The 11th annual “Stress in America” report by the American Psychological Association, published Nov. 1 (pdf), found that women tended to report higher levels of stress than men this August. They rated themselves on average of 5.1 out of 10 for their overall stress levels, while men rated themselves at a 4.4. The gap between genders is growing ever so slightly from the year before, when men rated their stress an average 4.6 and women rated themselves an average 5. And for the decade that the survey on over 3,400 participants has been conducted, women have been more stressed in general.

According to the data, American women remain underrepresented in the civil service, the military, government and the board room, especially at the highest levels of power. Compared internationally, the index places the United States in the middle of the pack—sometimes falling behind countries with significantly less-developed economies.