Mental health among women and girls of diverse backgrounds in Canada before and during the COVID-19 pandemic: An intersectional analysis.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jungwee Park
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引用次数: 0

Abstract

Background: Mental health disparity is associated with diverse characteristics, such as gender, socioeconomic status, Indigenous identity, immigrant status, race, disability, and sexual orientation. However, intersectional studies on women's mental health have been rare, particularly during the COVID-19 pandemic period.

Methods: Using data from two cycles of the Canadian Community Health Survey (2019 annual data and data from September to December 2020), self-reported mental health outcomes before the COVID-19 pandemic (sample size was 64,880) and during the second wave of the pandemic in the fall of 2020 (sample size of 27,246) were analyzed.

Results: After sociodemographic factors were controlled for, women and girls had higher odds of poorer self-perceived mental health and worsened mental health compared with before the COVID-19 pandemic than men and boys. Compared with 2019, the gender gap in negative self-perceived mental health increased during the pandemic. The number and type of intersections of specific socioeconomic characteristics also had an impact on mental health outcomes. During the pandemic, women and girls with the following characteristics were more likely to report low self-perceived mental health, compared with women and girls with no intersections: those with a disability (7.8 times); or who are lesbian, gay, or bisexual or have another sexual orientation than heterosexual (5.6); or who are Indigenous (3.6).

Interpretation: The intersections of gender and other sociodemographic characteristics increased the odds of negative self-perceived mental health.

COVID-19 大流行之前和期间加拿大不同背景妇女和女童的心理健康:交叉分析。
背景:心理健康差异与性别、社会经济地位、土著身份、移民身份、种族、残疾和性取向等不同特征有关。然而,有关女性心理健康的交叉研究却很少见,尤其是在 COVID-19 大流行期间:利用加拿大社区健康调查两个周期的数据(2019 年的年度数据和 2020 年 9 月至 12 月的数据),分析了 COVID-19 大流行之前(样本量为 64880 个)和 2020 年秋季第二波大流行期间(样本量为 27246 个)自我报告的心理健康结果:结果:在控制了社会人口学因素后,与 COVID-19 大流行前相比,女性和女孩自我感觉心理健康较差和心理健康恶化的几率高于男性和男孩。与 2019 年相比,大流行期间在消极自我感觉心理健康方面的性别差距有所扩大。特定社会经济特征交叉的数量和类型也对心理健康结果产生了影响。在大流行期间,与没有交叉的妇女和女孩相比,具有以下特征的妇女和女孩更有可能报告自我感觉心理健康状况不佳:残疾(7.8 倍);或女同性恋、男同性恋或双性恋或具有异性恋以外的其他性取向(5.6 倍);或土著(3.6 倍):解释:性别和其他社会人口特征的交叉增加了自我感觉心理健康不良的几率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Reports
Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
4.00%
发文量
28
期刊介绍: Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.
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