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. 2021 Jun 1;5(6):e23630. doi: 10.2196/23630

Table 2.

Countrywise representation of perceptions and behavioral changes among the survey respondents related to the COVID-19 outbreak.

Perception or behavior and response Overall (N=3371) India (n=1342) China (n=983) Japan (n=377) Italy (n=669) P valuea
First factorb

Health status, mean (SD) 8.26 (3.36) 9.43 (2.43) 7.09 ( 2.92) 6.81 (3.44) 8.43 (2.56) .01


High, n (%)
Medium, n (%)
846 (25.1) 556 (41.4) 71 (7.2) 69 (18.3) 150 (22.4)


1062 (31.5) 413 (30.8) 350 (35.6) 72 (19.1) 225 (33.6)


Low, n (%) 1463 (43.4) 413 (30.8) 562 (57.2) 236 (62.6) 294 (43.9)

Self-rated physical health, n (%) <.001


Excellent/very good 1357 (40.2) 629 (46.9) 467 (47.5) 88 (23.3) 173 (25.9)


Good 1283 (38.1) 573 (42.7) 200 (20.3) 135 (35.8) 375 (56.0)


Poor/average 731 (21.7) 140 (10.4) 316 (32.1) 154 (40.8) 121 (18.1)

Self-rated mental health, n (%) <.001


Excellent/very good 944 (28.0) 645 (48.1) 0 (0) 93 (24.7) 206 (30.8)


Good 1670
(49.5)
535 (39.9) 642 (65.3) 122 (32.4) 371 (55.4)


Poor/average 757 (22.5) 162 (12.1) 341 (34.7) 162 (43.0) 92 (13.8)

Self-rated sleep quality, n (%) <.001


Good 1787 (53.0) 917 (68.3) 429 (43.6) 113 (29.9) 328 (49.0)


Average 1305
(38.7)
354 (26.4) 477 (48.5) 234 (62.1) 240 (35.9)


Poor 279
(8.3)
71 (5.3) 77 (7.8) 30 (8.0) 101 (15.1)

Self-rated coping abilities, n (%) <.001


Good 1264 (37.5) 672 (50.1) 178 (18.1) 131 (34.8) 283 (42.3)


Average 1492 (44.3) 539 (40.1) 516 (52.5) 139 (36.8) 298 (44.5)


Poor 615 (18.2) 131 (9.8) 289 (29.4) 107 (28.5) 88 (13.2)
Second factor , n (%)

Fear/anxiety related to COVID-19c <.001


Not at all (positive) 1380 (40.9) 628 (46.8) 470 (47.8) 157 (41.6) 125 (18.7)


Partially (intermediate) 1829 (54.3) 662 (49.3) 485 (49.3) 213 (56.5) 469 (70.1)


Extremely (negative) 162 (4.8) 52 (3.9) 28 (2.8) 7 (1.9) 75 (11.2)

Self-perception of low energy <.001


Never 1449 (43.0) 667 (49.7) 282 (28.7) 239 (63.4) 261 (39.0)


Sometimes 1835 (54.5) 641 (47.8) 672 (68.4) 132 (35.0) 390 (58.3)


All the time 87 (2.6) 34 (2.5) 29 (3.0) 6 (1.6) 18 (2.7)

Challenging response to sudden changes in living norms (coping flexibility) <.001


Least/not at all/little 845 (25.1) 436 (32.5) 221 (22.5) 44 (11.7) 144 (21.5)


Little 1454 (43.1) 417 (31.1) 411 (41.8) 317 (84.1) 309 (46.2)


Extremely/somewhat 1072 (31.8) 489 (36.4) 351 (35.7) 16 (4.2) 216 (32.3)
Third factor, n (%)

Interpersonal relationshipsc <.001


Increased 1540 (45.7) 733 (54.6) 337 (34.3) 183 (48.5) 287 (42.9)


Not changed 1572 (46.6) 533 (39.7) 550 (56.0) 179 (47.5) 310 (46.3)


Reduced 259 (7.7) 76 (5.7) 96 (9.8) 15 (4.0) 72 (10.8)

Motivating influence of COVID-19 on lifestyle <.001


Completely 1175 (34.8) 605 (45.1) 217 (22.1) 132 (35.0) 221 (33.0)


Partially 1919 (57.0) 641 (47.8) 695 (70.7) 223 (59.2) 360 (53.8)


Not at all 277 (8.2) 96 (7.1) 71 (7.2) 22 (5.8) 88 (13.2)

Adoption of ≥2 healthy lifestyle choices 2643 (78.4) 1126 (83.9) 750 (76.3) 283 (75.1) 485 (72.5) <.001


Adoption of healthy eating behavior 1801 (53.4) 867 (64.6) 436 (44.4) 137 (36.3) 361 (54.0) <.001


Decreased dependency on and use of tobacco, alcohol, or any other substances 3173 (94.1) 1277 (95.2) 918 (93.4) 355 (94.1) 623 (93.1) <.001


Increased engagement in exercise or similar activities 2280 (67.6) 910 (67.8) 672 (68.4) 272 (72.1) 426 (63.7) <.001

aCross-country comparisons for categorical variables were conducted using chi-square analysis; all the P values were significant.

bAn exploratory factor analysis using principal axis factoring and varimax rotation suggested that there were 3 factors present in the data. The first factor consisted of health-related perceptions; composite scores for perceived health were generated as summative scores of the included items.

cFor the remaining 2 factors, scales could not be formed; rather, the single items that were thought to best summarize the respective factors were considered for further association analyses.