Evidence map›Paper›PMID 39129232›Full record

ArticleInternational journal of social determinants of health and health services2025

Caring During COVID-19: A Study of Intersectionality and Inequities in the Care Economy in 16 Countries.

Connie Musolino, Fran Baum, Joanne Flavel, Toby Freeman, Martin McKee, Chunhuei Chi, Camila Giugliani, Matheus Zuliane Falcão, Wim De Ceukelaire, Philippa Howden-Chapman and 12 more

Abstract read
In one paragraph

Article in International journal of social determinants of health and health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Connie MusolinoStretton Health Equity, University of Adelaide, Adelaide, SA, 5005, Australia.ORCID 0000-0002-3269-8883
Fran BaumStretton Health Equity, University of Adelaide, Adelaide, SA, 5005, Australia.
Joanne FlavelStretton Health Equity, University of Adelaide, Adelaide, SA, 5005, Australia.
Toby FreemanStretton Health Equity, University of Adelaide, Adelaide, SA, 5005, Australia.ORCID 0000-0002-2787-8580
Martin McKeeDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, WC1H 9SH, UK.
Chunhuei ChiCenter for Global Health, Oregon State University, Corvallis, OR 7331, USA.
Camila GiuglianiSocial Medicine Department, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcellos, 2400 CEP 90035-003, Porto Alegre, Brazil.
Matheus Zuliane FalcãoHealth Law Research Centre, University of São Paulo, Av. Dr. Arnaldo, 715 - 211 - Cerqueira César, São Paulo, SP 01246- 904, Brazil.
Wim De CeukelaireMédecine pour le Peuple, Brussels 1000, Belgium.ORCID 0000-0002-7187-144X
Philippa Howden-ChapmanDepartment of Public Health, University of Otago, Wellington, 6042, New Zealand.
Nguyen Thanh HuongFaculty of Social Science and Behavior, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, North Tu Liem District, Hanoi, Vietnam.
Hani SeragDepartment of Internal Medicine, University of Texas Medical Branch (UTMB), 301 University Blvd., Galveston, Texas, 77555, USA.
Sun KimPeople's Health Movement South Korea, Seoul, South Korea.
Carlos Alvarez DardetCIBERESP, Center for Research in Epidemiology and Public Health, Public Health Research Group University of Alicante, Madrid, Spain.
Hailay Abrha GesesewResearch Centre for Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, SA, Australia.
Leslie LondonSchool of Public Health, University of Cape Town, Cape Town, South Africa.
Jennie PopayDivision of Health Research, Faculty of Health & Medicine, Lancaster University, Bailrigg, Lancaster LA1 4YW, UK.
Lauren ParemoerPolitical Studies, University of Cape Town, Cape Town, South Africa.
Viroj TangcharoensathienInternational Health Policy Programme, Ministry of Public Health, Nonthaburi, Thailand.
T SundararamanPeople's Health Movement, Puducherry, India.
Sulakshana NandiPublic Health Researcher, Ebertsgade 6, 2300 Copenhagen, Denmark.
Eugenio VillarFaculty of Public Health and Administration, Universidad Peruana Cayetano Heredia, San Martín de Porres 15102, Peru.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

CaregiversCOVID-19SARS-CoV-2Developing CountriesFemaleHealthcare DisparitiesHumansMalePandemicsSocioeconomic Factorscare economyCOVID-19genderhealth inequitiesintersectionalityrace

Identifiers

PMID39129232
PMCPMC12992647

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.