COVID-19 in Rural Ontario Communities: Exploring Women’s Mental Health During a Pandemic

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Publicado en:International Journal of Environmental Research and Public Health vol. 22, no. 6 (2025), p. 937-964
Autor principal: Norton, Amanda
Otros Autores: Rosella, Laura, Adams, Matthew, Deacon Leith
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MDPI AG
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LEADER 00000nab a2200000uu 4500
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003 UK-CbPIL
022 |a 1661-7827 
022 |a 1660-4601 
024 7 |a 10.3390/ijerph22060937  |2 doi 
035 |a 3223909092 
045 2 |b d20250101  |b d20251231 
084 |a 107910  |2 nlm 
100 1 |a Norton, Amanda  |u Department of Geography and Planning, University of Toronto, Room 5047, Sydney Smith Hall, 100 St. George Street, Toronto, ON M5S 3G3, Canada; md.adams@utoronto.ca 
245 1 |a COVID-19 in Rural Ontario Communities: Exploring Women’s Mental Health During a Pandemic 
260 |b MDPI AG  |c 2025 
513 |a Journal Article 
520 3 |a Purpose: Socio-demographic inequities in mental health were magnified by COVID-19, with women experiencing greater household burden with less support in Canada and globally. While some health patterns during COVID-19 have been observed globally, there is a research gap in rural mental health during COVID-19 in Canada. We hypothesize there is a disparity in mental health decline during COVID-19 between men and women. Methods: In rural Ontario, mental health was measured through a survey of approximately 18,000 individuals living in seven counties. In 2021, survey respondents were asked to rate their mental health prior to and during COVID-19. Women reported poorer mental health during COVID-19 in comparison to men when tested via chi-squared tests, odds ratios, and percentage change. Responses to survey questions regarding social, financial, and mental health support were then evaluated. Findings: We found significant disparities in mental health ratings before and during COVID-19 between men and women. Women reported poorer mental health, increased substance use, and increased worry about social, financial, and community stressors. Respondents who self-identified as a woman were associated with poorer mental health outcomes. Conclusions: Interventions should be specific to geographic communities as well as individual needs (e.g., additional financial and childcare support). Rural communities need to be considered as independent geographies rather than as one geography (i.e., urban vs. rural). 
651 4 |a Canada 
651 4 |a Ontario Canada 
653 |a Health care access 
653 |a Anxiety 
653 |a Careers 
653 |a Domestic violence 
653 |a Child care 
653 |a Intervention 
653 |a Polls & surveys 
653 |a Families & family life 
653 |a Geography 
653 |a Community 
653 |a Shopping 
653 |a COVID-19 
653 |a Shelter in place 
653 |a Women 
653 |a Inequality 
653 |a Substance abuse 
653 |a Men 
653 |a Pandemics 
653 |a Gender equity 
653 |a Drug use 
653 |a Stress 
653 |a Alcohol 
653 |a Rural areas 
653 |a Urban areas 
653 |a Mental health 
653 |a Rural communities 
653 |a Qualitative research 
653 |a Households 
653 |a Rural urban differences 
653 |a Health disparities 
653 |a Health status 
653 |a Mental health services 
653 |a Respondents 
653 |a Worry 
653 |a Question answer sequences 
653 |a Sociodemographics 
700 1 |a Rosella, Laura  |u Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, 6th Floor, Health Sciences Building, 155 College Street, Toronto, ON M5T 3M7, Canada; laura.rosella@utoronto.ca 
700 1 |a Adams, Matthew  |u Department of Geography and Planning, University of Toronto, Room 5047, Sydney Smith Hall, 100 St. George Street, Toronto, ON M5S 3G3, Canada; md.adams@utoronto.ca 
700 1 |a Deacon Leith  |u Department of Rural Planning and Development, School of Environmental Design and Rural Development, Guelph University, Room 122, Landscape Architecture, 124 Reynolds Walk, Guelph, ON N1G 2W1, Canada; leith.deacon@uoguelph.ca 
773 0 |t International Journal of Environmental Research and Public Health  |g vol. 22, no. 6 (2025), p. 937-964 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3223909092/abstract/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/3223909092/fulltextwithgraphics/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3223909092/fulltextPDF/embedded/75I98GEZK8WCJMPQ?source=fedsrch