December 07, 2022
During their lifespan, women are 50% more likely to experience depressive and anxiety disorders than men, and both depressive and anxiety disorders are the leading mental health issues experienced by women.14 In 2021, a global study found that women across more than 100 countries felt negative emotions on the day before they were surveyed (Figure 2.1).5 Countries where women experienced the lowest emotional health were strikingly also countries that had a large amount of political or economic strife in 2021 (i.e., Afghanistan and Lebanon) (Table 2.1).5
Basic needs like food and financial security significantly contribute to mental health challenges such as depression and anxiety. For instance, in 2021, 37% (~1 billion women) and 30% (~800 million women) of women globally struggled to afford food and adequate shelter, respectively.5 These stressors to meet foundational social determinants of health were related to a higher incidence of feeling negative emotions like stress and worry. The scores for struggle in meeting financial needs were highest in sub-Saharan Africa and Asia, pointing to a correlation between poor emotional health outcomes.
Women are also 160% more likely to experience mental health issues than men.15 When it comes to seeking care for mental health, a 2021 Oliver Wyman study found that while women were 20% more likely to consider seeking mental health care, men were 12% more likely to actually receive mental health care.16 Some of these findings are attributed to the social and economic effects of the pandemic on women, including a greater chance of losing their jobs, being less likely to benefit from an economic recovery and being tasked with a disproportionate amount of caregiving responsibilities.16
Women in health care careers experienced higher levels of burnout relative to men and reported missing 1 or more days of work due to burnout, stress or mental health issues.17 Furthermore, a Deloitte study noted while one-third of women may take time off work for mental health challenges, only 43% feel comfortable discussing their challenges in the workplace, and 42% of women are concerned that their career trajectory will suffer by not always being available.18 It is important to note that women struggling with mental health issues who do not take some time off to address them are likely to leave their job.17
What Can Employers Do to Better Support Women’s Mental Health Needs?
- Assess global trends, noting countries that have a less robust clinical infrastructure and weak support for women in the workforce and identify the environmental barriers women face in accessing mental health care.
- Work with people managers to ensure that their teams have a sustainable pace of work, flexibility to meet both work and life demands and realistic deadlines on deliverables to prevent burnout and stress.
- Create a culture of caring where senior leaders and C-Suite executives talk openly about their experience with and commitment to addressing mental health. Reinforce this messaging with actions, such as campaigns highlighting mental health resources in the local language that take into consideration cultural sensitivity and nuances.
- Enhance virtual mental health support offerings.
- Provide educational tools, materials and trainings to foster mental health communication in the workforce.
- Strive for accountability through measurement and evaluation by utilizing feedback loops, claims data and utilization reports and use of social communication channels.
Virtual Health Solutions to Address Women’s Health
- Virtual health solutions have proliferated during COVID-19. They provide an avenue for women to access care that they might not have otherwise sought due to barriers in time, cost, distance and caregiving obligations.19,20
- In one notable virtual health example, a telemedicine network supports employers in connecting employees with various health specialists (including ob-gyns and lactation consultants) at a lower cost compared to an in-person visit. The service provides the opportunity for women to take fewer days off from work and receive assistance with payment reimbursement for services utilized.
Learn more in our related resource:
- Studies during COVID-19 are finding that women are more likely to use telemedicine visits for many forms of care (i.e., primary care) compared to their male counterparts. Despite the benefits virtual solutions provide, in cases like maternal health, virtual health solutions have some challenges such as limited monitoring due to the inability to perform physical examinations like heartbeat monitoring. Some virtual health users also experience barriers such as poor internet coverage or lack of Wi- Fi.21,22
More TopicsArticles & Guides Diversity, Equity, Inclusion & Belonging (DEIB) Health Equity Plan Design & Administration
- 1 | Gauci S, Cartledge S, Redfern J et al. Biology, bias, or both? The contribution of sex and gender to the disparity in cardiovascular outcomes between women and men. Current Atherosclerosis Reports. 2022;24(9):701-708. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9399064/. Accessed September 28, 2022.
- 2 | Angum F, Khan T, Kaler J, Siddiqui L, Hussain A. The prevalence of autoimmune disorders in women: A narrative review. Cureus. 2020;12(5):e8094. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292717/pdf/cureus-0012-00000008094.pdf. Accessed September 28, 2022.
- 3 | Al-Hassany L, Haas J, Piccininni M, Kurth T, Maassen Van Den Brink A, Rohmann JL. Giving researchers a headache – Sex and gender differences in migraine. Frontiers in Neurology. 2020;11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7642465/pdf/fneur-11-549038.pdf. Accessed September 28, 2022.
- 4 | Cawthon PM. Gender differences in osteoporosis and fractures. Clin Orthop Relat Res. 2011;469(7):1900-1905. https://pubmed.ncbi.nlm.nih.gov/21264553/. Accessed September 28, 2022.
- 5 | Hologic. The Hologic Global Women’s Health Index. Pathways to a Healthy Future for Women. 2022. https://hologic.womenshealthindex.com/sites/default/files/2022-09/Hologic_2021-Global-Women%27s-Health-Index_Full-Report.pdf. Accessed September 02, 2022.
- 6 | Bhargava M, Bhargava R. Heart disease is the leading cause of death in women – here’s how we can address it. World Economic Forum. June 10, 2021. https://www.weforum.org/agenda/2021/06/heart-disease-is-the-leading-cause-of-death-in-women-worldwide-lancetcommission- cvd-stroke/?fbclid=IwAR04AMCaqRg_kq1gRbzvAG9-mIEJhfRcbeZyhtqk2kIfZHQ9VVyv76r51C0. Accessed August 30, 2022.
- 7 | Alshaikh MK, Filippidis FT, Baldove JP, Majeed A, Rawaf S. Women in Saudi Arabia and the prevalence of cardiovascular risk factors: A systematic review. Journal of Environmental and Public Health. 2016;2016:7479357. https://pubmed.ncbi.nlm.nih.gov/27777590/. Accessed February 17, 2022.
- 8 | Rakshit D. Women’s heart health is ignored because of gender bias, needs more research: Lancet Report. The Swaddle. May 19, 2021. https://theswaddle.com/womens-heart-health-is-ignored-because-of-gender-bias-needs-more-research-lancet-report/. Accessed February 17, 2022.
- 9 | British Heart Foundation. Bias and biology: How the gender gap in heart disease is costing women’s lives. 2019. https://www.bhf.org.uk/-/media/files/heart-matters/bias-and-biology-briefing. pdf?rev=cd26147a45f9444098aa2949551f3803&hash=7C4225981A8554B921502F609C42C7F9. Accessed March 01, 2022.
- 10 | The World Health Organization. New recommendations for screening and treatment to prevent cervical cancer. July 06, 2021. https://www.who.int/news/item/06-07-2021-new-recommendations-for-screening-and-treatment-to-prevent-cervical-cancer. Accessed February 17, 2022.
- 11 | The Lancet Regional Health - Western Pacific. Empowering women to take control over cervical screening. The Lancet Regional Health – Western Pacific. 2021;16. https://www.kff.org/womens-health-policy/issue-brief/women-work-and-family-during-covid-19-findings-from-the-kff-womens-health-survey/. Accessed August 11, 2022.
- 12 | Frederiksen B, Ranji U, Salganicoff A, L Michelle. Women's Experiences with Health Care During the COVID-19 Pandemic: Findings from the KFF Women's Health Survey. Kaiser Family Foundation. March 22, 2021. https://www.kff.org/womens-health-policy/issue-brief/women-work-and-family-during-covid-19-findings-from-the-kff-womens-health-survey/. Accessed February 17, 2022.
- 13 | Fedewa SA, Star J, Bandi P et al. Changes in cancer screening in the US during the COVID-19 pandemic. JAMA Network Open. 2022;5(6):e2215490-e2215490. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2792956. Accessed August 11, 2022.
- 14 | World Health Organization. World mental health report: Transforming mental health for all. June 16, 2022. https://www.who.int/publications/i/item/9789240049338. Accessed February 07, 2022.
- 15 | Mercer. Diversity, Equity and Inclusion: Supporting the holistic needs of all employees. June 23, 2022 (webinar). https://www.mercer.us/events/webcasts/diversity-equity-and-inclusion-june-23.html. Accessed September 02, 2022.
- 16 | Snider S, Fries D, Furrer P. Gender gap in accessing mental health support. Oliver Wyman. March 18, 2022. https://www.oliverwyman.com/our-expertise/perspectives/health/2022/mar/gender-gap-in-accessing-mental-health-support.html. Accessed September 02, 2022.
- 17 | Berlin G, Chen J, Groh R, Sharma M. Women in healthcare and life sciences: The ongoing stress of COVID-19. McKinsey & Company. April 08, 2022. https://www.mckinsey.com/industries/healthcare/our-insights/women-in-healthcare-and-life-sciences-the-ongoing-stress-of-covid-19. Accessed September 02, 2022.
- 18 | Deloitte. Women @Work 2022: A Global Outlook. https://www2.deloitte.com/content/dam/Deloitte/global/Documents/deloitte-women-at-work-2022-a-global-outlook.pdf. Accessed September 02, 2022.
- 19 | Verstraete S. Teladoc Health. The courage to care: Virtual care and women’s mental health during COVID-19. https://business.teladochealth.com/resources/article/the-courage-to-care-virtual-care-and-womens-mental-health-during-covid-19/. Accessed September 30, 2022.
- 20 | Pifer R. Why are women more likely to use telehealth? Healthcare Dive. November 02, 2021. https://www.healthcaredive.com/news/womenmore- likely-telehealth-patients-providers-covid-19-pandemic/608153/. Accessed September 30, 2022.
- 21 | Reed ME, Huang J, Graetz I et al. Patient characteristics associated with choosing a telemedicine visit vs office visit with the same primary care clinicians. JAMA Network Open. 2020;3(6):e205873-e205873. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767244. Accessed September 30, 2022.
- 22 | Galle A, Semaan A, Huysmans E et al. A double-edged sword—telemedicine for maternal care during COVID-19: findings from a global mixed-methods study of healthcare providers. BMJ Global Health. 2021;6(2):e004575. https://gh.bmj.com/content/6/2/e004575. Accessed September 30, 2022.
- 23 | Ho A, Collins S, Davis K, Doty M. A Look at Working-Age Caregivers’ Roles, Health Concerns, and Need for Support. The Commonwealth Fund. August 2005. https://www.commonwealthfund.org/publications/issue-briefs/2005/aug/look-working-age-caregivers-roles-health-concerns-and-need. Accessed August 11, 2022.
- 24 | Sharma N, Chakrabarti S, Grover S. Gender differences in caregiving among family - caregivers of people with mental illnesses. World J Psychiatry. 2016;6(1):7-17. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804270/pdf/WJP-6-7.pdf. Accessed February 17, 2022.
- 25 | CARE. She told us so: Rapid gender analysis: Filling the data gap to build back equal. September 2020. https://www.care.org/wp-content/uploads/2020/09/RGA_SheToldUsSo_9.18.20.pdf. Accessed February 17, 2022.
- 26 | Del Río-Lozano M, García-Calvente M, Elizalde-Sagardia B, Maroto-Navarro G. Caregiving and caregiver health 1 year into the COVID-19 pandemic (CUIDAR-SE Study): A gender analysis. Int J Environ Res Public Health. 2022;19(3). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835117/. Accessed August 11, 2022.
- 27 | Seedat S, Rondon M. Women’s wellbeing and the burden of unpaid work. BMJ. 2021;374:n1972. https://www.bmj.com/content/374/bmj.n1972. Accessed August 11, 2022.
- 28 | UN Women. The COVID-19 pandemic has increased the care burden, but by how much? December 03, 2020. https://data.unwomen.org/features/covid-19-pandemic-has-increased-care-burden-how-much-0. Accessed August 11, 2022.
- 29 | Asher & Lyric Fergusson. The Best Countries to Raise a Family in 2020. July 24, 2020. https://www.asherfergusson.com/raising-a-family-index/. Accessed August 11, 2022.
- 30 | Langer A, Meleis A, Knaul FM et al. Women and health: the key for sustainable development. Lancet. 2015;386(9999):1165-1210. https://www.thelancet.com/action/showPdf?pii=S0140-6736%2815%2960497-4. Accessed August 11, 2022.
- 31 | Garijo B. World Economic Forum: COVID-19 highlights how caregiving fuels gender inequality. April 24, 2020. https://www.weforum.org/agenda/2020/04/covid-19-highlights-how-caregiving-fuels-gender-inequality/. Accessed August 11, 2022.
- 32 | Wilson Center. The Global Care Economy. April 2022. https://www.wilsoncenter.org/sites/default/files/media/uploads/documents/The%20Care%20Economy%20-%20MHI%20Policy%20Brief%20Apr%202022.pdf. Accessed August 11, 2022.
- 33 | Hyde E, Greene ME, Darmstadt GL. Time poverty: Obstacle to women's human rights, health and sustainable development. J Glob Health. 2020;10(2):020313. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7688061/pdf/jogh-10-020313.pdf. Accessed August 11, 2022.
- 34 | The World Health Organization. Maternal mortality. September 19, 2019. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed February 28, 2022.
- 35 | Rabin R. Maternal deaths rose during the first year of the pandemic. The New York Times. February 23, 2022. https://www.nytimes.com/2022/02/23/health/maternal-deaths-pandemic.html. Accessed February 28, 2022.
- 36 | Roser M, Ritchie H. Maternal mortality. Our world in data. https://ourworldindata.org/maternal-mortality. Accessed February 17, 2022.
- 37 | International Development Research Centre (IDRC). Increasing women's access to skilled pregnancy care in Nigeria (IMCHA). https://www.idrc.ca/en/project/increasing-womens-access-skilled-pregnancy-care-nigeria-imcha. Accessed February 17, 2022.
- 38 | World Health Organization. Trends in Maternal Mortality: 2000 to 2017. 2019. https://apps.who.int/iris/handle/10665/327596. Accessed October 25, 2022.
- 39 | Business Group on Health. Social Determinants of Health: Full Guide. June 15, 2021. https://www.businessgrouphealth.org/resources/social-determinants-full-guide. Accessed February 17, 2022.
- 40 | Merck for Mothers. Where we work - United States of America. https://www.merckformothers.com/where-we-work/usa.html. Accessed February 17, 2022.
- 41 | Business Group on Health. Ending Disparities in Maternal Mortality. April 14, 2021. https://www.businessgrouphealth.org/en/resources/ending-disparities-in-maternal-mortality. Accessed February 17, 2022.
- 42 | Xue T, Guan T, Geng G, Zhang Q, Zhao Y, Zhu T. Estimation of pregnancy losses attributable to exposure to ambient fine particles in south Asia: an epidemiological case-control study. Lancet Planet Health. 2021;5(1):e15-e24. https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(20)30268-0/fulltext. Accessed February 17, 2022.
- 43 | Tikkanen R, Gunja M, FitzGerald M, Zephyrin L. Maternal Mortality and Maternity Care in the United States Compared to 10 Other Developed Countries. November 18, 2020. https://www.commonwealthfund.org/publications/issue-briefs/2020/nov/maternal-mortality-maternity-care-us-compared-10-countries. Accessed September 22, 2022.
- 44 | Knight R. How to return to work after taking parental leave. Harvard Business Review. August 02, 2019. https://hbr.org/2019/08/how-to-return-to-work-after-taking-parental-leave. Accessed September 02, 2022.
- 45 | Horton R. Offline: Gender and global health—an inexcusable global failure. The Lancet. February 09, 2019. https://pubmed.ncbi.nlm.nih.gov/30739675/. Accessed February 17, 2022.
- 46 | The Lancet Global Health. Infertility-why the silence? Lancet Global Health. June 2022;10(6):e773. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(22)00215-7/fulltext. Accessed September 02, 2022.
- 47 | Australian Government: Department of Home Affairs. International surrogacy arrangements. https://immi.homeaffairs.gov.au/citizenship/become-a-citizen/by-descent/international-surrogacy-arrangements. Accessed September 02, 2022.
- 48 | Francis A. Could ‘menstrual leave’ change the workplace. BBC. April 28, 2022. https://www.bbc.com/worklife/article/20220426-could-menstrual-leave-change-the-workplace. Accessed September 02, 2022.
- 49 | Circle In. Report: Menopause and the workplace.2022. https://circlein.com/report-menopause-and-the-workplace/. Accessed September 02, 2022.
- 50 | Mathews M. Let’s break the stigma around menopause. Health Awareness. https://www.healthawareness.co.uk/menopause/lets-break-the-stigma-around-menopause/. Accessed September 02, 2022.
- 51 | Elektra Health. Elektra for Organizations: Leading organizations support women in the workplace at every stage of life. 2022. https://www.elektrahealth.com/for-organizations. Accessed October 19, 2022.
- 52 | Sullivan B. Scotland becomes the first country to offer tampons and pads for free, officials say. NPR. August 16, 2022. https://www.npr.org/2022/08/16/1117748486/scotland-tampons-pads-menstrual-free-period-products#:~:text=Scotland%20is%20the%20first%20 country,last%20a%20month%20or%20two. Accessed September 02, 2022.
- 53 | Pattani A. In some countries, women get off for period pain. The New York Times. July 24, 2017. https://www.nytimes.com/2017/07/24/health/period-pain-paid-time-off-policy.html. Accessed September 02, 2022.
- 54 | Kassam A, Wilson J. Spain debates if menstrual leave will help or hurt. AP News. May 12, 2022. https://apnews.com/article/health-spain-021b3cefbf4490c10a6bd9e3f1dc0750. Accessed September 02, 2022.
- 55 | 50 Plus Choices Employer Taskforce. Menopause and Employment. 2021. https://www.thephoenixgroup.com/sites/phoenix-group/files/phoenix-group/views-and-insights/Menopause%20Report/Menopause%20and%20Employment.pdf. Accessed October 19, 2022.
- 56 | Colorado School of Public Health. Refining women's health for transgender and nonbinary inclusivity. January 2, 2020. https://coloradosph.cuanschutz.edu/news-and-events/newsroom/research-news/public-health-main-site-news/redefining-women-s-health-for-transgender-andnonbinary- inclusivity. Accessed September 30, 2022.
IntroductionBecome an Employer of Choice: Prioritizing Women’s Health in Global Benefits Design
Full GuideWomen’s Health: Full Guide
Part 1Women’s Health Guide: Preventive Health
Part 2Women’s Health Guide: Mental Health
Part 3Women’s Health Guide: Work/life and Family
Part 4Women’s Health Guide: Maternal Health
Part 5Women’s Health Guide: Reproductive Health