COVID-19 期间的关爱:对 16 个国家护理经济中的交叉性和不平等性的研究。

0 HEALTH CARE SCIENCES & SERVICES International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-08-11 DOI:10.1177/27551938241269198
Connie Musolino, Fran Baum, Joanne Flavel, Toby Freeman, Martin McKee, Chunhuei Chi, Camila Giugliani, Matheus Zuliane Falcão, Wim De Ceukelaire, Philippa Howden-Chapman, Nguyen Thanh Huong, Hani Serag, Sun Kim, Carlos Alvarez Dardet, Hailay Abrha Gesesew, Leslie London, Jennie Popay, Lauren Paremoer, Viroj Tangcharoensathien, T Sundararaman, Sulakshana Nandi, Eugenio Villar
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引用次数: 0

摘要

在 COVID-19 大流行中,护理人员受到的伤害尤为严重。尽管面临着感染病毒的更大风险,他们仍继续在护理服务的第一线工作,并充当了家庭和社区的 "减震器"。在本文中,我们通过对 16 个低收入、中等收入和高收入国家的比较案例研究分析,运用交叉视角来审视护理工作以及在 COVID-19 期间对护理人员造成不利影响的结构性因素。每个国家的数据都是在 2021-2022 年期间通过定性框架收集的。我们发现,虽然各地的照护者主要是低收入和就业不稳定的女性,但其他因素也在影响着她们的经历。此外,政府为减轻大流行病的直接影响而采取的应对措施造成了地方和全球的差异,影响了这一行业的从业者。我们的研究结果揭示了种族、阶级、种姓和移民身份等压迫性社会结构是如何以特定的方式在不同国家内部和之间形成护理工作的性别性质的。我们呼吁更好地了解护理人员所经历的多重不平等,为缓解危机提供信息,同时制定长期战略,解决护理经济中的社会不平等问题,促进性别平等。
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Caring During COVID-19: A Study of Intersectionality and Inequities in the Care Economy in 16 Countries.

Carers were disproportionately harmed in the COVID-19 pandemic. Despite facing an increased risk of contracting the virus, they continued in frontline roles in care services and acted as "shock absorbers" for their families and communities. In this article, we apply an intersectional lens to examine care work and the structural factors disadvantaging carers during COVID-19 through a comparative case study analysis of 16 low-, middle-, and high-income countries. Data on each country was collected through a qualitative framework during 2021-2022. We found that while carers everywhere were predominantly women with low incomes and precarious employment, other factors were at play in shaping their experiences. Moreover, government responses to mitigate the direct impact of the pandemic have created local and global disparities affecting those working in this sector. Our findings reveal how oppressive social structures such as race, class, caste, and migration status converged in contextually specific ways to shape the gendered nature of care within and between different countries. We call for a better understanding of the multiple axes of inequalities experienced by carers to inform crisis mitigations, coupled with long-term strategies to address social inequities in the care economy and to promote gender equality.

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