Gender differences in COVID-19 attitudes and behavior: Panel evidence from eight countries

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Significance

Public health response to COVID-19 requires behavior changes—isolation at home, wearing masks. Its effectiveness depends on generalized compliance. Original data from two waves of a survey conducted in March−April 2020 in eight Organisation for Economic Co-operation and Development countries ( n = 21,649) show large gender differences in COVID-19−related beliefs and behaviors. Women are more likely to perceive the pandemic as a very serious health problem and to agree and comply with restraining measures. These differences are only partially mitigated for individuals cohabiting or directly exposed to COVID-19. This behavioral factor contributes to substantial gender differences in mortality and is consistent with women-led countries responding more effectively to the pandemic. It calls for gender-based public health policies and communication.

Abstract

The initial public health response to the breakout of COVID-19 required fundamental changes in individual behavior, such as isolation at home or wearing masks. The effectiveness of these policies hinges on generalized public obedience. Yet, people’s level of compliance may depend on their beliefs regarding the pandemic. We use original data from two waves of a survey conducted in March and April 2020 in eight Organisation for Economic Co-operation and Development countries ( n = 21,649) to study gender differences in COVID-19−related beliefs and behaviors. We show that women are more likely to perceive COVID-19 as a very serious health problem, to agree with restraining public policy measures, and to comply with them. Gender differences in attitudes and behavior are sizable in all countries. They are accounted for neither by sociodemographic and employment characteristics nor by psychological and behavioral factors. They are only partially mitigated for individuals who cohabit or have direct exposure to the virus. We show that our results are not due to differential social desirability bias. This evidence has important implications for public health policies and communication on COVID-19, which may need to be gender based, and it unveils a domain of gender differences: behavioral changes in response to a new risk.

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Most cited references 17

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Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study

Nanshan Chen, Min Zhou, Xuan Dong … (2022)

Summary Background In December, 2019, a pneumonia associated with the 2019 novel coronavirus (2019-nCoV) emerged in Wuhan, China. We aimed to further clarify the epidemiological and clinical characteristics of 2019-nCoV pneumonia. Methods In this retrospective, single-centre study, we included all confirmed cases of 2019-nCoV in Wuhan Jinyintan Hospital from Jan 1 to Jan 20, 2020. Cases were confirmed by real-time RT-PCR and were analysed for epidemiological, demographic, clinical, and radiological features and laboratory data. Outcomes were followed up until Jan 25, 2020. Findings Of the 99 patients with 2019-nCoV pneumonia, 49 (49%) had a history of exposure to the Huanan seafood market. The average age of the patients was 55·5 years (SD 13·1), including 67 men and 32 women. 2019-nCoV was detected in all patients by real-time RT-PCR. 50 (51%) patients had chronic diseases. Patients had clinical manifestations of fever (82 [83%] patients), cough (81 [82%] patients), shortness of breath (31 [31%] patients), muscle ache (11 [11%] patients), confusion (nine [9%] patients), headache (eight [8%] patients), sore throat (five [5%] patients), rhinorrhoea (four [4%] patients), chest pain (two [2%] patients), diarrhoea (two [2%] patients), and nausea and vomiting (one [1%] patient). According to imaging examination, 74 (75%) patients showed bilateral pneumonia, 14 (14%) patients showed multiple mottling and ground-glass opacity, and one (1%) patient had pneumothorax. 17 (17%) patients developed acute respiratory distress syndrome and, among them, 11 (11%) patients worsened in a short period of time and died of multiple organ failure. Interpretation The 2019-nCoV infection was of clustering onset, is more likely to affect older males with comorbidities, and can result in severe and even fatal respiratory diseases such as acute respiratory distress syndrome. In general, characteristics of patients who died were in line with the MuLBSTA score, an early warning model for predicting mortality in viral pneumonia. Further investigation is needed to explore the applicability of the MuLBSTA score in predicting the risk of mortality in 2019-nCoV infection. Funding National Key R&D Program of China.

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The effect of human mobility and control measures on the COVID-19 epidemic in China

Moritz Kraemer, Chia-Hung Yang, Bernardo Gutiérrez … (2020)

The ongoing COVID-19 outbreak expanded rapidly throughout China. Major behavioral, clinical, and state interventions have been undertaken to mitigate the epidemic and prevent the persistence of the virus in human populations in China and worldwide. It remains unclear how these unprecedented interventions, including travel restrictions, affected COVID-19 spread in China. We use real-time mobility data from Wuhan and detailed case data including travel history to elucidate the role of case importation on transmission in cities across China and ascertain the impact of control measures. Early on, the spatial distribution of COVID-19 cases in China was explained well by human mobility data. Following the implementation of control measures, this correlation dropped and growth rates became negative in most locations, although shifts in the demographics of reported cases were still indicative of local chains of transmission outside Wuhan. This study shows that the drastic control measures implemented in China substantially mitigated the spread of COVID-19.

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Respiratory virus shedding in exhaled breath and efficacy of face masks

Nancy Leung, Daniel Chu, Eunice Shiu … (2020)

We identified seasonal human coronaviruses, influenza viruses and rhinoviruses in exhaled breath and coughs of children and adults with acute respiratory illness. Surgical face masks significantly reduced detection of influenza virus RNA in respiratory droplets and coronavirus RNA in aerosols, with a trend toward reduced detection of coronavirus RNA in respiratory droplets. Our results indicate that surgical face masks could prevent transmission of human coronaviruses and influenza viruses from symptomatic individuals.

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Author and article information

Journal

Journal ID (nlm-ta): Proc Natl Acad Sci U S A

Journal ID (iso-abbrev): Proc Natl Acad Sci U S A

Journal ID (hwp): pnas

Journal ID (pmc): pnas

Journal ID (publisher-id): PNAS

Title: Proceedings of the National Academy of Sciences of the United States of America

Publisher: National Academy of Sciences

ISSN (Print): 0027-8424

ISSN (Electronic): 1091-6490

Publication date (Print): 3 November 2020

Publication date (Electronic): 15 October 2020

Volume: 117

Issue: 44

Pages: 27285-27291

Affiliations

[1] ^aDepartment of Social and Political Sciences, Bocconi University , 20136 Milan, Italy;

[2] ^b Centre for Economic Policy Research , EC1V 0DX, London, UK

[3] ^c Innocenzo Gasparini Institute for Economic Research, 20136 Milan, Italy ;

[4] ^d Dondena Center, 20136 Milan, Italy ;

[5] ^e Harvard Business School , Boston, MA 02163;

[6] ^f National Bureau of Economic Research, Cambridge, MA 02138 ;

[7] ^g Abdul Latif Jameel Poverty Action Lab, Cambridge, MA 02142 ;

[8] ^hInstitute for Advanced Study in Toulouse, University Toulouse 1 Capitole , 31080 Toulouse, France;

[9] ⁱ Department of Political Science, Sciences Po , 75007 Paris, France;

[10] ^j Centre de Recherches Politiques de Sciences Po, 75007 Paris, France;

[11] ^k CNRS, 75 016 Paris, France.

Author notes

²To whom correspondence may be addressed. Email: paola.profeta@ 123456unibocconi.it .

Edited by Douglas S. Massey, Princeton University, Princeton, NJ, and approved September 2, 2020 (received for review June 17, 2020)

Author contributions: V.G., V.P., and P.P. did the conceptualization of the research question, the data curation, the formal analysis, and the writing of the paper; M.B., S.B., and M.F. provided comments on the final draft and designed the survey questionnaire; V.G. and V.P. provided comments on the final draft of the questionnaire.

¹V.G., V.P., and P.P. contributed equally to this work.