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    Perceived risk, behavior changes and Health-related outcomes during COVID-19 pandemic: Findings among adults with and without diabetes in China

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    Date
    2020-09-01
    Author
    Yan, Alice F.
    Sun, Xiaomin
    Zheng, Jinge
    Mi, Baibing
    Zuo, Hui
    Ruan, Guorui
    Hussain, Akhtar
    Wang, Youfa
    Shi, Zumin
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    Abstract
    Aims: To examine perceived infection risk of COVID-19 and the health and related behavior changes among people with diabetes, compared with people without diabetes, and to examine factors associated with self-reported health during the national quarantine period in China. Methods: The 2020 China COVID-19 Survey is an anonymous 74-item survey administered via social media across China. A national sample of 10,545 adults in all 31 provinces in mainland China provided data on sociodemographic characteristics, awareness, attitudes towards COVID-19, lifestyle factors, and health outcomes during the quarantine. Regression models tested associations among study variables adjusting for covariates. Results: Among the 9,016 total participants (42.6% men and 57.4% women), 585 reported having diagnosed diabetes and 8,431 had no diabetes. Participants with diabetes perceived themselves to be at higher risk and were more worried about being infected with COVID-19 when compared to non-diabetic individuals (p < 0.001). During the COVID-19 pandemic, participants with diabetes were more likely to experience food and drug shortages and to increase their physical activity, compared to their counterparts. Among diabetic respondents, a high proportion of current smokers (74.1%) and drinkers (68.5%) reported increased amounts of smoking and drinking. People with diabetes were 11% less likely to report excellent or very good health. Having 150 min/week physical activity was positively associated with excellent or very good health (prevalence ratio, PR = 1.14, 95%CI 1.11–1.16). Conclusions: A high proportion of people with diabetes perceived risk of COVID-19 infection and increased their smoking and drinking during the pandemic.
    URI
    https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85088840306&origin=inward
    DOI/handle
    http://dx.doi.org/10.1016/j.diabres.2020.108350
    http://hdl.handle.net/10576/15466
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    • COVID-19 Research [‎849‎ items ]
    • Human Nutrition [‎445‎ items ]

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