TY - JOUR AB - BACKGROUND: The health area being greatest impacted by coronavirus disease 2019 (COVID-19) and residents' perspective to better prepare for future pandemic remain unknown. We aimed to assess and make cross-country and cross-region comparisons of the global impacts of COVID-19 and preparation preferences of pandemic. METHODS: We recruited adults in 30 countries covering all World Health Organization (WHO) regions from July 2020 to August 2021. 5 Likert-point scales were used to measure their perceived change in 32 aspects due to COVID-19 (-2?=?substantially reduced to 2?=?substantially increased) and perceived importance of 13 preparations (1?=?not important to 5?=?extremely important). Samples were stratified by age and gender in the corresponding countries. Multidimensional preference analysis displays disparities between 30 countries, WHO regions, economic development levels, and COVID-19 severity levels. RESULTS: 16?512 adults participated, with 10?351 females. Among 32 aspects of impact, the most affected were having a meal at home (mean (m)?=?0.84, standard error (SE)?=?0.01), cooking at home (m?=?0.78, SE?=?0.01), social activities (m?=?-0.68, SE?=?0.01), duration of screen time (m?=?0.67, SE?=?0.01), and duration of sitting (m?=?0.59, SE?=?0.01). Alcohol (m?=?-0.36, SE?=?0.01) and tobacco (m?=?-0.38, SE?=?0.01) consumption declined moderately. Among 13 preparations, respondents rated medicine delivery (m?=?3.50, SE?=?0.01), getting prescribed medicine in a hospital visit?/?follow-up in a community pharmacy (m?=?3.37, SE?=?0.01), and online shopping (m?=?3.33, SE?=?0.02) as the most important. The multidimensional preference analysis showed the European Region, Region of the Americas, Western Pacific Region and countries with a high-income level or medium to high COVID-19 severity were more adversely impacted on sitting and screen time duration and social activities, whereas other regions and countries experienced more cooking and eating at home. Countries with a high-income level or medium to high COVID-19 severity reported higher perceived mental burden and emotional distress. Except for low- and lower-middle-income countries, medicine delivery was always prioritised. CONCLUSIONS: Global increasing sitting and screen time and limiting social activities deserve as much attention as mental health. Besides, the pandemic has ushered in a notable enhancement in lifestyle of home cooking and eating, while simultaneously reducing the consumption of tobacco and alcohol. A health care system and technological infrastructure that facilitate medicine delivery, medicine prescription, and online shopping are priorities for coping with future pandemics. AU - Li, J AU - Fong, DYT AU - Lok, KYW AU - Wong, JYH AU - Man Ho, M AU - Choi, EPH AU - Pandian, V AU - Davidson, PM AU - Duan, W AU - Tarrant, M AU - Lee, JJ AU - Lin, C-C AU - Akingbade, O AU - Alabdulwahhab, KM AU - Ahmad, MS AU - Alboraie, M AU - Alzahrani, MA AU - Bilimale, AS AU - Boonpatcharanon, S AU - Byiringiro, S AU - Hasan, MKC AU - Schettini, LC AU - Corzo, W AU - De Leon, JM AU - De Leon, AS AU - Deek, H AU - Efficace, F AU - El Nayal, MA AU - El-Raey, F AU - Ensaldo-Carrasco, E AU - Escotorin, P AU - Fadodun, OA AU - Fawole, IO AU - Goh, Y-SS AU - Irawan, D AU - Khan, NE AU - Koirala, B AU - Krishna, A AU - Kwok, C AU - Le, TT AU - Leal, DG AU - Lezana-Fernández, MÁ AU - Manirambona, E AU - Mantoani, LC AU - Meneses-González, F AU - Mohamed, IE AU - Mukeshimana, M AU - Nguyen, CTM AU - Nguyen, HTT AU - Nguyen, KT AU - Nguyen, ST AU - Nurumal, MS AU - Nzabonimana, A AU - Omer, NAMA AU - Ogungbe, O AU - Poon, ACY AU - Reséndiz-Rodriguez, A AU - Puang-Ngern, B AU - Sagun, CG AU - Shaik, RA AU - Shankar, NG AU - Sommer, K AU - Toro, E AU - Tran, HTH AU - Urgel, EL AU - Uwiringiyimana, E AU - Vanichbuncha, T AU - Youssef, N DA - 2023/08/11 DO - 10.7189/jogh.13.06031 JO - J Glob Health PB - INT SOC GLOBAL HEALTH PY - 2023/08/11 SP - 06031 TI - Global impacts of COVID-19 on lifestyles and health and preparation preferences: An international survey of 30 countries. VL - 13 Y1 - 2023/08/11 Y2 - 2026/06/18 ER -