Programa de Pós-Graduação em Política Social, Federal University of Espírito Santo, Vitória, Brazil.
School of Applied Social Studies, Robert Gordon University, Aberdeen, UK.
Soc Work Public Health. 2024 Jan 2;39(1):48-61. doi: 10.1080/19371918.2024.2316874. Epub 2024 Mar 5.
This paper aims to explore the impact of the COVID-19 pandemic on the health and mental health of necessary entrepreneurs in Brasilian favelas, the social problems they experienced and implications for public health social work. The study used structured in-person interviews within selected Favela's, with a sample size of 721 entrepreneurs, aged between 16-70 years. All participants both worked and were resident in 15 out of the 27 Brasilian federal states. The bespoke questions explored socio-demographic questions, sought information on their entrepreneurship, health and administered the Warwick-Edinburgh Mental Wellbeing Scale for Health. The results highlighted that many entrepreneurs have engaged in this form of enterprise due to economic necessity, with 64% of women and 43.6% of men identifying increased levels of anxiety through the pandemic, with the presence of children in the family being statistically significant ( ≤ 0.05 chi-square test) for anxiety. Of the 9.8% sample respondents have accessed the health care service and for women with children, the impact of the pandemic accentuated existing problems of childcare and patriarchy. We conclude by highlighting the importance of universal and accessible health and mental health support and care, their ongoing accessibility, along with the importance of social work during crisis.
本文旨在探讨 COVID-19 大流行对巴西贫民窟必要企业家的健康和心理健康的影响、他们所经历的社会问题以及对公共卫生社会工作的影响。该研究在选定的贫民窟内采用了结构化的面对面访谈，样本量为 721 名年龄在 16-70 岁之间的企业家。所有参与者均在巴西联邦州中的 15 个州工作和居住。专门设计的问题探讨了社会人口统计学问题，寻求有关他们的创业、健康信息，并管理了沃里克-爱丁堡心理健康量表（用于健康）。结果表明，许多企业家出于经济需要而从事这种形式的企业，64%的女性和 43.6%的男性通过大流行感到焦虑程度增加，家庭中有孩子的情况在统计学上显著（≤0.05 χ2 检验）焦虑。9.8%的样本受访者使用了医疗保健服务，对于有孩子的女性来说，大流行加剧了现有的儿童保育和父权制问题。我们最后强调了普遍和可获得的健康和心理健康支持和护理的重要性，以及它们的持续可获得性，以及危机期间社会工作的重要性。
