Gender Gap In Mental Health Research Articles

Assessing the mental health needs of Yazidi adolescents and young adults in an Iraqi Kurdi IDP Camp: a focus group study

BackgroundInternally displaced people (IDP) in Iraq are 1.2 million (as March 2023). Protracted refugee status endangers the mental health, especially of minorities who survived persecution and conflict, such as the Yazidis. This study aims to identify the mental health needs of Yazidi adolescents and young adults (AYA) in the IDP camp of Bajed Kandala (Iraqi Kurdistan).MethodsA focus group discussion (FGD) study was conducted between April and August 2022. The FGDs involved AYAs, as well as the staff of the clinic of the Bajed Kandala camp. An inductive approach was adopted referring to the ’theme’ as the unit of content analysis of the text. All FGDs were recorded and transcribed. The analysis was carried out independently by two researchers. The inter-rater agreement was assessed through the Cohen’s k.ResultsA total of 6 FGDs were conducted. The participants were 34 of whom 21 (61.8%) females with a median age of 18.5 years (IQR 17.0–21.0). A total of 156 themes were found as relevant to the objective of this study. Four main areas and twelve subareas of needs in mental health were identified. The interrater agreement over the main area and subareas was good (κ = 0.78 [0.95CI 0.69–0.88], κ = 0.82 [0.95CI 0.73–0.91], respectively). The four areas had a similar frequency: Activities (28.2%), Individual (27.6%), Social relationships (22.4%) and Places/setting (21.8%). The subareas ‘community’ and ‘internal resources’ were labelled as negative 85.7% and 61.9% of the time, respectively. These sub-areas referred to stigma and self-stigma towards mental health. The subarea ‘female condition’ was always considered as negative, as well as the subareas ‘camp’ and ‘tent’ referring to housing as an important social determinant of mental health.ConclusionsCommunity stigma and self-stigma are two still important factors preventing the achievement of mental well-being. Alongside these, a gender gap in mental health was identified in the FGDs. These factors should be taken into account in order to guide future mental health interventions in refugee camps.

Commentary: An additional note on help-seeking as some gaps are bigger than others: a commentary on 'Don't mind the gap - why do we not care about the gender gap in mental health?' Patalay and Demkowicz (2023).

Commentary: An additional note on help-seeking as some gaps are bigger than others: a commentary on 'Don't mind the gap - why do we not care about the gender gap in mental health?' Patalay and Demkowicz (2023).

Studying informal care during the pandemic: mental health, gender and job status

Unexpected negative health shocks such as COVID-19 put pressure on households to provide more care to relatives and friends. This study uses data from the UK Household Longitudinal Study to investigate the impact of informal caregiving on mental health during the COVID-19 pandemic. Using a difference-in-differences analysis, we find that individuals who started providing care after the pandemic began reported more mental health issues than those who never provided care. Additionally, the gender gap in mental health widened during the pandemic, with women more likely to report mental health issues. We also find that those who began providing care during the pandemic reduced their work hours compared to those who never provided care. Our results suggest that the COVID-19 pandemic has had a negative impact on the mental health of informal caregivers, particularly for women.

A commentary on "Don't mind the gap: Why we do not care about the gender gap in mental health?" by P. Patalay and O. Demkowicz.

In their article, Drs. Patalay and Demkowicz raise important questions about research regarding the sex/gender gap in depression rates. However, their perspective on this topic is rather polarizing and yields statements of questionable accuracy. In this Commentary, I respond to several statements in the Article, which I consider potentially misleading. My goal is to present a broader perspective on sex/gender and depression and encourage further discussion of this important topic.

Commentary: Closing the gender gap in depression through the lived experience of young women - a response to 'Don't mind the gap: Why do we not care about the gender gap in mental health?', Patalay and Demkowicz (2023).

Most mental health research largely ignores or minimises gender and age differences in depression. In 'Don't mind the gap: Why do we not care about the gender gap in mental health?', Patalay and Demkowicz identify a dearth of research on the causal factors of depression in young women. They attribute this to an over-reliance on biological accounts of gender differences in depression. Patalay and Demkowicz conclude that a person-centred approach that meaningfully engages with the reports of young women with depression is more likely to expose the social drivers of depression that impact this group. This commentary focuses on Patalay and Demkowicz's call to examine the patient's lived experience. We argue that there is an urgent need to reflect upon the methodologies involved in examining lived experience and how they can be best utilised. Ultimately, we advocate for an approach known as 'phenomenological psychopathology', through a phenomenological investigation of depression in young women, we can go some way towards closing the gender gap.

Job displacement and the mental health of households: Burden sharing counteracts spillover

In this paper, I investigate the mental health effects of job displacement in 1-adult and 2-adult households. In a 1-adult household, if a worker loses a job unexpectedly, significant mental health deterioration can become manifest. In a 2-adult household, the deterioration may be less severe for the displaced worker due to burden and risk sharing with the partner. However, in this 2-adult household, there exists the additional risk of the partner’s unemployment, which could be detrimental to the worker’s mental health. I compare the overall burden in 1- and 2-adult households and find no statistically significant difference. This follows because the distress associated with the partner’s displacement is offset by the lower distress upon own displacement. Regarding gender differences, I show that job displacement upsets male and female workers for different reasons and to different extents depending on partnership status. These results offer fresh insights into unemployment shocks, the crucial role of partner support, and how the gender gap in mental health can be linked to household structure.

Gender Gap in Mental Health during the COVID-19 Pandemic in South Korea: A Decomposition Analysis.

The economic and social effects of the COVID-19 pandemic have been widespread but unevenly distributed among genders. The pandemic may have also affected men's and women's mental health differently. This study examined whether the pandemic had stronger adverse effects on women's mental health than on that of men given that the decline of the labor market was greater for women than for men. Using data from South Korea (June/September/December 2020, N = 3000), we investigated the gender gap in mental health during the first year of the COVID-19 pandemic and its association with gender differences in labor market experiences. We employ the Blinder-Oaxaca decomposition method for this analysis. Although depression and anxiety increased among employed women and men during COVID-19, women showed lower levels of mental health than men. A significant portion of this gender gap is explained by women experiencing greater job loss, income reduction, and prohibition of remote work than men. We also find that women in their 30s experienced greater mental health problems than men of the same age even after controlling for other conditions. Overall, our findings show that a greater proportion of employed women than men experienced poor labor market conditions and increased family burdens during the COVID-19 pandemic, which contributed to women reporting worse mental health than men.

GENDER DIFFERENCES IN RURAL-URBAN MIGRATION AND ITS IMPACT ON MENTAL HEALTH IN LATER LIFE

Abstract Although rural-to-urban migration has been well researched, how gender shapes processes and outcomes, including later life health outcomes, has not been thoroughly investigated. Guided by a life course perspective, this study explores gender differences in rural-urban migration patterns and its association with mental health in later life among Chinese older adults. Exploiting rich life history data from the China Health and Retirement Longitudinal Study, we employ sequence analysis to identify the typical migration trajectories of Chinese older adults. Moderated mediation analysis is then used to examine gender-specific health pathways linking migration trajectories and later-life mental health. The results indicate that: men and women follow different migration trajectories across the life course. Men are more likely to migrate between rural and urban areas, and to migrate multiple times. Rural migrants who settled in urban regions have better mental health in later life than return migrants or rural non-migrants; the gender gap in mental health is marginally smaller among early urban settlers than rural non-migrants. Household income and Hukou conversion mediate the relationship between migration trajectories and later-life mental health among older people of rural origin. Household income in later life has stronger mediation effects for migrant men than for migrant women. The study suggests that a life course perspective and awareness of gender dynamics should be incorporated in policymaking to reduce the rural-urban divide and gender-based inequality in mental health.

Gender differences in rural-urban migration and its impact on depression in later life.

Although rural-to-urban migration has been well researched, how gender shapes processes and outcomes, including later-life health outcomes, has not been thoroughly investigated. Guided by a life course perspective, this study explores gender differences in rural-urban migration patterns and its association with depression in later life among Chinese older adults. Exploiting rich life history data from the China Health and Retirement Longitudinal Study, we employ sequence analysis to identify the typical migration trajectories of Chinese older adults. Moderated mediation analysis is then used to examine gender-specific health pathways linking migration trajectories and later-life depression. The results indicate that: rural migrants who settled in urban regions have lower level of depression in later life than 'return migrants' who moved back to rural areas or those who were rural non-migrants; the gender gap in depression is marginally smaller among early urban settlers than rural non-migrants; and household income in later life has stronger mediation effects for migrant men than for migrant women. The study therefore highlights the importance of considering the role of gender when designing policies aiming to improve the health and wellbeing of migrants in later life.

Russian adolescent mental health in 2002, 2015 and during the COVID-19 pandemic in 2021.

BackgroundAdolescent mental health is a global concern, however, time trends and the COVID‐19‐related restrictions vary across countries. This study examined changes in adolescent mental health and substance use in Russia between 2002, 2015 and during the pandemic in 2021.MethodsCross‐sectional school‐based surveys of 12‐ to 18‐year‐olds were carried out in a Siberian city in 2002 (N = 713), 2015 (N = 840) and 2021 (N = 721) using the Strengths and Difficulties Questionnaire, data on tobacco, alcohol and drug use and socio‐demographic information. We examined the effect of cohort, gender, family composition and parental occupation on mental health and substance use.ResultsThere were increases in emotional symptoms and internalising problems (B = 0.93, p < .001) and decreases in substance use over 19 years (B = ‐.73, p < .001). Changes in adolescent mental health and substance use were substantial from 2002 to 2015 and nonsignificant from 2015 to 2021. Increases in mental health problems were evident only among girls; a decrease in alcohol use was larger among boys. Family composition and parental occupation did not account for these changes.ConclusionsThese results suggest that the mental health of Russian adolescent girls has worsened in the 21st century; the gender gap in mental health has widened; the gender gap in alcohol use was reversed in 2021. The findings highlight the need for research into gender‐specific factors and for effective interventions. The lack of changes in Russian adolescent mental health and substance use from 2015 to during the pandemic in 2021 suggests successful coping; however, more research is needed.

The effect of broadband Internet on the gender gap in mental health: Evidence from Germany.

Mental health disorders are among the leading causes of disease burden worldwide. Recently, attention has been drawn to the Internet and social media as determinants of the increase in mental health conditions in recent years. In this paper, I analyze the causal effect of broadband Internet access on the mental health of adults. I leverage confidential information on the coordinates of respondents to the German Socio-Economic Panel (GSOEP) and exploit technological features of the German telecommunication network to instrument for broadbandInternet access. The results are suggestive that broadband Internet leads to worse mental health for women (primarily those aged 17-30) but not for men, thus widening the gender gap in mental disorders. Looking at sub-facets of mental health, broadbandaccess leads to a worsening of socializing behavior and ability to cope with emotional problems. The fact that the results are concentrated among the younger cohorts of women is suggestive that high Internet usage intensity amplifies the negative effect of broadbandinternet access on mental health.

The impact of the coronavirus lockdown on mental health: evidence from the United States

Abstract The coronavirus outbreak has caused significant disruptions to people’s lives. We exploit variation in lockdown measures across states to document the impact of stay-at-home orders on mental health using real-time survey data in the United States. We find that the lockdown measures lowered mental health by 0.083 standard deviations. This large negative effect is entirely driven by women. As a result of the lockdown measures, the existing gender gap in mental health has increased by 61%. The negative effect on women’s mental health cannot be explained by an increase in financial worries or caring responsibilities.

Gender health gaps: The role of risky addictive behaviors

Despite significant improvements in health and longevity, the gender gap in health persists. Using longitudinal data from 15 waves of the HILDA survey for the period from 2005 to 2019, this paper examines the impacts of risky addictive behaviors given by smoking, drinking and gambling on health outcomes and the gender gap in general and mental health in Australia. To identify the causal effects of cigarette and alcohol consumption, we utilize exogeneous policy changes in the Australian Wine Equalization Tax (WET) and cigarette excise taxes to instrument alcohol and cigarette consumption, respectively. For gambling, we utilize state-level number of gambling machines to instrument the problem gambling severity index. We find that Australian females tend to have better general health but worse mental health outcomes than their male counterparts. More importantly, our instrumental variable estimates reveal the role of risky addictive behaviors in influencing the gender gap in health. Specifically, smoking and gambling widen the gender gap in general health, whereas alcohol consumption plays no role in affecting the gender gap in general health. For mental health, our results show that smoking and gambling reduce the gender gap in mental health, whereas alcohol consumption tends to increase the gender gap in mental health. We find that social support, neighborhood trust, dietary choice and life satisfaction are important channels through which risky addictive behaviors influence general and mental health outcomes. Our results have important policy implications as health quality in general, and gender health equality in particular, are important determinants of standards of living, productivity, and economic development.

Gender inequality in COVID-19 times: evidence from UK prolific participants

AbstractWe investigate gender differences across multiple dimensions after 3 months of the first UK lockdown of March 2020, using an online sample of approximately 1,500 Prolific respondents’ residents in the UK. We find that women's mental health was worse than men along the four metrics we collected data on, that women were more concerned about getting and spreading the virus, and that women perceived the virus as more prevalent and lethal than men did. Women were also more likely to expect a new lockdown or virus outbreak by the end of 2020, and were more pessimistic about the contemporaneous and future state of the UK economy, as measured by their forecasted contemporaneous and future unemployment rates. We also show that between earlier in 2020 before the outbreak of the Coronavirus pandemic and June 2020, women had increased childcare and housework more than men. Neither the gender gaps in COVID-19-related health and economic concerns nor the gender gaps in the increase in hours of childcare and housework can be accounted for by a rich set of control variables. Instead, we find that the gender gap in mental health can be partially accounted for by the difference in COVID-19-related health concerns between men and women.

The gender gap in adolescent mental health: A cross-national investigation of 566,829 adolescents across 73 countries.

Mental ill-health is a leading cause of disease burden worldwide. While women suffer from greater levels of mental health disorders, it remains unclear whether this gender gap differs systematically across regions and/or countries, or across the different dimensions of mental health. We analysed 2018 data from 566,829 adolescents across 73 countries for 4 mental health outcomes: psychological distress, life satisfaction, eudaemonia, and hedonia. We examine average gender differences and distributions for each of these outcomes as well as country-level associations between each outcome and purported determinants at the country level: wealth (GDP per capita), inequality (Gini index), and societal indicators of gender inequality (GII, GGGI, and GSNI). We report four main results: 1) The gender gap in mental health in adolescence is largely ubiquitous cross-culturally, with girls having worse average mental health; 2) There is considerable cross-national heterogeneity in the size of the gender gap, with the direction reversed in a minority of countries; 3) Higher GDP per capita is associated with worse average mental health and a larger gender gap across all mental health outcomes; and 4) more gender equal countries have larger gender gaps across all mental health outcomes. Taken together, our findings suggest that while the gender gap appears largely ubiquitous, its size differs considerably by region, country, and dimension of mental health. Findings point to the hitherto unrealised complex nature of gender disparities in mental health and possible incongruence between expectations and reality in high gender equal countries.

COVID-19 and mental health deterioration by ethnicity and gender in the UK.

We use the UK Household Longitudinal Study and compare pre-COVID-19 pandemic (2017-2019) and during-COVID-19 pandemic data (April 2020) for the same group of individuals to assess and quantify changes in mental health as measured by changes in the GHQ-12 (General Health Questionnaire), among ethnic groups in the UK. We confirm the previously documented average deterioration in mental health for the whole sample of individuals interviewed before and during the COVID-19 pandemic. In addition, we find that the average increase in mental distress varies by ethnicity and gender. Both women -regardless of their ethnicity- and Black, Asian, and minority ethnic (BAME) men experienced a higher average increase in mental distress than White British men, so that the gender gap in mental health increases only among White British individuals. These ethnic-gender specific changes in mental health persist after controlling for demographic and socioeconomic characteristics. Finally, we find some evidence that, among men, Bangladeshi, Indian and Pakistani individuals have experienced the highest average increase in mental distress with respect to White British men.

Depression, Anxiety and Quality of Life in Staff of a Hospital in Athens: A Study in the Aftermath of the Debt Crisis Era.

Background:Several studies investigated the mental health needs of hospital staff in Greece during the debt crisis era. Yet, no relevant data are available regarding the mental health of hospital staff after this period. The aims of this study are: 1) To investigate the prevalence of clinically significant depression and anxiety in healthcare workers in a general hospital in Athens, Greece; 2) to search for the association of quality of life with anxiety and depression in those workers; 3) to investigate the association of sociodemographic characteristics with those parameters.Methods:The Zung Depression Rating Scale, the Zung Anxiety Rating Scale, the Short-Form Survey-12, assessing quality of life, and sociodemographic assessments were administrated in 110 workers of a public hospital in Athens, Greece. The assessments were completed during January, 2020. Results:Of the study participants, 38.2% had clinically significant anxiety and 6.4% had clinically signifi-cant depression. Males had lower scores of depression compared to females (p=0.003). As for the effects of educational level, differences were noted in psychological quality of life between secondary education participants when compared to tertiary education (Mean Difference -3.527, p=0.021), post-graduate (Mean Difference -3.937, p=0.012) and PhD participants (Mean Difference -5.100, p=0.007). Quality of life and its psychological and physical health subscales had strong inverse associations with depression and anxiety (p=0.000).Conclusions:Relevant interventions are necessary to decrease anxiety in hospital staff, which is elevated in the aftermath of the debt crisis period. In addition, health policy makers have to reduce the gender gap in mental health between male and female workers, since the latter had higher levels of depression.

Locus of control and the gender gap in mental health

We examine whether gender differences in locus of control (LoC) explain gender gaps in mental health using longitudinal data from the Household, Income and Labour Dynamics in Australia (HILDA) survey. We find that gender differences in LoC is an important factor contributing to the well-recognised gender gap in mental health in favour of males. Our preferred estimates, that take into account differences in the distribution of characteristics of males and females, suggest that at the mean a unit increase in internal LoC for females would narrow the mental health gender gap by 2.2% and that if LoC of women were the same as that of men, it could close the gender gap in mental health by as much as 18.8%. This general conclusion is generally robust to evaluating the gender gap at the 10th and 90th quantile and a suite of sensitivity checks including different ways of measuring key variables and alternative approaches to the Blinder-Oaxaca decomposition. Our findings suggest that resilience education programs that teach positive control beliefs to children should be designed particularly with girls in mind and in such a way as to encourage participation by girls.

Locus of Control and the Gender Gap in Mental Health

We examine whether gender differences in locus of control (LoC) explain gender gaps in mental health using longitudinal data from the Household, Income and Labour Dynamics in Australia (HILDA) survey. We find that gender differences in LoC is an important factor contributing to the well-recognised gender gap in mental health in favour of males. Our preferred estimates, that take into account differences in the distribution of characteristics of males and females, suggest that at the mean a unit increase in internal LoC for females would narrow the mental health gender gap by 2.2% and that if LoC of women were the same as that of men, it could close the gender gap in mental health by as much as 18.8%. This general conclusion is generally robust to evaluating the gender gap at the 10th and 90th quantile and a suite of sensitivity checks including different ways of measuring key variables and alternative approaches to the Blinder-Oaxaca decomposition. Our findings suggest that resilience education programs that teach positive control beliefs to children should be designed particularly with girls in mind and in such a way as to encourage participation by girls.

‘Women are tired and men are in pain’: gendered habitus and mental healthcare utilization in Spain

ABSTRACT Beyond differences in need, the gender gap in mental health might also be attributed to differential help-seeking practices between women and men. Employing Pierre Bourdieu’s sociology, the aim of this article is to interpret how gender influences healthcare seeking and utilization in common mental disorders such as depression or anxiety in Spain. Through thematic analysis of in-depth interviews conducted with healthcare providers and users of services, I reveal how the male/female oppositions in social and mental structures might result in gendered mental healthcare-seeking practices and differential enactment of agency that reproduce power relations between men and women. While men are less willing to seek healthcare, which is shaped by masculinity ideals, women appear to be dominated in the field which is likely to lead to their higher medicalization and, consequently, chronification. The article contributes to the literature analysing gender as a relational phenomenon and the social construction of gendered behaviours in light of Bourdieu’s sociology.