Abstract
Aim: The aim of this study was to analyze the association of gender with psychological status and clinical outcomes among patients with 2019-nCoV infection to provide new directions for the prevention and control of the pandemic.Methods: One hundred and thirty-eight patients with confirmed 2019-nCoV infection at Wuhan Union Hospital, between February 8 and March 31, 2020, were included in the study analysis. General information and data on clinical characteristics were collected from patients' medical records. Participants' responses to self-report measures of psychological status were also collected.Results: Anxiety levels, depression levels, and recovery rates were significantly higher among women compared to men. Conversely, chronic disease history and smoking rates, dry cough incidence, C-reactive protein levels, and disease severity were significantly higher among men than women (p < 0.05).Conclusion: Female patients experienced more severe psychological issues, due to higher levels of anxiety and stress, than male patients; indicating that more attention should be paid to the psychological care of female patients. In contrast, the general condition of male patients was more severe, particularly among elderly male patients with a history of chronic disease and smoking, suggesting that, to prevent and control 2019-nCoV infection, male patients should be encouraged to quit smoking as soon as possible to reduce the risk of severe pneumonia.
Highlights
On December 8, 2019, several cases of unexplained pneumonia were reported among patients with a history of contact with the Huanan seafood market, in the city of Wuhan, China
A total of 160 patients with confirmed 2019-nCoV infection were recruited, and 22 cases were excluded from the analysis due to missing data
The results demonstrate that the smoking rates of male patients was significantly higher than female patients, which is consistent with smoking demographics in China
Summary
On December 8, 2019, several cases of unexplained pneumonia were reported among patients with a history of contact with the Huanan seafood market, in the city of Wuhan, China. These patients further presented symptoms of severe acute respiratory infection, quickly developing into acute respiratory distress syndrome (ARDS) and acute respiratory failure, which were later confirmed to be caused by a novel corona-virus [1]. In the current public health emergency, it is imperative to understand the epidemiological and clinical features of the 2019-nCoV infection. Catastrophic events and their devastating consequences are unforeseeable and unavoidable. Attention to patients’ psychological status is an important part of effective treatment
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