000170925 001__ 170925
000170925 005__ 20260430151735.0
000170925 0247_ $$2doi$$a10.1186/s12982-026-01815-3
000170925 0248_ $$2sideral$$a148990
000170925 037__ $$aART-2026-148990
000170925 041__ $$aeng
000170925 100__ $$0(orcid)0000-0002-0078-0663$$aSánchez-Recio, Raquel$$uUniversidad de Zaragoza
000170925 245__ $$aAn alternative approach to acute respiratory illness through a sex-based analysis, psychosocial attitudes, mood, and self-perceived health
000170925 260__ $$c2026
000170925 5060_ $$aAccess copy available to the general public$$fUnrestricted
000170925 5203_ $$aAim To examine the role of psychosocial attitudes in the relationship between mood and self-rated health by sex during COVID-19 pandemic.
Methodology A cross-sectional design was used with data from residents of Zaragoza (Spain) aged 16 years and older, collected during the initial lockdown (Phase I) and 20 months later (Phase II). Mediation analyses were conducted using three regression models to assess the role of psychosocial attitudes.
Results Psychosocial attitudes explained 30–55% of the variance in the relationship between mood and self-rated health in both sexes. Significant direct effects of mood on self-rated health were found in men and women (Phase I: βmen: 0.293, p < .001; βwomen: 0.226, p < .001; Phase II: βmen: 0.266, p < .001; β_women = 0.292, p < .001), as well as significant effects of psychosocial attitudes (Phase I: βmen: 0.054, p < .001; βwomen: 0.052, p < .001; Phase II: βmen=0.042, p < .001; βwomen: 0.049, p < .001). Indirect effects of mood through psychosocial attitudes were also significant (Phase I: βmen: 0.224; βwomen: 0.273; Phase II: βmen: 0.163, p < .001; βwomen: 0.193, p < .001). Women consistently reported worse moods and lower self-rated health than men across both phases.
Conclusion Promoting healthy behaviours is essential, particularly for women and other vulnerable groups, to reduce health disparities and support public health.
Keywords Psychosocial attitudes, Respiratory illness, Pandemic, Self-perceived health, Mood, Sex differences
000170925 536__ $$9info:eu-repo/grantAgreement/ES/AEI/PID2020-115904RB-I00
000170925 540__ $$9info:eu-repo/semantics/openAccess$$aby-nd$$uhttps://creativecommons.org/licenses/by-nd/4.0/deed.es
000170925 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000170925 700__ $$aParrilla-Huertas, Juan A.
000170925 700__ $$aSebastián-Ariño, Antonio
000170925 700__ $$aZuil, Marcos
000170925 700__ $$aLlorente, José María
000170925 700__ $$0(orcid)0000-0001-5208-7556$$aAsensio-Martínez, Ángela$$uUniversidad de Zaragoza
000170925 700__ $$0(orcid)0000-0002-9541-5609$$aZúñiga-Antón, María$$uUniversidad de Zaragoza
000170925 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000170925 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000170925 7102_ $$13006$$2435$$aUniversidad de Zaragoza$$bDpto. Geograf. Ordenac.Territ.$$cÁrea Geografía Humana
000170925 773__ $$g23, 1 (2026), 422 [19 pp.]$$tDiscover public health
000170925 8564_ $$s1743369$$uhttps://zaguan.unizar.es/record/170925/files/texto_completo.pdf$$yVersión publicada
000170925 8564_ $$s2001760$$uhttps://zaguan.unizar.es/record/170925/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000170925 909CO $$ooai:zaguan.unizar.es:170925$$particulos$$pdriver
000170925 951__ $$a2026-04-30-13:57:12
000170925 980__ $$aARTICLE