Does Biological Sex Influence COVID-19 Outcomes?

It’s unclear whether differing odds of dying between men and women reflect inherent differences between male and female immune systems or differences rooted in gender norms.

Written byAnnie Melchor
| 10 min read
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Despite relentlessly battering the world with uncertainty after uncertainty, some pieces of conventional wisdom about COVID-19 have remained unchanged since early on in the pandemic. One is the observation that more men die of the disease than women, despite having comparable rates of infection. This has sparked a deluge of research articles and news coverage (including by The Scientist) trying to parse out why this trend exists and what it could mean.

In August 2020, researchers from Yale University published one of the first studies to report differences in the immune response between men and women with COVID-19. This study generated a flurry of both public and scientific interest, and has already been cited in more than 400 publications. However, it also elicited a recent response article in Nature challenging the statistical robustness of the results and expressing concern at the original paper’s suggestion that the findings might guide sex-specific ...

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    Stephanie "Annie" Melchor got her PhD from the University of Virginia in 2020, studying how the immune response to the parasite Toxoplasma gondii leads to muscle wasting and tissue scarring in mice. While she is still an ardent immunology fangirl, she left the bench to become a science writer and received her master’s degree in science communication from the University of California, Santa Cruz, in 2021. You can check out more of her work here.

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