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The UK Coronavirus Job Retention Scheme and changes in diet, physical activity and sleep during the COVID-19 pandemic: Evidence from eight longitudinal studies

By Bozena Wielgoszewska, Jane Maddock, Michael J. Green, Giorgio Di Gessa, Sam Parsons, Gareth J Griffith, Jazz Croft, Anna J Stevenson, Charlotte Booth, Richard Silverwood, David Bann, Praveetha Patalay, Alun D Hughes, Nishi Chaturvedi, Laura D Howe, Emla Fitzsimons, Srinivasa Vittal Katikireddi, George B. Ploubidis

Posted 08 Jun 2021
medRxiv DOI: 10.1101/2021.06.08.21258531

Background: In March 2020 the UK implemented the Coronavirus Job Retention Scheme (furlough) to minimize job losses. Our aim was to investigate associations between furlough and diet, physical activity, and sleep during the early stages of the pandemic. Methods: We analysed data from 25,092 participants aged 16 to 66 years from eight UK longitudinal studies. Changes in employment (including being furloughed) were defined by comparing employment status pre- and during the first lockdown. Health behaviours included fruit and vegetable consumption, physical activity, and sleeping patterns. Study-specific estimates obtained using modified Poisson regression, adjusting for socio-demographic characteristics and pre-pandemic health and health behaviours, were statistically pooled. Associations were also stratified by sex, age, and education. Findings: Across studies, between 8 and 25% of participants were furloughed. Compared to those who remained working, furloughed workers were slightly less likely to be physically inactive (RRR:0.85, [0.75-0.97], I2=58.7%) and did not differ in diet and sleep behaviours. In stratified analyses, furlough was associated with low fruit and vegetable consumption among males (RRR=1.11; 95%CI: 1.01-1.22; I2: 0%) but not females (RRR=0.84; 95%CI: 0.68-1.04; I2: 65%). Considering change in behaviour, furloughed workers were more likely than those who remained working to report increased fruit and vegetable consumption, exercise, and hours of sleep. Interpretation: Those furloughed exhibited broadly similar levels of health behaviours with those who remained in employment during the initial stages of the pandemic. Social protection policies in the post-pandemic recovery period and during future economic crises may help protect population health. Funding: Medical Research Council.

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