Gender differences in the effects of economic inequality on mental conditions: a multivariate meta-analysis of Gini index and relative income position in high-income OECD countries - Report - MDSpire
Coming Soon: Introducing MDSpire News. Learn more
Conexiant’s news site is now MDSpire News. Learn more

Sex-Based Variations in the Impact of Economic Disparities on Mental Health: A Comprehensive Meta-Analysis of Gini Coefficient and Relative Income Status in Affluent OECD Nations

  • By

  • Olivia Kalinowski

  • Wulf Rössler

  • September 3, 2026

Share

Sex-Based Variations in the Impact of Economic Disparities on Mental Health

Overview

This meta-analysis reveals that women experience greater relative poverty and are disproportionately affected by economic disparities in mental health, particularly depression.

Background

Economic inequalities are significant determinants of mental health, yet the role of gender in this context has been underexplored. Women face both greater exposure to economic disadvantage and heightened vulnerability to its mental health impacts.

Data Highlights

MeasureWomenMenMean Differencep-value
Relative Poverty Prevalence20.5%18.3%2.2 percentage points< 0.001

Key Findings

  • Relative poverty was more prevalent among women (20.5%) than men (18.3%).
  • The meta-analysis identified a significant relationship between lower income and poorer mental health (log(OR)=0.55, 95% CI 0.26–0.85).
  • Gender did not moderate effects across all outcomes, but significant moderation was found in depression-focused analyses (p=0.016).
  • Women exhibited larger effects in depression-related outcomes compared to men.
  • The Gini index was not associated with mental health outcomes, but gender remained a significant moderator.

Clinical Implications

Healthcare providers should consider gender-specific factors when assessing the mental health impacts of economic disparities. Policies aimed at reducing economic inequality should incorporate gender-sensitive strategies to effectively address the mental health needs of women.

Conclusion

The study highlights the importance of recognizing gender differences in the relationship between economic disparities and mental health.

Related Resources & Content

  1. American Journal of Epidemiology, 2023 -- Socioeconomic Disparities and Suicide Rates: A Comparison of Common Metrics Utilizing National Violent Death Reporting System and Linked Administrative Data
  2. American Journal of Epidemiology, 2023 -- Neighborhood Credit Scores and Their Association with Depression and Anxiety Symptoms in Adults
  3. American Journal of Epidemiology, 2023 -- Impact of Childhood and Adult Socioeconomic Status on Social Connections in Adulthood: A Mediation Study
  4. Frontiers in Psychiatry, 2026 -- Health outcomes across socioeconomic strata B, C, and DE among Brazilian adults living in moderate social vulnerability
  5. New WHO guidance calls for urgent transformation of mental health policies, 2025
  6. Nature, 2025 -- No meta-analytical effect of economic inequality on well-being or mental health
  7. New WHO guidance calls for urgent transformation of mental health policies
  8. No meta-analytical effect of economic inequality on well-being or mental health | Nature

Original Source(s)

Related Content