| Literature DB >> 35990318 |
Hristo Hristov1, Jeremy Millard2,3, Igor Pravst1,4,5, Meike Janssen6.
Abstract
This paper provides a European-level analysis using a large-scale survey of 13 countries to examine the power of relevant economic and socio-demographic characteristics to account for changes in food consumption and purchasing behavior during COVID-19. This was done by focusing on a two-level analysis of subject-related predictors highlighted in many existing country-level studies to test the generality of their significance. The Level 1 predictors relate to the individual households participating in the survey consisting of household composition, education, and location, as well as three types of perceived COVID-19 risks of infection, severity, and anxiety. Level 2 relates to the national level, and especially to the financial situation measured by the mean national Actual Individual Consumption (AIC) per capita in PPP, of the countries, in which the households reside. In terms of changes in food consumption, results show that household composition, education, and the household's perceived risk of both being infected by COVID-19 and being severely infected are significant predictors, although there are some differences between the two levels. Some possible explanations are as follows: putting food into one's body in the context of the pandemic is related to a household's financial situation, its composition, especially the presence or absence of children and older people, and its educational attainment, and through all these aforementioned to the perception of COVID-19 infection and its severity risks. Changes in food purchasing react significantly to the same predictors, but additionally, to all other predictors at both household and AIC levels. The household's location and perceived COVID-19 anxiety risks are thus also significant. Food purchasing depends much more on factors operating both at the individual household level and the AIC level together; for example, households' access to food is affected by both national and local lockdown restrictions that vary according to the location of the household.Entities:
Keywords: COVID-19; behavioral change; financial status; food consumption; food purchasing; household composition
Year: 2022 PMID: 35990318 PMCID: PMC9382126 DOI: 10.3389/fnut.2022.869091
Source DB: PubMed Journal: Front Nutr ISSN: 2296-861X
Description of the sample and population-weighted adjustments.
| Country sample | Sampling method | Sample data | Weighted data | AIC per head & PPPs | Allocation to AIC group | |
| Denmark | Quota | 1,281 (16.1) | 131 (1.6) | 34,601 | Very high | |
| Germany | Quota | 1,020 (12.8) | 1,870 (23.4) | 36,509 | ||
| Netherlands | Convenience | 122 (1.5) | 389 (4.9) | 34,103 | ||
| United Kingdom | Convenience | 314 (3.9) | 1,526 (19.1) | 33,866 | High | |
| Ireland | Convenience | 595 (7.4) | 111 (1.4) | 28,435 | ||
| France | Quota | 644 (8.0) | 1,489 (18.6) | 29,545 | ||
| Italy | Convenience | 538 (6.7) | 1,340 (16.7) | 25,935 | Low | |
| Israel | Quota | 641 (7.7) | 197 (2.5) | 25,935 | ||
| Czechia | Quota and convenience | 805 (10.2) | 241 (3.0) | 25,377 | ||
| Slovenia | Quota | 683 (8.5) | 47 (0.6) | 24,608 | Very low | |
| Hungary | Convenience | 720 (9.0) | 218 (2.7) | 20,075 | ||
| Greece | Convenience | 539 (6.7) | 252 (3.1) | 23,129 | ||
| Serbia | Convenience | 107 (1.3) | 197 (2.5) | 15,132 | ||
| Total | 8,009 (100) | 8,009 (100) | ||||
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| Very low | 2049 (25.6) | 715 (8.9) | 20,736 (4186) | |||
| Low | 1984 (24.8) | 1,778 (22.2) | 25,749 (322) | |||
| High | 1553 (19.5) | 3,126 (39.0) | 30,615 (2869) | |||
| Very high | 2423 (30.1) | 2,381 (29.9) | 35,071 (1270) | |||
Weighted according to each country’s 2020 population: https://data.oecd.org/pop/population.htm. AIC is Actual Individual Consumption per head at current prices ($) and purchasing power parity (PPP), 2019: https://www.oecd-ilibrary.org/economics/actual-individual-consumption-price-indices_26ff7815-en (26). Quartile segmentation based on country Actual Individual Consumption per capita and PPP ($), 2019.
COVID-19-related risk perceptions and impacts per the AIC group: weighted data analysis.
| Variable | Level | Very low AIC | Low AIC | High AIC | Very high AIC |
| COVID risk infection | Low | 191 (27.0) | 697 (39.2) | 1,370 (43.8) | 1,051 (43.9) |
| Medium | 288 (40.7) | 799 (44.9) | 1,245 (39.8) | 1,054 (44.1) | |
| High | 229 (32.3) | 283 (15.9) | 511 (16.3) | 286 (12.0) | |
| COVID risk severity | Low | 193 (27.2) | 589 (33.1) | 1,111 (35.5) | 984 (41.2) |
| Medium | 228 (32.1) | 578 (32.5) | 1,040 (33.3) | 909 (38.0) | |
| High | 289 (40.7) | 611 (34.4) | 976 (31.2) | 498 (20.8) | |
| COVID risk anxiety | Low | 229 (32.3) | 443 (24.9) | 1,206 (38.6) | 990 (41.4) |
| Medium | 252 (35.6) | 680 (38.2) | 1,148 (36.7) | 858 (35.9) | |
| High | 228 (32.1) | 656 (36.9) | 772 (24.7) | 544 (22.7) | |
| COVID infection | Yes | 55 (7.8) | 89 (5.0) | 193 (6.2) | 87 (3.6) |
| COVID isolation | Yes | 82 (11.5) | 118 (6.6) | 231 (7.4) | 89 (3.7) |
| COVID hospitalization | Yes | 12 (2.1) | 7 (0.4) | 17 (0.5) | 6 (0.3) |
Description of the AIC groups socio-economic and demographic: weighted data analysis.
| Variable | Category | Very low | Low | High | Very high |
| Total | 715 (100) | 1,778 (100) | 3,126 (100) | 2,381 (100) | |
| Household location | Urban | 267 (39.2) | 770 (46.9) | 1,247 (42.6) | 1,188 (53.6) |
| Intermediate | 252 (37.0) | 516 (31.5) | 1,296 (44.3) | 755 (34.1) | |
| Rural | 162 (23.8) | 355 (21.6) | 383 (13.1) | 272 (12.3) | |
| Mean age ( | Mean age | 31.8 (13.6) | 44.7 (13.3) | 50.0 (15.1) | 49.3 (15.7) |
| Age groups | 18–35 | 303 (68.4) | 454 (25.6) | 608 (19.5) | 530 (22.2) |
| 36–49 | 98 (22.1) | 648 (36.5) | 870 (27.9) | 576 (24.1) | |
| 50–65 | 35 (7.9) | 560 (31.6) | 1,099 (35.2) | 877 (36.8) | |
| 66 and older | 7 (1.6) | 112 (6.3) | 543 (17.4) | 403 (16.9) | |
| Gender | Female | 363 (65.4) | 1,091 (61.6) | 2,105 (67.9) | 1,347 (56.6) |
| Male | 192 (34.6) | 680 (38.4) | 993 (32.1) | 1,031 (43.4) | |
| Education | Lower secondary or equivalent | 25 (3.5) | 2 (0.1) | 128 (4.1) | 227 (9.5) |
| Upper secondary of equivalent | 298 (42.0) | 503 (32.8) | 714 (22.9) | 1,244 (52.0) | |
| University degree or equivalent | 386 (54.5) | 1,029 (67.1) | 2,277 (73.0) | 921 (38.5) | |
| Income change | Income-loss | 137 (84.6) | 576 (38.9) | 27 (3.3) | 1,466 (75.5) |
| No-income-loss | 25 (15.4) | 904 (61.1) | 787 (96.7) | 476 (24.5) | |
| Household composition | Household with children 0–19 | 86 (15.9) | 649 (38.0) | 947 (30.8) | 564 (23.9) |
| Single-person household | 84 (15.5) | 329 (19.2) | 745 (24.2) | 717 (30.4) | |
| Households 2 + adults, no children | 372 (68.6) | 732 (42.8) | 1,384 (45.0) | 1,078 (45.7) |
†This regional typology is taken directly from the Eurostat categorizations across the whole of Europe where further details are given: https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Archive:Regional_typologies_overview#Urban-rural_typology_including_remoteness. The last date this document was edited by Eurostat was 3-11-20 and is now marked as archived, but NUTS-3 categorizations remain available on https://circabc.europa.eu/d/d/workspace/SpacesStore/ea154527-d900-431f-b5a8-97fbea6e4b08/regtyp.xls) and can be used to access all Eurostat’s regional data: https://ec.europa.eu/eurostat/web/regions/data/database. (All accessed November 20, 2021).
FIGURE 1Conceptual framework of both direct and indirect predictors of households’ food change during COVID-19.
Description of the AIC groups based on national cultural dimensions: weighted data analysis.
| Variable | Very low AIC | Low AIC | High AIC | Very high AIC |
| Power distance | 74.7 (113.5) | 47.0 (66.3) | 45.2 (80.7) | 36.9 (66.0) |
| Individualism | 32.3 (36.0) | 72.1 (134.1) | 82.9 (276.2) | 75.2 (70.4) |
| Masculinity | 49.4 (67.7) | 66.5 (88.1) | 58.8 (217.9) | 32.6 (59.1) |
| Uncertainty avoidance | 89.9 (113.1) | 75.5 (140.9) | 51.0 (142.3) | 56.7 (58.0) |
| Long-term orientation | 50.1 (44.5) | 59.6 (149.5) | 54.1 (138.6) | 72.1 (75.6) |
| Indulgence | 31.4 (50.0) | 26.9 (73.5) | 62.3 (263.9) | 58.0 (52.7) |
The mean scores are of the scores for each country in a given AIC group. Full explanations for each of the six national cultural dimensions, and how these are derived, are provided in Hofstede Insights (24).
Description of the AIC groups based on local and national COVID-19 restrictions’ impact on households and lockdown working ability: weighted data analysis.
| Variable | Level | Very low AIC | Low AIC | High AIC | Very high AIC |
| Total | 715 (100) | 1,778 (100) | 3,126 (100) | 2,381 (100) | |
| 1) Travel and movement restrictions | No impact | 57 (24.9) | 238 (16.2) | 507 (17.8) | 1,086 (48.0) |
| Small impact | 65 (28.4) | 517 (35.2) | 1,286 (45.0) | 1,197 (31.1) | |
| Large impact | 107 (46.7) | 715 (48.6) | 1,062 (37.2) | 837 (20.9) | |
| 2) Closure or restrictions on public transport | No impact | 103 (46.0) | 562 (50.3) | 1,250 (54.2) | 1,282 (61.2) |
| Small impact | 41 (18.9) | 351 (31.5) | 637 (27.6) | 630 (29.8) | |
| Large impact | 78 (35.1) | 203 (18.2) | 419 (18.2) | 208 (9.0) | |
| 3) Closure of restaurants, cafés, and canteens | No impact | 57 (32.6) | 207 (14.3) | 456 (16.4) | 576 (24.5) |
| Small impact | 83 (47.4) | 746 (51.3) | 1,377 (49.5) | 1,613 (49.9) | |
| Large impact | 35 (20.0) | 499 (34.4) | 949 (34.1) | 955 (25.6) | |
| 4) Closure of you (physical) workplace | No impact | 49 (35.5) | 128 (14.3) | 324 (17.3) | 1,555 (33.7) |
| Small impact | 20 (14.5) | 225 (25.1) | 450 (24.0) | 391 (30.4) | |
| Large impact | 69 (50.0) | 544 (60.6) | 1,101 (58.7) | 722 (35.9) | |
| 5) Closure of education and care institutions | No impact | 117 (53.7) | 567 (40.1) | 1,144 (49.1) | 1,555 (64.2) |
| Small impact | 26 (11.9) | 231 (16.3) | 418 (18.0) | 391 (12.4) | |
| Large impact | 75 (34.4) | 616 (43.6) | 765 (32.9) | 722 (23.4) | |
| 6) Closure of other public places | No impact | 87 (41.8) | 393 (27.9) | 853 (33.0) | 1,063 (42.4) |
| Small impact | 55 (26.5) | 534 (37.9) | 1,047 (40.4) | 1,169 (38.6) | |
| Large impact | 66 (31.7) | 481 (34.2) | 688 (26.6) | 612 (19.0) | |
| 7) Restrictions on people in one place | No impact | 63 (29.2) | 286 (19.7) | 581 (21.8) | 810 (31.7) |
| Small impact | 77 (35.6) | 528 (36.3) | 1,224 (45.7) | 1,299 (40.0) | |
| Large impact | 76 (35.2) | 641 (44.0) | 869 (32.6) | 920 (28.3) | |
| 8) Lockdown working ability | Mean score ( | 0.14 (0.12) | 0.40 (1.1) | 0.52 (2.0) | 0.57 (0.60) |
Lockdown working ability is measured from 0.0 as the minimum to 1.0 as the maximum (See text for explanation).
Repeated measures mixed-model analysis with individual household and AIC levels of regional, household composition, educational, and COVID-19 risk perception effects on change in consumption and purchasing of food due to effects of the COVID-19 pandemic.
| Model | Individual (Level 1) | AIC (Level 2) | df |
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| Intercept | 1;65539 | 0.70 | 0.404 | ||
| Household composition | 2;65539 | 1.40 | 0.246 | ||
| Household composition | 6;65539 | 3.30 | 0.003 | ||
| Education | 2;65539 | 4.54 | 0.011 | ||
| Education | 6;65539 | 1.97 | 0.066 | ||
| Household location | 2;65539 | 0.18 | 0.835 | ||
| Household location | 6;65539 | 1.24 | 0.283 | ||
| Risk for infection | 2;65539 | 8.0 | <0.001 | ||
| Risk for infection | 6;65539 | 5.98 | <0.001 | ||
| Risk for severity | 2;65539 | 11.2 | <0.001 | ||
| Risk for severity | 6;65539 | 0.48 | 0.835 | ||
| Risk for anxiety | 2;65539 | 0.40 | 0.671 | ||
| Risk for anxiety | 6;65539 | 0.74 | 0.621 | ||
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| Intercept | 1;24031 | 108.5 | <0.001 | ||
| Household composition | 2;24031 | 3.59 | 0.028 | ||
| Household composition | 6;24031 | 20.9 | <0.001 | ||
| Education | 2;24031 | 10.54 | 0.01 | ||
| Education | 6;24031 | 5.13 | <0.001 | ||
| Household location | 2;24031 | 7.22 | 0.001 | ||
| Household location | 6;6010 | 2.19 | 0.041 | ||
| Risk for infection | 2;24031 | 5.65 | 0.004 | ||
| Risk for infection | 6;24031 | 7.28 | <0.001 | ||
| Risk for severity | 2;24031 | 3.32 | 0.036 | ||
| Risk for severity | 6;24031 | 3.2 | 0.004 | ||
| Risk for anxiety | 2;24031 | 66.6 | <0.001 | ||
| Risk for anxiety | 6;24031 | 7.0 | <0.001 | ||
*Cells values in the column (df) represent the degrees of freedom for numerator and denominator.
Model marginal means of different individual household level effects on change in consumption and purchasing food during the COVID-19 pandemic.
| Predictor variables | Category | Mean consumption change | Mean purchasing change |
| (During-before COVID-19) | (During-before COVID-19) | ||
| Education | Lower secondary or equivalent | 0.058 (–0.036; 0.153)ab | –0.100 (–0.249; –0.049)a |
| Upper secondary of equivalent | –0.019 (–0.032; –0.006)a | –0.336 (–0.357; –0.316)b | |
| University degree or equivalent | –0.002 (–0.009; 0.013)b | –0.374 (–0.391; –0.357)c | |
| Household composition | Household with children 0–19 | 0.007 (–0.026; –0.041) | –0.293 (–0.346; –0.240)a |
| Single-person household | 0.013 (–0.023; –0.048) | –0.248 (–0.304; –0.192)b | |
| Households with 2 + adults without children | 0.021 (–0.012; 0.054) | –0.269 (–0.321; –0.217)ab | |
| Household location | Urban | 0.012 (–0.021; –0.045) | –0.243 (–0.295; –0.191)a |
| Intermediate | 0.013 (–0.021; 0.047) | –0.271 (–0.325; –0.218)b | |
| Rural | 0.017 (–0.017; 0.051) | –0.296 (–0.350; –0.241)b | |
| Risk infection | Low | –0.010 (–0.044; 0.024)a | –0.301 (–0.355; –0.248)a |
| Medium | 0.019 (–0.015; 0.053)b | –0.261 (–0.315; –0.208)b | |
| High | 0.032 (–0.003; 0.068)b | –0.247 (–0.315; –0.208)b | |
| Risk severity | Low | 0.041 (0.0’6; 0.075)a | –0.249 (–0.303; –0.195)a |
| Medium | 0.011 (–0.045; 0.024)b | –0.268 (–0.322; –0.215)ab | |
| High | –0.011 (–0.045; 0.024)c | –0.293 (–0.347; –0.238)b | |
| Risk anxiety | Low | 0.019 (–0.016; 0.053) | –0.168 (–0.222; –0.114)a |
| Medium | 0.010 (–0.024; –0.044) | –0.275 (–0.328; –0.222)b | |
| High | 0.013 (–0.022; 0.047) | –0.367 (–0.421; –0.313)c |
Based on individual fixed level estimated marginal means. Higher absolute values mean bigger change. Positive signs mean increased consumption/purchasing as affected by COVID-1919, while negative signs denote decreases. Data weighted by countries. The mean differences are significant at the 0.05 level. Different superscript letters indicate differences between groups. Adjustment for multiple comparisons was conducted using the LSD method.
Model post-estimates means (SD) for different AIC and individual household level effects describing the change in consumption of food during the COVID-19 pandemic.
| Variables | Very low AIC | Low AIC | High AIC | Very high AIC |
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| Lower secondary or equivalent | –0.13 (0.05) | 0.41 (0.00) | –0.06 (0.03) | –0.02 (0.02) |
| Upper secondary of equivalent | –0.06 (0.05) | –0.01 (0.03) | –0.01 (0.03) | 0.00 (0.02) |
| University degree or equivalent | –0.03 (0.05) | 0.01 (0.03) | 0.02 (0.04) | 0.02 (0.03) |
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| Households with children 0–19 | –0.10 (0.04) | 0.00 (0.04) | 0.01 (0.04) | 0.04 (0.02) |
| Single-person households | –0.02 (0.04) | –0.01 (0.03) | –0.01 (0.04) | 0.00 (0.02) |
| Households with two or more adults without children | –0.03 (0.05) | 0.00 (0.03) | 0.02 (0.04) | –0.01 (0.02) |
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| Urban | –0.03 (0.05) | –0.01 (0.04) | 0.02 (0.04) | 0.01 (0.03) |
| Intermediate | –0.05 (0.06) | 0.02 (0.03) | –0.01 (0.04) | 0.01 (0.03) |
| Rural | –0.06 (0.06) | 0.01 (0.03) | 0.02 (0.04) | –0.01 (0.03) |
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| Low | –0.07 (0.05) | –0.01 (0.03) | 0.00 (0.04) | 0.01 (0.02) |
| Medium | –0.07 (0.04) | 0.02 (0.02) | 0.01 (0.04) | 0.01 (0.02) |
| High | 0.02 (0.04) | –0.03 (0.06) | 0.04 (0.04) | –0.03 (0.03) |
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| Low | –0.04 (0.05) | 0.01 (0.03) | 0.03 (0.04) | 0.02 (0.02) |
| Medium | –0.06 (0.05) | 0.01 (0.04) | 0.00 (0.03) | 0.01 (0.02) |
| High | –0.04 (0.06) | –0.02 (0.03) | 0.00 (0.04) | –0.03 (0.02) |
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| Low | –0.05 (0.05) | 0.00 (0.04) | 0.03 (0.04) | 0.02 (0.02) |
| Medium | –0.05 (0.06) | 0.00 (0.03) | 0.00 (0.04) | 0.00 (0.02) |
| High | –0.04 (0.06) | 0.00 (0.04) | 0.01 (0.04) | –0.01 (0.03) |
Model post-estimates means (SD) for different AIC and individual household level effects describing the change in purchasing of food during the COVID-19 pandemic.
| Variables | Very low AIC | Low AIC | High AIC | Very high AIC |
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| Lower secondary or equivalent | –0.34 (0.10) | 0.63 (0.18) | –0.39 (0.11) | –0.22 (0.11) |
| Upper secondary of equivalent | –0.51 (0.15) | –0.19 (0.14) | –0.38 (0.11) | –0.24 (0.11) |
| University degree or equivalent | –0.41 (0.13) | –0.29 (0.14) | –0.40 (0.11) | –0.28 (0.10) |
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| Households with children 0–19 | –0.69 (0.08) | –0.17 (0.14) | –0.42 (0.10) | –0.23 (0.10) |
| Single-person households | –0.34 (0.08) | –0.35 (0.13) | –0.36 (0.10) | –0.21 (0.10) |
| Households with two or more adults without children | –0.40 (0.09) | –0.30 (0.13) | –0.40 (0.11) | –0.28 (0.11) |
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| Urban | –0.39 (0.12) | –0.24 (0.16) | –0.35 (0.09) | –0.25 (0.11) |
| Intermediate | –0.47 (0.15) | –0.23 (0.15) | –0.40 (0.11) | –0.27 (0.10) |
| Rural | –0.53 (0.15) | –0.29 (0.15) | –0.43 (0.10) | –0.23 (0.11) |
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| Low | –0.51 (0.15) | –0.22 (0.15) | –0.39 (0.10) | –0.20 (0.08) |
| Medium | –0.47 (0.14) | –0.23 (0.13) | –0.41 (0.11) | –0.28 (0.09) |
| High | –0.36 (0.10) | –0.36 (0.17) | –0.39 (0.11) | –0.38 (0.11) |
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| Low | –0.46 (0.15) | –0.18 (0.16) | –0.35 (0.08) | –0.19 (0.07) |
| Medium | –0.46 (0.15) | –0.28 (0.15) | –0.38 (0.10) | –0.26 (0.08) |
| High | –0.45 (0.15) | –0.28 (0.13) | –0.46 (0.11) | –0.38 (0.10) |
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| Low | –0.44 (0.15) | –0.08 (0.11) | –0.31 (0.05) | –0.18 (0.05) |
| Medium | –0.49 (0.15) | –0.27 (0.11) | –0.39 (0.06) | –0.26 (0.05) |
| High | –0.43 (0.15) | –0.35 (0.11) | –0.54 (0.07) | –0.42 (0.06) |
FIGURE 2Estimated marginal means using the MANOVA procedure for different food types consumption change (During—Before COVID-19) per AIC groups. Data weighted by countries (see also Supplementary Tables 2, 4).
FIGURE 3Estimated marginal means using the MANOVA procedure for different food types consumption change (During—Before COVID-19) per household composition categories. Data weighted by countries (see also Supplementary Table 3).
FIGURE 4Estimated marginal means using MANOVA procedure for different food types purchasing change (During—Before COVID-19) per AIC groups. Data weighted by countries (see also Supplementary Table 5).
FIGURE 5Estimated marginal means using MANOVA procedure for different food types purchasing change (During—Before COVID-19) per household composition categories. Data weighted by countries (see also Supplementary Table 3).