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September 2, 2026International Journal of Social Determinants of Health and Health ServicesOpen Access

Gender Inequalities in Health and Self-Employment During the Covid-19 Pandemic: Insights From a Southern European City

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Authors

LALucı́a ArtazcozICImma CortèsKPKatherine Pérez

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Overview

Cross-sectional study finds contrasting psychological distress between male and female employers during COVID-19, indicating distinct gendered burdens in entrepreneurship.

Key Points

  • To evaluate gender differences in self-perceived health and psychological distress among employees and self-employed individuals during the COVID-19 pandemic.
  • Analyzed cross-sectional data from the 2021 Barcelona Health Survey comprising 1,777 workers aged 25–64 years (892 men and 885 women) in Spain.
  • Categorized employment status into four groups: permanent employee, temporary employee, self-employed, and employer.
  • Conducted gender-stratified analyses assessing self-perceived health and psychological distress across employment categories.
  • Self-perceived health showed no significant differences across employment categories in either men or women.
  • Psychological distress diverged sharply by gender: male employers had better psychological status than male employees, whereas female employers had higher odds of poor psychological status compared to other employed women.
  • Female employers were less likely to belong to higher social classes, less likely to live with a partner, and more likely to have children than other employed women.

Cite This Study

Artazcoz et al. (2026) studied this question.

synapsesocial.com/papers/6a97e28dc562ede874ec6bc7https://doi.org/10.1177/27551938261480536
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