Health Analysis Division, Statistics Canada.
Health Rep. 2024 Jul 17;35(7):14-27. doi: 10.25318/82-003-x202400700002-eng.
Mental health disparity is associated with diverse characteristics, such as gender, socioeconomic status, Indigenous identity, immigrant status, race, disability, and sexual orientation. However, intersectional studies on women's mental health have been rare, particularly during the COVID-19 pandemic period.
Using data from two cycles of the Canadian Community Health Survey (2019 annual data and data from September to December 2020), self-reported mental health outcomes before the COVID-19 pandemic (sample size was 64,880) and during the second wave of the pandemic in the fall of 2020 (sample size of 27,246) were analyzed.
After sociodemographic factors were controlled for, women and girls had higher odds of poorer self-perceived mental health and worsened mental health compared with before the COVID-19 pandemic than men and boys. Compared with 2019, the gender gap in negative self-perceived mental health increased during the pandemic. The number and type of intersections of specific socioeconomic characteristics also had an impact on mental health outcomes. During the pandemic, women and girls with the following characteristics were more likely to report low self-perceived mental health, compared with women and girls with no intersections: those with a disability (7.8 times); or who are lesbian, gay, or bisexual or have another sexual orientation than heterosexual (5.6); or who are Indigenous (3.6).
The intersections of gender and other sociodemographic characteristics increased the odds of negative self-perceived mental health.
心理健康差异与多种特征相关，例如性别、社会经济地位、原住民身份、移民身份、种族、残疾和性取向。然而，针对女性心理健康的交叉研究很少，尤其是在 COVID-19 大流行期间。
利用加拿大社区健康调查（2019 年年度数据和 2020 年 9 月至 12 月的数据）的两个周期的数据，分析了 COVID-19 大流行之前（样本量为 64880）和 2020 年秋季第二波大流行期间（样本量为 27246）的自我报告心理健康结果。
在控制了社会人口因素后，与男性相比，女性和女孩在 COVID-19 大流行期间自我报告的心理健康状况较差和心理健康恶化的可能性更高。与 2019 年相比，大流行期间负面自我感知心理健康的性别差距有所扩大。特定社会经济特征的交叉数量和类型也对心理健康结果产生了影响。在大流行期间，与没有交叉的女性和女孩相比，具有以下特征的女性和女孩更有可能报告自我感知心理健康较差：残疾（7.8 倍）；或女同性恋、男同性恋、双性恋或非异性恋（5.6 倍）；或原住民（3.6 倍）。
性别和其他社会人口特征的交叉增加了负面自我感知心理健康的可能性。
