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. 2021 May 13;11:10173. doi: 10.1038/s41598-021-89700-8

Table 1.

Region, global index of COVID-19 pandemic and economic, and characteristics of the 107 included studies.

Characteristics of included studies Number of studies (%)
WHO Region: Country (no. of studies)
Africa Region: Nigeria (1), South Africa (1) 2 (1.9)
Region of the Americas: Brazil (4), Mexico (1), United States (7) 12 (11.2)
South-East Asia Region: Bangladesh (3), India (5), Nepal (1), Thailand (1) 10 (9.4)
European Region: Germany (1), Greece (1), Ireland (1), Italy (6), Norway (1), Portugal (1), Spain (6), Sweden (1), Turkey (2), United Kingdom (7) 27 (25.2)
Eastern Mediterranean Region: Egypt (1), Iran (3), Jordan (2), Pakistan (1), Saudi Arabia (2), Tunisia (1), United Arab Emirates (2) 12 (11.2)
Western Pacific Region: Australia (4), China (including Hong Kong, Macau, Taiwan; 36), Japan (1), Malaysia (1), New Zealand (1), Vietnam (1) 44 (41.1)
World Bank, by income groups
Low income
Lower-middle income 14 (13.1)
Upper-middle income 49 (45.8)
High income 44 (41.1)
Human development groups, 2018a
Low 1 (0.9)
Medium 11 (10.3)
High 48 (44.9)
Very high 47 (43.9)
Gender Inequality Index, 2018 (world average, 0.439)a
Below world average gender inequality index 88 (82.2)
Above world average gender inequality index 16 (15.0)
No data 3 (2.8)
COVID-19: Government Response Stringency Index during the surveyb
Less stringent (< 75) 23 (21.5)
Moderate stringent (75–85) 53 (49.5)
Very stringent (> 85) 29 (27.1)
No data 2 (1.9)
Preparedness of countries to respond to COVID-19: hospital beds per 10,000 people, 2010–2018c
Low 10 (9.4)
Medium–low 9 (8.4)
Medium 22 (20.6)
Medium–high 60 (56.1)
High 2 (1.9)
No data 4 (3.7)
Preparedness of countries to respond to COVID-19: current health expenditure (% of GDP), 2016c
Low 14 (13.1)
Medium–low 40 (37.4)
Medium 5 (4.7)
Medium–high 18 (16.8)
High 28 (26.2)
Not data 2 (1.9)
Real GDP growth 2020, estimates percent change (world average, -3.0)d
Below GDP world average growth 58 (54.2)
Above GDP world average growth 49 (45.8)
Resilience of a country's business environmente
First quartile 41 (38.3)
Second quartile 17 (15.9)
Third quartile 40 (37.4)
Fourth quartile 9 (8.4)
Immediate economic vulnerability: inbound tourism expenditure (% of GDP 2016–2018)c
Low 52 (48.6)
Medium–low 19 (17.8)
Medium 15 (14.0)
Medium–high 14 (13.1)
High 7 (6.5)
Article type
Published article 48 (44.9)
Preprint reporting data 47 (43.9)
Short communication/letter to editor/correspondence 12 (11.2)
Study design
Cross-sectional study 96 (89.7)
Longitudinal survey 12 (10.3)
Data collection
Online survey 101 (95.3)
Online and telephone survey 1 (0.9)
Telephone survey 1 (0.9)
Paper-based survey 1 (0.9)
No data 2 (1.9)
Risk of bias
Low 76 (71.0)
Moderate 31 (29.0)
High
Mean age in year, grand mean ± S.D.; range (min–max); missing data for 39 studies (36.4%)

33.5 ± 9.5

(16.0 – 51.6)

% Female, mean; range (min–max); missing data for 3 studies (2.8%)

60.9

(24.8 – 85.8)

Sample size, median (min–max)

1255

(66 – 56,679)

Outcomes reported
Depression 75 (70.1)
Anxiety 75 (70.1)
Post-traumatic stress symptoms 28 (26.2)
Stress 22 (20.6)
Psychological distress 18 (16.8)
Sleep problems (insomnia/poor sleep) 15 (14.0)
Psychological symptoms 4 (3.7)
Suicide ideation 4 (3.7)
Loneliness 3 (2.8)
Somatic symptoms 3 (2.8)
Wellbeing 3 (2.8)
Alcohol drinking problems 2 (1.9)
Obsessive–compulsive symptoms 2 (1.9)
Panic disorder 1 (0.9)
Phobia anxiety 1 (0.9)
Adjustment disorder 1 (0.9)
Suicide attempts 1 (0.9)

COVID-19 coronavirus disease-2019, GDP gross domestic product, WHO World Health Organisation.

aBased on the 2019 Human Development Report by the United Nations Development Programme.

bBased on the Oxford COVID-19 Government Response Tracker—highest value during the surveys.

cBased on the 2020 global preparedness and vulnerability to respond to COVID-19 pandemic by the United Nations Development Programme.

dBased on the World Economic Outlook, April 2020 by the International Monetary Fund.

eBased on the 2020 FM Global Resilience Index.