Gendered analysis of care work burden and mental health using data from the Gutenberg Covid-19 study

Abstract In light of the growing awareness of the unequal distribution of care work, this study aimed to analyze gender differences in burdens of care work and associations with mental health during the COVID-19 pandemic, with a focus on employment status. Therefore, data from the population-represe...

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Main Authors: E. Engwicht, J. Petersen, E. Braehler, F. Wicke, J. Koenig, T. Muenzel, A. K. Schuster, K. Lackner, P. S. Wild, M. E. Beutel, Nora Hettich-Damm
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Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-11841-x
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author E. Engwicht
J. Petersen
E. Braehler
F. Wicke
J. Koenig
T. Muenzel
A. K. Schuster
K. Lackner
P. S. Wild
M. E. Beutel
Nora Hettich-Damm
author_facet E. Engwicht
J. Petersen
E. Braehler
F. Wicke
J. Koenig
T. Muenzel
A. K. Schuster
K. Lackner
P. S. Wild
M. E. Beutel
Nora Hettich-Damm
author_sort E. Engwicht
collection DOAJ
description Abstract In light of the growing awareness of the unequal distribution of care work, this study aimed to analyze gender differences in burdens of care work and associations with mental health during the COVID-19 pandemic, with a focus on employment status. Therefore, data from the population-representative Gutenberg COVID-19 cohort, collected between October 2020 and April 2021, in the city of Mainz and the County of Mainz-Bingen, Germany, were used. Out of the whole cohort, people living with children in the household were included (N = 2,043). Feeling burdened by care work and mental health outcomes were assessed by validated self-report questionnaires. Descriptive analyses and multilinear regression analyses were performed. Results showed that feeling burdened by care work was more likely for women than for men. For men, feeling burdened by care work was significantly associated with depressiveness, anxiety, and somatization. For women, difficulties with child raising were associated with depressiveness. Part-time working men and women did not differ with respect to mental health or care work burden, whereas unemployed and full-time working women showed significantly worse mental health and reported more burden of care than unemployed and full-time working men. Hence, this study showed gender inequalities. For women, worsening external conditions for childcare appeared to be a risk factor. Men with care work responsibilities seem to benefit, concerning their mental health, from full-time paid work. The data underscore the importance of mitigating the burden of care work, especially to improve conditions for women and part-time workers.
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spelling doaj-art-3158de524bf64a678a5ed0227759a5c62025-08-20T03:45:59ZengNature PortfolioScientific Reports2045-23222025-07-011511910.1038/s41598-025-11841-xGendered analysis of care work burden and mental health using data from the Gutenberg Covid-19 studyE. Engwicht0J. Petersen1E. Braehler2F. Wicke3J. Koenig4T. Muenzel5A. K. Schuster6K. Lackner7P. S. Wild8M. E. Beutel9Nora Hettich-Damm10Department of Psychosomatic Medicine and Psychotherapy, University Medical Center MainzDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center MainzDepartment of Psychiatry and Psychotherapy, Leipzig University Medical CenterDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center MainzPediatric Epidemiology, Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center MainzCenter for Cardiology, University Medical Center MainzDepartment of Ophthalmology, University Medical Center MainzInstitute for Clinical Chemistry and Laboratory Medicine, University Medical Center MainzPreventive Cardiology and Preventive Medicine, Center for Cardiology, University Medical Center MainzDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center MainzDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center MainzAbstract In light of the growing awareness of the unequal distribution of care work, this study aimed to analyze gender differences in burdens of care work and associations with mental health during the COVID-19 pandemic, with a focus on employment status. Therefore, data from the population-representative Gutenberg COVID-19 cohort, collected between October 2020 and April 2021, in the city of Mainz and the County of Mainz-Bingen, Germany, were used. Out of the whole cohort, people living with children in the household were included (N = 2,043). Feeling burdened by care work and mental health outcomes were assessed by validated self-report questionnaires. Descriptive analyses and multilinear regression analyses were performed. Results showed that feeling burdened by care work was more likely for women than for men. For men, feeling burdened by care work was significantly associated with depressiveness, anxiety, and somatization. For women, difficulties with child raising were associated with depressiveness. Part-time working men and women did not differ with respect to mental health or care work burden, whereas unemployed and full-time working women showed significantly worse mental health and reported more burden of care than unemployed and full-time working men. Hence, this study showed gender inequalities. For women, worsening external conditions for childcare appeared to be a risk factor. Men with care work responsibilities seem to benefit, concerning their mental health, from full-time paid work. The data underscore the importance of mitigating the burden of care work, especially to improve conditions for women and part-time workers.https://doi.org/10.1038/s41598-025-11841-xGender equityMental healthCare workEmploymentCOVID-19 pandemicSomatization
spellingShingle E. Engwicht
J. Petersen
E. Braehler
F. Wicke
J. Koenig
T. Muenzel
A. K. Schuster
K. Lackner
P. S. Wild
M. E. Beutel
Nora Hettich-Damm
Gendered analysis of care work burden and mental health using data from the Gutenberg Covid-19 study
Scientific Reports
Gender equity
Mental health
Care work
Employment
COVID-19 pandemic
Somatization
title Gendered analysis of care work burden and mental health using data from the Gutenberg Covid-19 study
title_full Gendered analysis of care work burden and mental health using data from the Gutenberg Covid-19 study
title_fullStr Gendered analysis of care work burden and mental health using data from the Gutenberg Covid-19 study
title_full_unstemmed Gendered analysis of care work burden and mental health using data from the Gutenberg Covid-19 study
title_short Gendered analysis of care work burden and mental health using data from the Gutenberg Covid-19 study
title_sort gendered analysis of care work burden and mental health using data from the gutenberg covid 19 study
topic Gender equity
Mental health
Care work
Employment
COVID-19 pandemic
Somatization
url https://doi.org/10.1038/s41598-025-11841-x
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