Evidence map›Paper›PMID 38572248›Full record

ArticleGlobal mental health (Cambridge, England)2024

Inequality on the frontline: A multi-country study on gender differences in mental health among healthcare workers during the COVID-19 pandemic.

Diana Czepiel, Clare McCormack, Andréa T C da Silva, Dominika Seblova, Maria F Moro, Alexandra Restrepo-Henao, Adriana M Martínez, Oyeyemi Afolabi, Lubna Alnasser, Rubén Alvarado and 42 more

Abstract read
In one paragraph

Article in Global mental health (Cambridge, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Psychological Distress, Resilience, and Immunoinflammatory Signatures in Healthcare Workers During COVID-19.Stress and health : journal of the International Society for the Investigation of Stress · 2026
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  8. Caring for Those Who Care.Behavioral sciences (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

52 authors.

Diana CzepielParnassia Psychiatric Institute, Parnassia Groep, The Hague, The Netherlands.ORCID https://orcid.org/0000-0002-0014-4691
Clare McCormackDepartment of Child and Adolescent Psychiatry, New York University Langone Medical Center, New York, NY, USA.
Andréa T C da SilvaFaculty of Medicine, University of São Paulo, São Paulo, Brazil.
Dominika SeblovaSecond Faculty of Medicine, Charles University, Prague, Czech Republic.
Maria F MoroDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Alexandra Restrepo-HenaoDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Adriana M MartínezDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Oyeyemi AfolabiDepartment of Psychiatry, University College Hospital, Ibadan, Nigeria.
Lubna AlnasserPopulation Health Research Section, King Abdullah International Medical Research Center (KAIMRC), King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia.
Rubén AlvaradoDepartment of Public Health, School of Medicine, University of Valparaíso, Valparaiso, Chile.
Hiroki AsaokaDepartment of Psychiatric Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Olatunde AyindeDepartment of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Arin BalalianQuestion Driven Design and Analysis Group, New York, NY, USA.
Dinarte BallesterUniversity Hospital, Federal University of Rio Grande, Rio Grande, Brazil.
Josleen A L BarathieInstitute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
Armando BasagoitiaUnidad de Investigación, Consultora Salud Global Bolivia, Sucre, Bolivia.
Djordje BasicClinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
María S BurroneInstitute of Health Sciences, Universidad de O'Higgins, Rancagua, Chile.
Mauro G CartaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Sol Durand-AriasNational Institute of Psychiatry Ramon de la Fuente Muñiz, Mexico City, Mexico.
Mehmet EskinDepartment of Psychology, Koç University, Istanbul, Turkey.
Eduardo Fernández-JiménezDepartment of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain.
Marcela I F FreySocial and Community Academic Unit, University of Chubut, Chubut, Argentina.
Oye GurejeDepartment of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Anna IsahakyanNational Institute of Health Named After Academician S. Avdalbekyan, Yerevan, Armenia.
Rodrigo JaldoSocial and Community Academic Unit, University of Chubut, Chubut, Argentina.
Elie G KaramInstitute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
Dorra KhattechDepartment Psychiatry A, Razi Hospital La Manouba, Manouba, Tunisia.
Jutta LindertFaculty of Health and Social Work, University of Applied Sciences Emden/Leer, Emden, Germany.
Gonzalo Martínez-AlésDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Franco MascayanoDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Roberto MediavillaDepartment of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain.
Javier A Narvaez GonzalezDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Aimee Nasser-KaramInstitute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
Daisuke NishiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Olusegun OlaopaDepartment of Oral and Maxillofacial Surgery, University College Hospital, Ibadan, Nigeria.
Uta OualiDepartment Psychiatry A, Razi Hospital La Manouba, Manouba, Tunisia.
Victor Puac-PolancoDepartments of Health Policy & Management and Epidemiology & Biostatistics, Downstate Health Sciences University, Brooklyn, NY, USA.
Dorian E RamírezFaculty of Medical Sciences, University of San Carlos of Guatemala, Guatemala City, Guatemala.
Jorge RamírezSchool of Public Health, University of Chile, Santiago, Chile.
Eliut Rivera-SegarraSchool of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico.ORCID https://orcid.org/0000-0001-8643-9273
Bart P F RuttenDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.
Julian Santaella-TenorioDepartment of Clinical Epidemiology and Biostatistics, Pontifical Xavierian University, Bogotá, Colombia.
Jaime C SapagDepartment of Public Health and Family Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Jana ŠeblováEmergency Department, Motol University Hospital, Prague, Czech Republic.
María T S SotoDirección de Investigación Ciencia y Tecnología, Universidad San Francisco Xavier de Chuquisaca, Sucre, Bolivia.
Maria Tavares-CavalcantiSchool of Medicine and Psychiatric Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Linda ValeriDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Marit SijbrandijClinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5430-9810
Ezra S SusserDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.ORCID https://orcid.org/0000-0001-7665-4826
Hans W HoekParnassia Psychiatric Institute, Parnassia Groep, The Hague, The Netherlands.
Els van der VenClinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5103-7186

Funding

Clinical Research Scholars Training (CREST) ProgramR25MD017950 · NIMHD · SUNY DOWNSTATE MEDICAL CENTER · PI Carla Boutin-Foster, Marlene Camacho · 2022 to 2026
$2.6M
NIMHD NIH HHS R25 MD017950
6 · The paper itself

Abstract

Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with prior data suggesting women may be particularly vulnerable. Our global mental health study aimed to examine factors associated with gender differences in psychological distress and depressive symptoms among HCWs during COVID-19. Across 22 countries in South America, Europe, Asia and Africa, 32,410 HCWs participated in the COVID-19 HEalth caRe wOrkErS (HEROES) study between March 2020 and February 2021. They completed the General Health Questionnaire-12, the Patient Health Questionnaire-9 and questions about pandemic-relevant exposures. Consistently across countries, women reported elevated mental health problems compared to men. Women also reported increased COVID-19-relevant stressors, including insufficient personal protective equipment and less support from colleagues, while men reported increased contact with COVID-19 patients. At the country level, HCWs in countries with higher gender inequality reported less mental health problems. Higher COVID-19 mortality rates were associated with increased psychological distress merely among women. Our findings suggest that among HCWs, women may have been disproportionately exposed to COVID-19-relevant stressors at the individual and country level. This highlights the importance of considering gender in emergency response efforts to safeguard women's well-being and ensure healthcare system preparedness during future public health crises.

Indexed as

COVID-19cross-countrygender differenceshealthcare disparitieshealthcare workersmental health

Identifiers

PMID38572248
PMCPMC10988139

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.