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We used the Wald test to determine whether predicted mean differences or multiplicative interaction terms were significantly different from zero. We thank Nicole Brunner for her work with intervention delivery and data collection as well as Dale McLerran and Yingye Zheng for advice on statistical analysis. That is, when energy-dense eating serves as reward during times of stress or negative emotions, assessment and moderation ie, awareness of caloric intake is absent. In Figure 1 , the distribution of cortisol levels divided into quintiles for the Greek and Swedish populations is illustrated. This study has several limitations, including its secondary cross-sectional design and the potential issue of multiple comparisons. From a socioecological perspective, behavioral interventions may have limited success because they inadequately consider environmental factors 4. We did not include other measures of stress-related eating behaviors eg, emotional eating because evaluating the relationship between stress and eating was not the primary objective of the PACE intervention.






Conceived and designed the experiments: The worldwide financial crisis during recent years has raised concerns of negative public health effects. This is notably evident in southern Europe. In Greece, where the financial austerity has been especially pronounced, the prevalence of mental health problems including depression and suicide has perceived stress by young adults, and outbreaks of perceived stress by young adults diseases have risen. The main objective in this study was to investigate whether different indicators of health and stress levels measured by a new biomarker based on cortisol in human hair were different amongst comparable Greek and Swedish young adults, considering that Sweden has been much less affected by the recent economic crises. The data collection comprised answering a questionnaire with different health indicators and hair samples being analyzed for the stress hormone cortisol, a biomarker with the ability to retrospectively measure long-term cortisol exposure. A variety of factors related to differences in the physical or socio-cultural environment between the two sites, might possibly explain this finding.

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