School of Economics and Finance, University of the Witwatersrand, Johannesburg, South Africa.
Soc Sci Med. 2023 Sep;332:116133. doi: 10.1016/j.socscimed.2023.116133. Epub 2023 Jul 30.
Gender differences in depression are globally documented across a wide range of studies that analyse self-reports of depressive symptoms or clinical diagnoses. Extensive research fails to identify any single reason for this finding but given systematic variation in depressive symptomatology across social groups, gender differences must derive at least partly from environmental or social factors. Among the social factors that are considered most important are those relating to gender differences in socio-economic status and the underlying gender division of labor. In this study, we add to existing research by interrogating heterogeneity in gender differences in mental health. Studies that investigate environmental factors typically consider these only in relation to the average gender gap in depression. We use a novel sorting and classification method (Chernozhukov et al., 2018) that makes it possible to map the full distribution of gender differences in depressive symptomatology among comparable women and men. Although we cannot attribute causality, the method allows us to isolate those social factors that are distinctive to women who experience the largest gender gap in depressive symptoms compared to those who exhibit the smallest. The study analyses detailed nationally representative micro-data from South Africa, a country with high rates of poverty, which are higher still among women. As is common elsewhere, women report significantly more depressive symptoms than men, and low socio-economic status is correlated with poor mental health. However, women with low socio-economic status are not relatively more concentrated among women who face the largest gender gap in depressive symptomatology. These findings would not be consistent with the hypothesis that women have a greater tendency than men to ruminate over economic hardship and could rather point to resilience and a "steeling effect" among poor women.
性别差异在抑郁方面在全球范围内的大量研究中都有记录,这些研究分析了抑郁症状的自我报告或临床诊断。大量研究未能确定这一发现的任何单一原因,但鉴于社会群体之间抑郁症状存在系统差异,性别差异至少部分源自环境或社会因素。在被认为最重要的社会因素中,与社会经济地位和潜在的性别分工中的性别差异有关的因素最为重要。在这项研究中,我们通过调查心理健康方面的性别差异的异质性来补充现有研究。研究环境因素的研究通常仅考虑这些因素与抑郁方面的平均性别差距的关系。我们使用一种新颖的排序和分类方法(Chernozhukov 等人,2018 年),可以在可比的女性和男性中绘制抑郁症状表现方面的性别差异的完整分布。尽管我们不能归因于因果关系,但该方法使我们能够隔离那些对经历最大性别差距的抑郁症状的女性具有独特性的社会因素,而与表现出最小性别差距的女性相比。该研究分析了南非的详细全国代表性微观数据,南非是一个贫困率较高的国家,而女性的贫困率更高。与其他地方一样,女性报告的抑郁症状明显多于男性,社会经济地位低与心理健康状况不佳相关。然而,社会经济地位低的女性在面临最大性别差距的抑郁症状的女性中相对集中的程度并不高。这些发现与女性比男性更倾向于对经济困难进行沉思的假设不一致,而更可能指向贫困女性的韧性和“硬化效应”。