COVID-19’s Unequal Toll: Differences in Health-Related Quality of Life by Gendered and Racialized Groups

Konrad Franco · Caitlin C. Patler · Whitney N. Laster Pirtle

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Health disparities and outcomes COVID-19 and Mental Health Gender, Health, and Social Inequality

Abstract

We examine whether the COVID-19 pandemic was associated with changes to daily activity limitations due to poor physical or mental health and whether those changes were different within and between gendered and racialized groups. We analyze 497,302 observations across the 2019 and 2020 waves of the Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System survey. Among White men and women, the COVID-19 pandemic was associated with fewer days of health-related activity limitations and decreased frequent activity limitation (≥14 days in the past month) compared to the prepandemic period. By contrast, Latina and Black women experienced increased days of activity limitation and greater likelihood of frequent activity limitation, and these changes were significantly different than for White women. These findings are robust to the inclusion of structural inequality measures and demonstrate how systemic racism and sexism likely exacerbate a myriad of pandemic-related health problems.

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2003The Centers for Disease Control and Prevention's Healthy Days Measures - population tracking of perceived physical and mental health over time.2020Racial Capitalism: A Fundamental Cause of Novel Coronavirus (COVID-19) Pandemic Inequities in the United States 2020The Anxiety of Being Asian American: Hate Crimes and Negative Biases During the COVID-19 Pandemic 2021Racial and Ethnic Disparities in the Prevalence of Stress and Worry, Mental Health Conditions, and Increased Substance Use Among Adults During the COVID-19 Pandemic — United States, April and May 2020 2020The Color of COVID-19: Structural Racism and the Disproportionate Impact of the Pandemic on Older Black and Latinx Adults 2019Structural Sexism and Health in the United States: A New Perspective on Health Inequality and the Gender System 2021Structural Intersectionality as a New Direction for Health Disparities Research 2022Racial and Ethnic Disparities in Mental Health and Mental Health Care During The COVID-19 Pandemic

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