Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-23039
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Health and social behaviour through pandemic phases in Switzerland : regional time-trends of the COVID-19 Social Monitor panel study
Authors: Moser, André
von Wyl, Viktor
Höglinger, Marc
et. al: No
DOI: 10.1371/journal.pone.0256253
10.21256/zhaw-23039
Published in: PLOS ONE
Volume(Issue): 16
Issue: 8
Page(s): e0256253
Issue Date: 2021
Publisher / Ed. Institution: Public Library of Science
ISSN: 1932-6203
Language: English
Subject (DDC): 304: Factors affecting social behavior
613: Personal health
Abstract: Background Switzerland has a liberal implementation of Coronavirus mitigation measures compared to other European countries. Since March 2020, measures have been evolving and include a mixture of central and federalistic mitigation strategies across three culturally diverse language regions. The present study investigates a hypothesised heterogeneity in health, social behavior and adherence to mitigation measures across the language regions by studying pre-specified interaction effects. Our findings aim to support the communication of regionally targeted mitigation strategies and to provide evidence to address longterm population-health consequences of the pandemic by accounting for different pandemic contexts and cultural aspects. Methods We use data from from the COVID-19 Social Monitor, a longitudinal population-based online survey. We define five mitigation periods between March 2020 and May 2021. We use unadjusted and adjusted logistic regression models to investigate a hypothesized interaction effect between mitigation periods and language regions on selected study outcomes covering the domains of general health and quality of life, mental health, loneliness/isolation, physical activity, health care use and adherence to mitigation measures. Results We analyze 2,163 (64%) participants from the German/Romansh-speaking part of Switzerland, 713 (21%) from the French-speaking part and 505 (15%) from the Italian-speaking part. We found evidence for an interaction effect between mitigation periods and language regions for adherence to mitigation measures, but not for other study outcomes (social behavior, health). The presence of poor quality of life, lack of energy, no physical activity, health care use, and the adherence to mitigation measures changed similarly over mitigation periods in all language regions. Discussion As the pandemic unfolded in Switzerland, also health and social behavior changed between March 2020 to May 2021. Changes in adherence to mitigation measures differ between language regions and reflect the COVID-19 incidence patterns in the investigated mitigation periods, with higher adherence in regions with previously higher incidence. Targeted communcation of mitigation measures and policy making should include cultural, geographical and socioeconomic aspects to address yet unknown long-term population health consequences caused by the pandemic.
URI: https://digitalcollection.zhaw.ch/handle/11475/23039
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Published as part of the ZHAW project: COVID-19 Social Monitor
Appears in collections:Publikationen School of Management and Law

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Moser, A., von Wyl, V., & Höglinger, M. (2021). Health and social behaviour through pandemic phases in Switzerland : regional time-trends of the COVID-19 Social Monitor panel study. Plos One, 16(8), e0256253. https://doi.org/10.1371/journal.pone.0256253
Moser, A., von Wyl, V. and Höglinger, M. (2021) ‘Health and social behaviour through pandemic phases in Switzerland : regional time-trends of the COVID-19 Social Monitor panel study’, PLOS ONE, 16(8), p. e0256253. Available at: https://doi.org/10.1371/journal.pone.0256253.
A. Moser, V. von Wyl, and M. Höglinger, “Health and social behaviour through pandemic phases in Switzerland : regional time-trends of the COVID-19 Social Monitor panel study,” PLOS ONE, vol. 16, no. 8, p. e0256253, 2021, doi: 10.1371/journal.pone.0256253.
MOSER, André, Viktor VON WYL und Marc HÖGLINGER, 2021. Health and social behaviour through pandemic phases in Switzerland : regional time-trends of the COVID-19 Social Monitor panel study. PLOS ONE. 2021. Bd. 16, Nr. 8, S. e0256253. DOI 10.1371/journal.pone.0256253
Moser, André, Viktor von Wyl, and Marc Höglinger. 2021. “Health and Social Behaviour through Pandemic Phases in Switzerland : Regional Time-Trends of the COVID-19 Social Monitor Panel Study.” Plos One 16 (8): e0256253. https://doi.org/10.1371/journal.pone.0256253.
Moser, André, et al. “Health and Social Behaviour through Pandemic Phases in Switzerland : Regional Time-Trends of the COVID-19 Social Monitor Panel Study.” Plos One, vol. 16, no. 8, 2021, p. e0256253, https://doi.org/10.1371/journal.pone.0256253.


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