Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Glob Health Action. 2024 Dec 31;17(1):2411743. doi: 10.1080/16549716.2024.2411743. Epub 2024 Oct 18.
While there is now extensive research on how COVID-19 lockdowns negatively affected unpaid care burdens and intimate partner violence (IPV), the structural determinants shaping both experiences are less well understood.
The review seeks to answer: how did structural determinants of gender inequality shape both the experiences of increased unpaid care burdens and IPV during the COVID-19 pandemic lockdown? Which policy proposals might mitigate these effects during future pandemic preparedness and response?
We conducted a scoping review of two sets of literature: on COVID-19 and unpaid care and COVID-19 on IPV. Following systematic searches of key databases and the application of inclusion/exclusion criteria, we analyzed articles using a gender matrix framework to identify common themes and policy recommendations.
Common themes include adherence to traditional gender norms, power dynamics featuring coercive control, narrowed pathways to formal and informal supports, and compounding emotional tolls. Policy recommendations from the literature aimed at addressing structural determinants of gender inequality common to both unpaid care and IPV, including expanded access to virtual support services, workplace policies that value the contributions of caregivers, enhanced engagement efforts to incorporate intersectional understandings, and funding for caregiver support services and the anti-violence sector which recognize the value of their contributions.
Enhanced understanding of the structural determinants of gender inequality at play in experiences of unpaid care work and IPV highlights gaps in pandemic response, which overlooked the role of gender inequities in shaping relationship dynamics, as well as areas for more gender transformative policies.
虽然现在有大量关于 COVID-19 封锁如何对无偿护理负担和亲密伴侣暴力（IPV）产生负面影响的研究，但对塑造这两种体验的结构性决定因素的理解还不够充分。
本综述旨在回答以下问题：性别不平等的结构性决定因素如何在 COVID-19 大流行封锁期间塑造无偿护理负担和 IPV 的增加？哪些政策建议可能在未来的大流行准备和应对中减轻这些影响？
我们对两组文献进行了范围综述：一组关于 COVID-19 和无偿护理，另一组关于 COVID-19 和 IPV。在对主要数据库进行系统搜索并应用纳入/排除标准后，我们使用性别矩阵框架分析了文章，以确定共同主题和政策建议。
共同主题包括对传统性别规范的遵守、以强制性控制为特征的权力动态、正式和非正式支持途径的缩小，以及情绪负担的加剧。文献中的政策建议旨在解决与无偿护理和 IPV 共同的性别不平等结构性决定因素，包括扩大虚拟支持服务的获取途径、重视护理人员贡献的工作场所政策、加强纳入交叉理解的参与努力，以及为 caregiver 支持服务和反暴力部门提供资金，这些部门认识到他们的贡献的价值。
对在无偿护理工作和 IPV 体验中发挥作用的性别不平等结构性决定因素的更深入理解突出了大流行应对中的差距，这些差距忽视了性别不平等在塑造关系动态中的作用，以及更具性别变革性政策的领域。
