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    Item type:Publication,
    Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model
    (2021)
    Elkin Luis
    ;
    Elena Bermejo-Martins
    ;
    Martín Martinez
    ;
    Ainize Sarrionandia
    ;
    Cristian Cortes
    <jats:sec><jats:title>Objectives</jats:title><jats:p>To examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Cross-sectional, online survey.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>A stratified sample of confined general population (N=1082) from four Ibero-American countries—Chile (n=261), Colombia (n=268), Ecuador (n=282) and Spain (n=271)—balanced by age and gender.</jats:p></jats:sec><jats:sec><jats:title>Primary outcomes measures</jats:title><jats:p>Sociodemographic information (age, gender, country, education and income level), information related to COVID-19 lockdown (number of days in quarantine, number of people with whom the individuals live, absence/presence of adults and minors in charge and attitude towards the search of information related to COVID-19), Perceived Stress Scale-10, Ryff’s Psychological Well-Being Scale-29 and Self-Care Activities Screening Scale-14.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Self-care partially mediates the relationship between stress and well-being during COVID-19 confinement in the general population in the total sample (<jats:italic>F</jats:italic> (3,1078)=370.01, p&lt;0.001, R<jats:sup>2</jats:sup>=0.507) and in each country. On the other hand, among the evaluated sociodemographic variables, only age affects this relationship.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The results have broad implications for public health, highlighting the importance of promoting people’s active role in their own care and health behaviour to improve psychological well-being if stress management and social determinants of health are jointly addressed first. The present study provides the first transnational evidence from the earlier stages of the COVID-19 lockdown, showing that the higher perception of stress, the less self-care activities are adopted, and in turn the lower the beneficial effects on well-being.</jats:p></jats:sec>
      1Scopus© Citations 33