Changes of health outcomes, healthy behaviors, generalized trust, and accessibility to health promotion resources in Taiwan before and during COVID-19 pandemic: comparing 2011 and 2021 Taiwan Social Change Survey (TSCS) cohorts

Lin, Y.-C., Lin, C.-Y., Fan, C.-W., Liu, C.-H., Ahorsu, D.K., Chen, D.-R., Weng, H.-C. and Griffiths, M.D. ORCID: 0000-0001-8880-6524, 2022. Changes of health outcomes, healthy behaviors, generalized trust, and accessibility to health promotion resources in Taiwan before and during COVID-19 pandemic: comparing 2011 and 2021 Taiwan Social Change Survey (TSCS) cohorts. Psychology Research and Behavior Management, 15, pp. 3379-3389. ISSN 1179-1578

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Abstract

Purpose: The present study compared two nationally representative cohort datasets concerning Taiwan residents’ healthy behaviors, subjective health outcomes, generalized trust, and accessibility to health promotion resources.

Patients and Methods: The Taiwan Social Change Survey (TSCS) was conducted in two waves ten years apart: 2011 cohort (n = 1021; 48.4% males) and 2021 cohort (n = 1425; 47.4%) cohorts. Descriptive statistics were calculated to compare the two TSCS datasets. Then, multiple regression models were constructed with health outcome as the dependent variable, and demographics and other key components as independent variables.

Results: The 2011 TSCS cohort showed higher prevalence for cigarette smoking (30.8% vs 25.2%; p=0.002), alcohol drinking (52.5% vs 24.3%; p< 0.001), exercise habits (52.7% vs 48.0%; p=0.02), and better fruit and vegetable accessibility (Mean=3.91 vs 3.82; p=0.04). The 2021 TSCS cohort reported higher body mass index (Mean=24.20 vs 23.63; p< 0.001), less residency in urban areas (22.4% vs 31.1%; p< 0.001), better jogging accessibility (4.14 vs 4.05; p=0.006), higher generalized trust (2.26 vs 2.17; p=0.001), and greater internet usage (3.43 vs 2.89; p< 0.001). The regression model showed that exercise habits (standardized coefficient=0.20 and 0.10; p< 0.001) and generalized trust (standardized coefficient=0.11 and 0.11; p=0.004 and < 0.001) were consistently associated with health outcomes in both cohorts. Additionally, internet use (standardized coefficient=− 0.07; p=0.026) and alcohol drinking behaviors (standardized coefficient=− 0.07; p=0.0022) were negatively associated with health outcomes in the 2021 cohort.

Conclusion: The present study demonstrated the trends and changes over 10 years regarding multiple health-related components among Taiwan residents. The study’s findings provide insight into education promotion programs to reduce unhealthy behaviors as well as enhancing generalized trust building and developing healthy behaviors for Taiwan residents.

Item Type: Journal article
Publication Title: Psychology Research and Behavior Management
Creators: Lin, Y.-C., Lin, C.-Y., Fan, C.-W., Liu, C.-H., Ahorsu, D.K., Chen, D.-R., Weng, H.-C. and Griffiths, M.D.
Publisher: Dove Medical Press
Date: 21 November 2022
Volume: 15
ISSN: 1179-1578
Identifiers:
NumberType
10.2147/prbm.s386967DOI
1620903Other
Rights: © 2022 Lin et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
Divisions: Schools > School of Social Sciences
Record created by: Jonathan Gallacher
Date Added: 22 Nov 2022 14:06
Last Modified: 22 Nov 2022 14:06
URI: https://irep.ntu.ac.uk/id/eprint/47473

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