well-being. The Gerontologist, 61(2), 205-216. DOI : 10.1093/geront/gnaa204
  24. P. Klaiber, J. H. Wen, A. DeLongis & N. L. Sin. (2021). The ups and downs of daily life during COVID-19: age differences in affect, stress, and positive events. The Journals of Gerontology: Series B, 76(2), e30-e37. DOI : 10.1093/geronb/gbaa096
  25. P. Biroli, S. Bosworth, M. Della Giusta, A. Di Girolamo, S. Jaworska & J. Vollen. (2021). Family life in lockdown. Frontiers in Psychology, 12, 687570. DOI : 10.3389/fpsyg.2021.687570
  26. J. Cervera-Martinez et al. (2021). Lifestyle changes and mental health during the COVID-19 pandemic: A repeated, cross-sectional web survey. Journal of Affective Disorders, 295, 173-182. DOI : 10.1016/j.jad.2021.08.020
  27. J. Garre-Olmo et al. (2021). Changes in lifestyle resulting from confinement due to COVID-19 and depressive symptomatology: A cross-sectional population-based study. Comprehensive Psychiatry, 104, 152214. DOI : 10.1016/j.comppsych.2020.12214
  28. S. J. Jung & J. Y. Jun. (2020). Mental health and psychological intervention amid COVID-19 outbreak: perspectives from South Korea. Yonsei Medical Journal, 61(4), 271-272. DOI : 10.3349/ymj.2020.61.4.271