Female versus viral: Understanding the UK gender health inequalities during the Covid-19 pandemic using e-archives

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2025-02-01 DOI:10.1016/j.socscimed.2024.117589
Chen Qu
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Abstract

Despite the development of digital health infrastructure, female health inequalities have worsened during the pandemic. This transdisciplinary study, through health, feminist, and infrastructural geographical lens, examines how gender health inequalities may have emerged or worsened during Covid-19 in the UK. This study leverages a novel web archive collection, Python coding-powered data-handling text analysis (of over 0.2 billion words), and thematic analysis to examine three themes: vaccines, social minority groups, and women’s self-care. The findings suggest that the pandemic has impacted health inequalities among British women and girls and more, in a ‘more-than-gender’ way in terms of health (care) outcomes and access. In addition to reflecting on the use of e-archives in this study including suggesting the potential of combining e-archiving, coding, natural language processing (NLP) and generative AI/Large Language Models (LLMs) in producing and analysing trans-temporal (big) datasets, I argue that a geographical crisis perspective that balances the needs of everyday life and possible crises can be considered when preparing for public health emergencies. I adopt the e-archiving of this study to rethink ‘digital health infrastructure’ as ‘actors’, ‘facilitators’, and ‘voicers’, revealing how human-computer interaction and people in the virtual realm can be infrastructure.
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女性与病毒:利用电子档案了解Covid-19大流行期间英国的性别健康不平等。
尽管数字卫生基础设施得到了发展,但在大流行期间,女性卫生不平等现象加剧。这项跨学科研究通过健康、女权主义和基础设施地理视角,研究了英国在2019冠状病毒病期间性别健康不平等是如何出现或恶化的。这项研究利用了一个新颖的网络档案收集,Python编码驱动的数据处理文本分析(超过2亿字),以及主题分析来研究三个主题:疫苗,社会少数群体和妇女自我保健。调查结果表明,就卫生(保健)结果和获取而言,疫情影响了英国妇女和女孩等群体的卫生不平等,其影响“超越了性别”。除了反思本研究中电子档案的使用,包括建议将电子存档、编码、自然语言处理(NLP)和生成式人工智能/大型语言模型(llm)结合起来生产和分析跨时间(大)数据集的潜力之外,我认为,在准备应对突发公共卫生事件时,可以考虑从地理危机的角度来平衡日常生活的需求和可能的危机。我采用本研究的电子存档,将“数字卫生基础设施”重新思考为“行动者”、“促进者”和“发声者”,揭示虚拟领域中的人机交互和人如何成为基础设施。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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