BACKGROUND: Earthquakes disproportionately affect women and exacerbate gender and social inequalities. This study aims to investigate the psychological impact of the earthquake in Türkiye on women and the associated factors. METHODS: This is a survey-based study. We collected data from 498 women residing in cities most affected by the earthquake. RESULTS: Participants' mean age was 27.72 ± 5.4. Over 78% of the participants lost at least one family member, and 43.7% lost at least one child due to the earthquake. The mean average of Brief Symptom Inventory (BSI) scores was 100.8 (SD = 8.37), and the Global Severity Index was 1.9 (SD = 0.16). Regression analysis showed that higher education levels predicted poor outcomes across most BSI dimensions. Losing a family member and shelter and injury status were also predictors for several mental health outcomes of the BSI subscales. CONCLUSIONS: Earthquakes significantly impact women's well-being and may have a broader impact on the whole family. There is an urgent need to provide psycho-social interventions in the response and recovery phases of the crisis to meet the affected women's needs. This includes providing basic needs with attention to women-specific needs, restoring social networks, addressing gender-based violence and providing gender-sensitive specialized interventions for those who need further support.

Centre for Global Mental Health London School of Hygiene and Tropical Medicine London WC1E 7HT UK

Department of Public Health Faculty of Medicine Masaryk University Brno 62500 Czech Republic

Faculty of Health Sciences Nursing Department Harran University Şanlıurfa 63300 Turkey

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