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Moreira I, Ferrer M, Vilagut G, Mortier P, Felez-Nobrega M, Domènech-Abella J, Haro JM, Alonso J. Social inequalities in mental and physical health derived from the COVID-19 pandemic in Spain beyond SARS-CoV-2 infection. Int J Equity Health 2023; 22:136. [PMID: 37488575 PMCID: PMC10367254 DOI: 10.1186/s12939-023-01933-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 06/12/2023] [Indexed: 07/26/2023] Open
Abstract
BACKGROUND Understanding the impact of the COVID-19 crisis on health involves conducting longitudinal studies to evaluate the inequalities that may have been exacerbated by the pandemic. The purpose of this study was to estimate differences in physical and mental health derived from the COVID-19 pandemic, beyond SARS-CoV-2 infection, in the Spanish general population according to the participants' level of education; and to assess the evolution of these differences from June 2020 (just after the lockdown) to nine months later (February-March 2021). METHODS This is a longitudinal prospective study of a representative sample of non-institutionalized Spanish adults, through computer-assisted telephone interviews. Mobility, self-care, usual activities, pain/discomfort and anxiety/depression problems were measured with EQ-5D-5L. Prevalence ratio (PR) between high and low education levels and adjusted PR were estimated by Poisson regression models. Analyses were stratified by gender. RESULTS A total of 2,000 participants answered both surveys. Individuals with low level of education reported more health problems in both genders, and absolute inequalities remained quite constant (mobility and self-care problems) or decreased (pain/discomfort and anxiety/depression problems). The greatest relative inequalities were observed just after the lockdown, with age-adjusted PR ranging from 1.31 (95%CI 1.08-1.59) for women and 1.34 (95%CI 1.05-1.69) for men in pain/discomfort to 2.59 (95%CI 0.98-6.81) for women and 4.03 (95%CI 1.52-10.70) for men in self-care; aPR decreased after nine months for most dimensions. CONCLUSIONS Prevalence of health problems increased during the COVID-19 pandemic in all education groups, but the increase was higher in women and men with a high level of education, suggesting that its impact appeared later in this group. Further analysis on the role of governmental economic aid given to vulnerable people might shed light on this evolution.
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Affiliation(s)
- Isabel Moreira
- Health Services Research Group, Hospital del Mar Research Institute, Doctor Aiguader 88, office 144, Barcelona, 08003, Spain
- Preventive Medicine and Public Health Training Unit PSMar-UPF-ASPB (Parc de Salut Mar - Universitat Pompeu Fabra - Agència de Salut Pública de Barcelona), Barcelona, Spain
| | - Montse Ferrer
- Health Services Research Group, Hospital del Mar Research Institute, Doctor Aiguader 88, office 144, Barcelona, 08003, Spain.
- CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
| | - Gemma Vilagut
- Health Services Research Group, Hospital del Mar Research Institute, Doctor Aiguader 88, office 144, Barcelona, 08003, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Philippe Mortier
- Health Services Research Group, Hospital del Mar Research Institute, Doctor Aiguader 88, office 144, Barcelona, 08003, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | | | - Joan Domènech-Abella
- Parc Sanitari Sant Joan de Déu, Barcelona, Spain
- CIBER de Salud Mental (CIBERSAM), Madrid, Spain
| | - Josep-Maria Haro
- Parc Sanitari Sant Joan de Déu, Barcelona, Spain
- CIBER de Salud Mental (CIBERSAM), Madrid, Spain
- Instituto de Investigación del Hospital de la Princesa, Madrid, Spain
| | - Jordi Alonso
- Health Services Research Group, Hospital del Mar Research Institute, Doctor Aiguader 88, office 144, Barcelona, 08003, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
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Chatot M, Landour J, Pailhé A. Socioeconomic differences and the gender division of labor during the COVID‐19 lockdown: Insights from France using a mixed method. GENDER WORK AND ORGANIZATION 2023. [DOI: 10.1111/gwao.12980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
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Maternal Employment Shapes Daughters’ Employment Stability in Egypt: Evidence for the Intergenerational Transmission of Labor Force Attachment. SEX ROLES 2022. [DOI: 10.1007/s11199-022-01326-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
AbstractResearch has documented how maternal employment influences daughters’ participation in paid employment. However, we know far less about how maternal employment during daughters’ adolescence relates to the daughters’ subsequent employment stability. Analyzing data from three waves (2006, 2012, and 2018) of the Egypt Labor Market Panel Survey (N = 3,345) using structural equation models, this study compares the employment stability of women with and without working mothers during adolescence and examines how the influence of maternal employment on daughters’ employment stability varies with employment sector. Furthermore, a decomposition method is applied to determine the extent to which daughters’ education mediates the association between maternal employment and their employment stability. The results show that mothers’ employment is positively associated with their adult daughters’ employment stability. This intergenerational association is sector specific: mothers’ employment in a given sector only bolsters their daughters’ employment stability in the same sector. The daughter’s education mediates only a small portion of the intergenerational association in the public sector. The findings highlight the important role of Egypt’s institutional settings in configuring the intergenerational transmission of employment stability among women, and suggest that policies that support working mothers have the potential to bolster their daughters’ long-term labor market attachment.
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Morero-Mínguez A, Ortega-Gaspar M. A Change in Work-Family/Life or a Return to Traditional Normative Patterns in Spain? Systematic Review. FRONTIERS IN SOCIOLOGY 2022; 7:807591. [PMID: 35712013 PMCID: PMC9197477 DOI: 10.3389/fsoc.2022.807591] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 02/23/2022] [Indexed: 05/28/2023]
Abstract
Family policies to reduce conflict in work-life balance and promote gender equality advanced significantly at the legislative level in Spain in the first decades of the twenty-first century. These advances include the 2007 Law for Equality between Men and Women and the extension of paternity leave to 16 weeks in 2020. However, advances in care work and at the professional level have been limited. The COVID-19 pandemic has intensified existing imbalances in family-work responsibilities in general and the ICT gender gap in particular. In crisis situations, women adopt the role of caregivers more easily than men, and women with fewer educational, economic, and job resources are more likely to assume this role, contributing to increasing gender inequalities at work and in the family. COVID-19 has exposed these imbalances, highlighting the need for new narratives and laws that encourage gender equality. Post-COVID-19 scenarios thus present an opportunity for reflection and progress on Spanish family policy. From this perspective, the paradigm of work-family conflict, although interesting, must be examined and resignified. This article proposes to critically resignify the paradigm of work-family conflict based on the new narrative generated by COVID-19. The present analysis suggests a resignification that should involve changing the expectations and practices around work-family balance, based on family diversity, job insecurity, the technological revolution, and new masculinities. It is proposed a prior reflection to clarify definition of the indicators and indexes that enable operationalization of the concept of work-family reconciliation. It is expected that these measures will help to facilitate practical application of reconciliation in areas such as public or/and private organizations, while also enabling international comparative analysis.
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Affiliation(s)
| | - Marta Ortega-Gaspar
- Department of Constitutional Law and Sociology, University of Málaga, Málaga, Spain
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Hu Y, Qian Y. COVID-19, Inter-household Contact and Mental Well-Being Among Older Adults in the US and the UK. FRONTIERS IN SOCIOLOGY 2021; 6:714626. [PMID: 34381838 PMCID: PMC8350320 DOI: 10.3389/fsoc.2021.714626] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 06/24/2021] [Indexed: 05/23/2023]
Abstract
Interacting with family members and friends from other households is a key part of everyday life and is crucial to people's mental well-being. The COVID-19 pandemic severely curtailed face-to-face contact between households, particularly for older adults (aged 60 and above), due to their high risk of developing severe illness if infected by COVID-19. In-person contact, where possible, was largely replaced by virtual interaction during the pandemic. This article examines how inter-household contact in face-to-face and virtual forms, as well as combinations of the two forms of contact, related to older adults' mental well-being during the pandemic. Data from two national longitudinal surveys, collected from the same respondents before (2018-2019) and during (June 2020) the pandemic, were comparatively analysed: the Health and Retirement Study in the US and Understanding Society in the UK. The findings showed a notable increase in loneliness in the US and a decline in general mental well-being in the UK following the outbreak of COVID-19. In both countries, more frequent inter-household face-to-face contact during the pandemic was associated with better general mental well-being, but inter-household virtual contact, via means such as telephone and digital media, was not associated with general mental well-being in either the US or the UK. In the US, older adults who engaged more frequently in virtual contact were more likely to feel lonely during the pandemic, particularly if their face-to-face contact was limited. In both countries, the increase in loneliness following the outbreak of the pandemic was greater for older adults who reported more virtual contact. The findings suggest that household-centred crisis management during the COVID-19 pandemic had unintended mental health implications in both the US and the UK, despite contextual differences between the two countries. Although face-to-face contact between households helped to sustain older adults' mental well-being, virtual contact was not a qualitatively equivalent alternative. The findings also provide an important evidence base for informing policy developments and for supporting the mental health of older people during the COVID-19 pandemic and in the longer term.
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Affiliation(s)
- Yang Hu
- Department of Sociology, Lancaster University, Lancaster, UK
| | - Yue Qian
- Department of Sociology, University of British Columbia, Vancouver, BC, Canada
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Yavorsky JE, Qian Y, Sargent AC. The gendered pandemic: The implications of COVID-19 for work and family. SOCIOLOGY COMPASS 2021; 15:e12881. [PMID: 34230836 PMCID: PMC8250288 DOI: 10.1111/soc4.12881] [Citation(s) in RCA: 66] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 03/17/2021] [Accepted: 03/19/2021] [Indexed: 05/23/2023]
Abstract
The COVID-19 pandemic has affected nearly all the aspects of society since it's onset in early 2020. In addition to infecting and taking the lives of millions of global citizens, the pandemic has fundamentally changed family and work patterns. The pandemic and associated mitigation measures have increased the unemployment rates, amplified health risks for essential workers required to work on-site, and led to unprecedented rates of telecommuting. Additionally, due to school/daycare closures and social distancing, many parents have lost access to institutional and informal childcare support during the COVID-19 crisis. Such losses in childcare support have significantly impacted the paid and unpaid labor of parents, particularly of mothers. In this article, we synthesize recent research on pandemic-related changes to work and family in the United States. Applying an intersectionality lens, we discuss the gendered implications of these changes. Because gender inequality in family and work are connected, COVID-19 has, in many cases, deepened the pre-existing gender inequalities in both realms.
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Affiliation(s)
- Jill E. Yavorsky
- Department of SociologyThe University of North Carolina at CharlotteCharlotteNorth CarolinaUSA
| | - Yue Qian
- Department of SociologyThe University of British ColumbiaVancouverBritish ColumbiaCanada
| | - Amanda C. Sargent
- Department of Organizational ScienceThe University of North Carolina at CharlotteCharlotteNorth CarolinaUSA
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