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10.1186/s12939-021-01435-0

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suck abstract from ncbi


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pmid33823852      Int+J+Equity+Health 2021 ; 20 (1): 91
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  • Gender-based disparities on health indices during COVID-19 crisis: a nationwide cross-sectional study in Jordan #MMPMID33823852
  • Abufaraj M; Eyadat Z; Al-Sabbagh MQ; Nimer A; Moonesar IA; Yang L; Al Khatib W; Al-Qutob R
  • Int J Equity Health 2021[Apr]; 20 (1): 91 PMID33823852show ga
  • BACKGROUND: COVID-19 has an inevitable burden on public health, potentially widening the gender gap in healthcare and the economy. We aimed to assess gender-based desparities during COVID-19 in Jordan in terms of health indices, mental well-being and economic burden. METHODS: A nationally representative sample of 1300 participants >/=18 years living in Jordan were selected using stratified random sampling. Data were collected via telephone interviews in this cross-sectional study. Chi-square was used to test age and gender differences according to demographics, economic burden, and health indices (access to healthcare, health insurance, antenatal and reproductive services). A multivariable logistic regression analysis was used to estimate the beta-coefficient (beta) and 95% confidence interval (CI) of factors correlated with mental well-being, assessed by patients' health questionnaire 4 (PHQ-4). RESULTS: 656 (50.5%) men and 644 (49.5%) women completed the interview. Three-fourths of the participants had health insurance during the COVID-19 crisis. There was no significant difference in healthcare coverage or access between women and men (p > 0.05). Half of pregnant women were unable to access antenatal care. Gender was a significant predictor of higher PHQ-4 scores (women vs. men: beta: 0.88, 95% CI: 0.54-1.22). Among women, age >/= 60 years and being married were associated with significantly lower PHQ-4 scores. Only 0.38% of the overall participants lost their jobs; however, 8.3% reported a reduced payment. More women (13.89%) were not paid during the crisis as compared with men (6.92%) (P = 0.01). CONCLUSIONS: Our results showed no gender differences in healthcare coverage or access during the COVID-19 crisis generally. Women in Jordan are experiencing worse outcomes in terms of mental well-being and economic burden. Policymakers should give priority to women's mental health and antenatal and reproductive services. Financial security should be addressed in all Jordanian COVID-19 national plans because the crisis appears widening the gender gap in the economy.
  • |*Health Status Disparities[MESH]
  • |*SARS-CoV-2[MESH]
  • |Adult[MESH]
  • |COVID-19/*economics[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Health Services Accessibility/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Insurance, Health/statistics & numerical data[MESH]
  • |Jordan[MESH]
  • |Male[MESH]
  • |Mental Health/*statistics & numerical data[MESH]
  • |Middle Aged[MESH]
  • |Pregnancy[MESH]
  • |Prenatal Care/*statistics & numerical data[MESH]


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