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Women in sub-Saharan Africa show higher odds of anxiety and PTSD compared to menWomen in sub-Saharan Africa face higher anxiety and PTSD rates

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Key Takeaway
Recognize significantly higher odds of anxiety and PTSD in women in sub-Saharan Africa compared to men.

This meta-analysis synthesized data from 175 studies involving adults in sub-Saharan Africa to examine the prevalence of anxiety and post-traumatic stress disorder (PTSD) through a gendered lens. The analysis included 75 reports on anxiety, 86 on PTSD, and 14 covering both conditions.

The synthesis found that women experience higher rates of both conditions compared to men. Specifically, the overall prevalence of anxiety was 36%, with 39% reported in women and 30% in men. The odds of anxiety were higher in women (OR 1.52). Similarly, the overall prevalence of PTSD was 34%, with 39% reported in women and 26% in men; the odds of PTSD were also higher in women (OR 1.59).

A noted limitation is the paucity of research regarding the specific factors contributing to these gendered disparities. Clinically, these findings highlight a significant burden of mental illness in women within this region, suggesting that targeted, gender-sensitive interventions may be necessary to address the identified gaps in care.

How this fits prior evidence

This meta-analysis addresses a gap in understanding gendered disparities in mental health within sub-Saharan Africa. While previous coverage noted that animal-assisted therapy and habitual mindfulness practice can reduce anxiety symptoms in adults, this study specifically highlights that women in certain regions face higher odds of anxiety (OR 1.52) and PTSD (OR 1.59). It provides a regional context for the prevalence of these conditions.

A large review of 175 studies across sub-Saharan Africa found that anxiety and post-traumatic stress disorder (PTSD) are common, especially among women. Overall, about 36% of adults reported anxiety and 34% reported PTSD. But the numbers were higher for women: 39% had anxiety and 39% had PTSD, compared to 30% and 26% for men. Women were also about 1.5 times more likely to have these conditions than men.

The review included studies on adults over 18 in sub-Saharan Africa. It looked at how common anxiety and PTSD are and what factors might explain the differences between men and women. However, the researchers noted that there is not enough research on why these differences exist. The findings are based on associations, not proof of cause and effect.

No safety concerns or side effects were reported because this was not a treatment study. The main limitation is the lack of studies exploring the reasons behind the gender gap. The results highlight a need for more research and for mental health programs that address the specific needs of women in the region.

For readers, this review shows that anxiety and PTSD are widespread in sub-Saharan Africa and affect women more often. It does not provide personal medical advice. If you are concerned about your mental health, talk to a healthcare provider.

What this means for you:
Anxiety and PTSD are more common in women than men in sub-Saharan Africa, but more research is needed on why.

Common questions

How common are anxiety and PTSD in sub-Saharan Africa?

Overall, about 36% of adults have anxiety and 34% have PTSD, based on a review of 175 studies. Women have higher rates: 39% for both conditions, compared to 30% and 26% for men.

Are women more affected than men?

Yes. Women are about 1.5 times more likely to have anxiety or PTSD than men. The review found 39% of women had anxiety and 39% had PTSD, while men had 30% and 26% respectively.

What causes the difference between men and women?

The review did not identify specific causes. The researchers noted a lack of studies exploring why women have higher rates. More research is needed to understand the factors behind the gender gap.

Is this study about treatment or causes?

This study is about how common anxiety and PTSD are and how they differ between men and women. It does not test treatments or prove what causes the conditions. It shows an association, not cause and effect.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJul 2026
View Original Abstract ↓
Sex and gender equity in research has a growing focus, but there are gaps in fully integrating it in mental health research, limiting adoption of sex and gender-sensitive interventions. This review adopted a gendered perspective to synthesize prevalence and associated factors contributing to differences in anxiety and PTSD in SSA. Electronic search was conducted in PubMed, PsycINFO, CINAHL, Scopus, Web of Science databases. Empirical studies conducted in SSA, targeting adults >18 years and having gender-disaggregated anxiety and PTSD prevalence and factors were included. Meta-analysis of proportions stratified by sex was done, and narrative synthesis of the significant factors in the multivariable analysis adopted. From 175 studies included, 75 reported anxiety, 86 reported PTSD, while 14 reported both anxiety and PTSD outcomes. Eastern Africa had 61% representation, 19% in West Africa, 18% in Southern Africa and 2% in Central Africa. High anxiety (36%) and PTSD (34%) prevalence was noted regardless of gender. Women had 39% pooled anxiety prevalence, compared to 30% in men. PTSD prevalence was also higher in women (39%) than men (26%). Women had significantly higher odds of anxiety (Female: Male OR-1.52) and PTSD (Female: Male OR-1.59) in SSA and in the regional analysis. Majority of the factors noted were focused on women. Demographic factors and traumatic experiences were majorly noted in men, with women having a range of factors- demographic, interpersonal, traumatic experiences, and obstetric factors that contributed to the burden. Anxiety and PTSD are highly prevalent in SSA, women more affected. Although gender differences in the prevalence was well documented across different studies, there is still a paucity of research looking into the factors contributing to the disparities. It is crucial to look further into the modifiable factors that drive the disparities in order to guide targeted, gender-sensitive interventions and mental health programs. https://osf.io/dashboard, identifier https://doi.org/10.17605/OSF.IO/NX4JA.
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