Stretton Health Equity, University of Adelaide, Adelaide, SA, 5005, Australia.
Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, WC1H 9SH, UK.
Int J Soc Determinants Health Health Serv. 2025 Jan;55(1):16-32. doi: 10.1177/27551938241269198. Epub 2024 Aug 11.
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.
在 COVID-19 大流行中,照顾者受到了不成比例的伤害。尽管他们面临着感染病毒的风险增加,但他们仍继续在护理服务的前线工作,并充当家庭和社区的“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分析,运用交叉视角来研究护理工作和在 COVID-19 期间对照顾者不利的结构性因素。2021 年至 2022 年期间,通过定性框架在每个国家收集数据。我们发现,虽然各地的照顾者主要是低收入、不稳定就业的女性,但其他因素也在影响他们的经历。此外,政府为减轻大流行的直接影响而采取的应对措施造成了当地和全球的差距,影响了这一部门的工作人员。我们的研究结果揭示了种族、阶级、种姓和移民地位等压迫性社会结构如何以特定于情境的方式汇聚,从而塑造了不同国家内部和之间的性别化护理性质。我们呼吁更好地了解照顾者所经历的多种不平等轴线,以便为危机缓解提供信息,并结合长期战略来解决护理经济中的社会不平等问题,促进性别平等。