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International Journal of
            Population Studies                                               Gender differences in mental health outcomes




            Table 4. Gender and violence effects on self‑declared measures (bivariate analysis)
                       Fear of   Fear of   BDS‑22   LAS‑10   LIS‑18   PCL‑5 (PTSS)  WHO‑5    IFDFW   APGAR
                       Poverty  COVID‑19  (Distress)  (Anxiety)  (Insomnia)      (Mental   (Financial)  Index (Family
                                                                                well‑being)         functions)
            Males     6.53 (2.75)  10.58 (6.06)  13.42 (14.45) 14.40 (9.29) 43.77 (11.60)  13.57 (14.77)  15.61 (5.03)  41.38 (16.81)  7.76 (2.73)
            Females   7.23 (2.52)  12.03 (5.92)  18.49 (15.83) 16.10 (8.32) 45.36 (10.87)  21.29 (18.04)  14.08 (4.74)  38.58 (17.71)  7.85 (2.72)
            p-value     0.003      0.007   <0.001     0.032    0.114    <0.001     <0.001     0.071      0.726
            No        6.91 (2.64)  11.49 (6.05)  15.52 (15.27) 14.92 (8.69) 43.96 (10.91)  17.87 (16.97)  15.06 (4.90)  40.01 (17.18)  7.93 (2.60)
            violence (0)
            Any       6.52 (2.97)  8.67 (5.64)  23.00 (16.12) 20.57 (9.47) 53.89 (12.84)  15.07 (17.65)  11.37 (4.52)  40.85 (19.73)  6.44 (3.75)
            violence (1)
            No        7.64 (2.01)  12.74 (3.91)  22.12 (13.61) 16.82 (8.73)  47.07 (9.38)  14.51 (17.30)  13.17 (3.51)  32.08 (16.17)  6.13 (3.32)
            answer (2)
            p-value     0.502      0.036     0.017     0.003  <0.001       0.577     <0.001     0.347      0.069
            p-value (1)     1.000      0.040     0.030     0.002  <0.001       1.000     <0.001     1.000      0.150
            versus (0)
            p-value (2)     1.000      1.000     0.540     0.732     1.000       1.000      0.678     0.465      0.061
            versus (0)
            Note: p-values in bold refer to statistically significant results.
            Abbreviations: APGAR: Adaptation, Partnership, Growth, Affection, and Resolve; BDS-22: Beirut Distress Scale-22; COVID-19: Coronavirus disease;
            IFDFW: InCharge Financial Distress/Financial Well-Being Scale; LAS-10: Lebanese Anxiety Scale-10; LIS-18: Lebanese Insomnia Scale; PCL-5: Post-traumatic
            Stress Disorder Checklist for DSM-5; PTSS: Post-Traumatic Stress Symptoms; WHO-5: World Health Organization Well-Being Index.


                        A
                         50                               47.123 46.386
                         40
                         30
                         20        15.901       15.336                      16.314   15.134 14.932
                              11.207*      12.722*                     11.712*
                         10
                          0
                                BDS-22        LAS-10        LIS-18        PCL-5        WHO-5
                                                         Males  Females
                        B
                         60
                                                             52.401
                         50                              41.108*
                         40
                         30
                         20        17.352   11.611 16.446              12.814  15.212  16.368 13.698
                         10   9.755*
                          0
                                BDS-22        LAS-10        LIS-18        PCL-5         WHO-5
                                                  No domestic violence  Domestic violence
            Figure  1.  Mental health measure: estimated marginal means per gender (A) and according to domestic violence (B). *p < 0.05.  (A)  p-values for
            BDS-22 = 0.005; LAS-10 = 0.033; LIS-18 = 0.645; PCL-5 = 0.025 and WHO-5 = 0.754. Adjustment over age, marital status, university education, health
            coverage, chronic disease, family member with chronic disease, worrying for a family member with chronic disease, fear of not having access to chronic
            disease treatment, domestic violence, professional status, socioeconomic status, APGAR family index, financial wellness, and fear of COVID-19.
            Covariates appearing in the model are evaluated at the following values: APGAR index = 8.0140, age = 47.4720, financial wellness = 40.3318, fear of
            COVID-19 = 10.7243. (B) p-values for BDS-22 = 0.041; LAS-10 = 0.078; LIS-18 = 0.002; PLC-5 = 0.601 and WHO-5 = 0.065. Adjustment over gender,
            age, marital status, university education, health coverage, chronic disease, family member with a chronic disease, worrying for a family member with a
            chronic disease, fear of not having access to chronic disease treatment, professional status, socioeconomic status, APGAR family scale, financial wellness,
            and fear of COVID-19. Covariates appearing in the model are evaluated at the following values: APGAR scale = 8.0140, age = 47.4720, IFD wellness
            scale = 40.3318, fear of COVID-19 scale = 10.7243.
            Abbreviations: BDS-22: Beirut Distress Scale-22; LAS-10: Lebanese Anxiety Scale-10; LIS-18: Lebanese Insomnia Scale; PCL-5: Post-Traumatic Stress
            Disorder Checklist for DSM-5; WHO-5: World Health Organization Well-Being Index. Additional details related to the MANCOVA are presented in
            Appendix.


            Volume 10 Issue 3 (2024)                       106                        https://doi.org/10.36922/ijps.1985
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