• Faustino R Pérez-López, Mauricio Tajada, Ricardo Savirón-Cornudella, Manuel Sánchez-Prieto, Peter Chedraui, and Enrique Terán.
• Instituto de Investigación Sanitaria de Aragón and University of Zaragoza Faculty of Medicine, Zaragoza, Spain. Electronic address: faustino.perez@unizar.es.
• Maturitas. 2020 Nov 1; 141: 59-62.

ObjectiveTo examine mortality rates related to coronavirus disease 2019 (COVID-19) by gender among European countries.MethodsPubMed, preprint medRxiv and bioRxiv repositories, and Google were searched for the terms COVID-19, mortality rates, gender, and Europe. Only Google provided a website with appropriate information. COVID-19 cases and deaths from European countries were extracted by gender from the Global Health 50/50 repository up to May 23, 2020. Extracted data included country, the total number of COVID-19 cases and the number of related deaths by gender. Random effects models with the inverse variance method were used for meta-analyses. Results are reported as death risk ratios (RRs).ResultsWe identified information from 23 European countries that reported separately by gender mortality rates related to COVID-19. The sample comprised 484,919 men and 605,229 women positive for COVID-19. The mortality rate was significantly higher in men than in women (risk ratio = 1.60, 95 % confidence interval [CI] 1.53, 1.68). The trend was similar when countries reporting < 5000, or < 10,000 cases were excluded from the analysis (RR = 1.60, 95 % CI 1.52, 1.69 and RR = 1.68; CI 1.62, 1.76, respectively).ConclusionIn Europe, the new zoonotic coronavirus causes significantly more deaths in men than in women.Copyright © 2020 Elsevier B.V. All rights reserved.

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