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巴西圣保罗一个边缘社区在新冠疫情期间妇女社会福利服务的暂停及其心理健康状况

Suspension of social welfare services and mental health outcomes for women during the COVID-19 pandemic in a peripheral neighborhood in São Paulo, Brazil.

作者信息

Bruhn Lenora, Szabzon Felipe, Abarca Brown Cristobal, Ravelli Cabrini Daniela, Miranda Elisangela, Andrade Laura Helena

机构信息

Nucleo de Epidemiologia Psiquiatrica, Instituto de Psiquiatria, Hospital das Clinicas da Universidade de São Paulo, São Paulo, Brazil.

出版信息

Front Psychiatry. 2022 Sep 15;13:897276. doi: 10.3389/fpsyt.2022.897276. eCollection 2022.

Abstract

During the COVID-19 pandemic, Brazilian urban peripheries have been severely affected both by the spread of the virus and by social, political, and economical dynamics, raising concerns about the psychological wellbeing and mental health of the population living in these areas. The pandemic broke out in a context of reduced public spending in social and health policies as well as in a process of erosion of social rights, fostering processes of exclusion and highlighting the association between austerity, the increase in poverty and inequality as well as in health and mental health problems indicators. This article presents the results of a qualitative participatory research that investigated subjective experiences in a peripheral neighborhood of São Paulo, Brazil, aiming to understand how contextual dynamics played a role in shaping mental health experiences during the COVID-19 pandemic. A multidisciplinary team of researchers worked closely with local volunteers trained to provide emotional support calls to neighbors of the community who signed up for the project. This article presents three ethnographic cases of women who had their routines strongly affected by the suspension of public and social protection services for the containment of the SARS-CoV-2 pandemic, leading to psychological suffering due to the increased demand of "domestic circuits of care". We argue that within a context of austerity, the pandemic was remarkably harsh in urban peripheries and, specifically, for women with caring responsibilities. In addition to highlighting the pervasive "social protection gap", the cases presented in this paper also reveals the unequal dynamics of the social reproduction work in several layers, which falls mainly on women's shoulders. The "crisis of care", proposed by gender and feminist scholars, can contribute to understanding the psychological outcomes of the COVID-19 pandemic for these women.

摘要

在新冠疫情期间,巴西城市周边地区受到了病毒传播以及社会、政治和经济动态的严重影响,引发了对生活在这些地区的人们心理健康状况的担忧。疫情爆发之时,社会和卫生政策方面的公共支出减少,社会权利也在遭受侵蚀,这加剧了排斥现象,凸显了紧缩政策、贫困与不平等加剧以及健康和心理健康问题指标之间的关联。本文介绍了一项定性参与式研究的结果,该研究调查了巴西圣保罗一个周边社区的主观体验,旨在了解背景动态如何在新冠疫情期间塑造心理健康体验。一个多学科研究团队与当地志愿者密切合作,这些志愿者经过培训,为报名参加该项目的社区邻居提供情感支持热线。本文介绍了三个民族志案例,案例中的女性日常生活因为遏制新冠疫情而暂停公共和社会保护服务受到严重影响,由于“家庭照料循环”需求增加而遭受心理痛苦。我们认为,在紧缩政策背景下,疫情对城市周边地区,特别是对承担照料责任的女性来说极其严酷。除了凸显普遍存在的“社会保护缺口”,本文呈现的案例还揭示了社会再生产工作在多个层面的不平等动态,而这主要落在了女性肩上。性别和女权主义学者提出的“照料危机”,有助于理解新冠疫情对这些女性造成的心理影响。

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