Evidence map›Paper›PMID 33413224›Full record

ArticleBMC public health2021

Sex differences and psychological stress: responses to the COVID-19 pandemic in China.

Shiyan Yan, Rui Xu, Terry D Stratton, Voyko Kavcic, Dan Luo, Fengsu Hou, Fengying Bi, Rong Jiao, Kangxing Song, Yang Jiang

Abstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shiyan YanSchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China.
Rui XuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, China. anxietypsy@163.com.
Terry D StrattonDepartment of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, 40536, USA.
Voyko KavcicInstitute of Gerontology, Wayne State University, Detroit, MI, 48202, USA.
Dan LuoSchool of Public Health, Central South University, Changsha, 410078, Hunan, China.
Fengsu HouShenzhen Kangning Hospital, Guangzhou, 518020, China.
Fengying BiSchool of Public Health, Central South University, Changsha, 410078, Hunan, China.
Rong JiaoThe First Clinical College, Hainan Meidical University, Haikou, 570100, China.
Kangxing SongThe First Medical Center, Chinese PLA General Hospital, Beijing, 100853, China. skx301@126.com.
Yang JiangDepartment of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, 40536, USA.

Funding

Logistics Research Project ALB18J002, BHJ15J003National Natural Science Foundation of China 81973713Project of Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences Z0652, Z0608State Administration of Traditional Chinese Medicine of China Support Project 2017ZX10106001
6 · The paper itself

Abstract

backgroundAbout 83,000 COVID-19 patients were confirmed in China up to May 2020. Amid the well-documented threats to physical health, the effects of this public health crisis - and the varied efforts to contain its spread - have altered individuals' "normal" daily functioning. These impacts on social, psychological, and emotional well-being remain relatively unexplored - in particular, the ways in which Chinese men and women experience and respond to potential behavioral stressors. Our study investigated sex differences in psychological stress, emotional reactions, and behavioral responses to COVID-19 and related threats among Chinese residents.

methodsIn late February (2020), an anonymous online questionnaire was disseminated via WeChat, a popular social media platform in China. The cross-sectional study utilized a non-probabilistic "snowball" or convenience sampling of residents from various provinces and regions of China. Basic demographic characteristics (e.g., age and gender) - along with residential living arrangements and conditions - were measured along with psychological stress and emotional responses to the COVID-19 pandemic.

resultsThree thousand eighty-eight questionnaires were returned: 1749 females (56.6%) and 1339 males (43.4%). The mean stress level,as measured by a visual analog scale, was 3.4 (SD = 2.4) - but differed significantly by sex. Besides sex, factors positively associated with stress included: age (< 45 years), employment (unsteady income, unemployed), risk of infection (exposureto COVID-19, completed medical observation), difficulties encountered (diseases, work/study, financial, mental), and related behaviors (higher desire for COVID-19 knowledge, more time concerning on the COVID-19 outbreak). "Protective" factors included frequent contact with colleagues, calmness of mood comparing with the pre-pandemic, and psychological resilience. Males and females also differed significantly in adapting to current living/working, conditions, responding to run a fever, and needing psychological support services.

conclusionsThe self-reported stress of Chinese residents related to the COVID-19 pandemic was significantly related to sex, age, employment, resilience and coping styles. Future responses to such public health threats may wish to provide sex- and/or age-appropriate supports for psychological health and emotional well-being to those at greatest risk of experiencing stress.

Indexed as

Adaptation, PsychologicalCOVID-19Resilience, PsychologicalSex FactorsAdultAge FactorsChinaCross-Sectional StudiesDisease OutbreaksEmotionsEmploymentFemaleFinancial StressHumansMaleMental HealthCOVID-19Psychological resiliencePsychological stressSex differences

Identifiers

PMID33413224
PMCPMC7789895

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.