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International Journal of

                                                                          Population Studies





                                        RESEARCH ARTICLE
                                        Gender differences in mental health outcomes

                                        amid the COVID-19 pandemic and a
                                        collapsing economy: A Lebanese cross-sectional

                                        study



                                        Aline Hajj 1,2,3† , Carla Abou Selwan 1,4† , Danielle A. Badro 1,5,6 , Hala Sacre ,
                                                                                                    1
                                        Randa Aoun , Chadia Haddad 1,7,8,9 *, and Pascale Salameh 1,7,10,11
                                                   1
                                        1 INSPECT-LB (National Institute of Public Health, Clinical Epidemiology, and Toxicology), Beirut,
                                        Lebanon
                                        2 Faculty of Pharmacy, Laval University, Quebec City, Quebec, Canada
                                        3 Oncology Division, CHU de Québec- Université Laval Research Center, Quebec City, Quebec,
                                        Canada
                                        4 Science PRO, Medical Communication Company, Jal el Dib, Lebanon
                                        5 Faculty of Health Sciences, American University of Science and Technology, Beirut, Lebanon
                                        6 College of Healthcare Technologies, American University of Iraq Baghdad (AUIB), Airport Road,
                                        Baghdad, Iraq
                                        7 School of Medicine, Lebanese American University, Byblos, Lebanon
                                        8 Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
            † These authors contributed equally
            to this work.               9 School of Health Sciences, Modern University for Business and Science, Beirut, Lebanon
                                        10 Department of Primary Care and Population Health, University of Nicosia Medical School, 2417,
            *Corresponding author:
            Chadia Haddad               Nicosia, Cyprus
            (chadia.haddad@inspect-lb.org)   11 Faculty of Pharmacy, Lebanese University, Hadat, Lebanon
            Citation: Hajj, A., Abou Selwan, C.,
            Badro, D.A., Sacre, H., Aoun, R.,
            Haddad, C. et al. (2024). Gender
            differences in mental health   Abstract
            outcomes amid the COVID-19
            pandemic and a collapsing
            economy: A Lebanese cross-  Response plans to control the transmission of the severe acute respiratory
            sectional study. International   syndrome coronavirus 2 that causes coronavirus disease 2019 (COVID-19)
            Journal of Population Studies,   overlooked the repercussions of the combined economic and public health crisis
            10(3): 99-113.
            https://doi.org/10.36922/ijps.1985   among the most vulnerable populations, including women and people who
                                        have experienced abuse. This paper primarily aimed to assess the effects of the
            Received: October 9, 2023
                                        COVID-19 pandemic and economy-related variables on Lebanese adults’ mental
            Accepted: December 5, 2023  health, focusing on gender differences. A cross-sectional study was conducted in
            Published Online: February 20, 2024  May 2020 using an online survey with validated scales created on Google Forms.
                                        A total of 502 adults living in Lebanon with access to the internet were enrolled
            Copyright: © 2024 Author(s).
            This is an Open-Access article   in the study, irrespective of age, socioeconomic status, race, ethnicity, nationality,
            distributed under the terms of the   sex, gender identity, religion, location, education, and culture (n = 502).  The
            Creative Commons Attribution   multivariate analysis, adjusted on sociodemographic characteristics, economic,
            License, permitting distribution,
            and reproduction in any medium,   and coronavirus-related variables, showed that women exhibited higher distress,
            provided the original work is   anxiety, and post-traumatic stress symptoms (PTSSs) levels than men. Moreover,
            properly cited.             violence at home was associated with more distress and insomnia, with borderline
            Publisher’s Note: AccScience   results for anxiety and well-being. No significant difference was found for PTSSs.
            Publishing remains neutral with   In the context of combined health and economic crises, mental health outcomes
            regard to jurisdictional claims in
            published maps and institutional   are not equally felt across genders. Additional studies in a few months would help
            affiliations.               better understand the long-term impact, especially on PTSS and quality of life,



            Volume 10 Issue 3 (2024)                        99                        https://doi.org/10.36922/ijps.1985
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