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The second leading cause of global disability burden in 2020 was unipolar depression, and research showed that depression was twice as likely to be prevalent in women than in men. [9] [10] [13] Gender-based mental health disparities suggest that gender is a factor that could be leading to unequal health outcomes. [14]
Social isolation among older adults has been linked to an increase in disease morbidity, a higher risk of dementia, and a decrease in physical mobility along with an increase in general health concerns. Evidence of increased cognitive decline has been link to an increase in social isolation in depressed elderly women. [63]
Despite its prevalence, little is understood about depression in South African women. [18] This is a result of the laws of apartheid and the inadequate psychological services that followed, as well as factors such as under-reporting, misdiagnosis, language barriers and cultural differences.
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Men are reported to consistently score higher in existential isolation compared to women. This difference may be mediated by the importance of community values. [14] Women tend to place more importance on communal values than men, which are group-oriented and lead to a feeling of interconnection and interdependence.
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