Enfermagem brasileira e a pandemia de COVID-19: desigualdades em evidência / Brazilian nursing and the COVID-19 pandemic: inequalities in evidence / La enfermería brasileña y la pandemia COVID-19: desigualdades en evidencia

Objetivos: Refletir sobre as desigualdades que afetam a Enfermagem em sua trajetória histórica e que se acentuam durante a pandemia da Covid-19. Métodos: Método crítico-reflexivo com aporte no referencial do materialismo histórico-dialético. Foram analisados posicionamentos das entidades de classe da Enfermagem, boletins epidemiológicos e notícias sobre o contexto de trabalho de profissionais da saúde, desde março de 2020. Resultados: Foram discutidas questões acerca das desigualdades e hierarquias próprias das equipes de saúde, tendo em vista as perspectivas de classe, gênero, raça/etnia que impactam na profissão de enfermagem e no trabalho em saúde e que se acentuam no contexto da COVID-19. Os impactos da pandemia expõem a desvalorização do trabalho da enfermagem, evidenciada pela invisibilidade social da categoria e pela precarização da vida de quem a exerce. Conclusão e implicação para a prática: Torna-se urgente e necessário reconhecer que as desigualdades agravadas pela pandemia fazem parte de uma condição estrutural da sociedade que afeta diretamente trabalhadoras e trabalhadores da Enfermagem. Ademais, torna-se oportuno a enfermagem perfilhar lutas junto a sociedade civil na defesa igualitarista de justiça e pela proteção social universal e na superação dos condutores estruturais das desigualdades

Objectives: to reflect on the inequalities that affect Nursing in its historical trajectory and that are accentuated during the COVID-19 pandemic. Methods: critical-reflective method based on historical-dialectical materialism. Positions of Nursing class entities, epidemiological bulletins and news about the work context of health professionals were analyzed since March 2020. Results: issues about the inequalities and hierarchies specific to health teams were discussed, in view of the perspectives of class, gender and race/ethnicity that exert an impact on the Nursing profession and health work and that are accentuated in the context of COVID-19. The impacts of the pandemic expose the devaluation of the Nursing work, evidenced by the social invisibility of the category and the precariousness of the life of those who exercise it. Conclusion and implication for the practice: It is urgent and necessary to recognize that the inequalities aggravated by the pandemic are part of a structural condition of society, and that it directly affects Nursing workers. Furthermore, it is opportune for Nursing to profile struggles with civil society in the egalitarian defense of justice, for universal social protection and in overcoming the structural drivers of inequalities

Objetivos: Reflexionar sobre las desigualdades que afectan a la Enfermería en su trayectoria histórica y que se acentúan durante la pandemia Covid-19. Métodos: Método crítico-reflexivo basado en el materialismo histórico-dialéctico. Se analizaron posiciones de entidades de clase de enfermería, boletines epidemiológicos y noticias sobre el contexto laboral de los profesionales de la salud desde marzo de 2020. Resultados: Se discutieron cuestiones sobre las desigualdades y jerarquías propias de los equipos de salud, en vista de las perspectivas de clase, género, raza / etnia que impactan la profesión de enfermería y el trabajo en salud y que se acentúan en el contexto del COVID-19. Los impactos de la pandemia exponen la desvalorización del trabajo de enfermería, evidenciada por la invisibilidad social de la categoría y la precariedad de la vida de quienes la ejercen. Conclusión e implicación para la práctica: Es urgente y necesario reconocer que las desigualdades agravadas por la pandemia forman parte de una condición estructural de la sociedad y afectan directamente a los trabajadores de enfermería. Además, es oportuno que la enfermería perfile las luchas con la sociedad civil en la defensa de la igualdad y la justicia, por la protección social universal y la superación de los impulsores estructurales de las desigualdades

Doble jornada laboral y percepción de la salud en mujeres: investigación cualitativa / Double working day and perception of health in women: qualitative investigation

Introducción. El trabajo ocupa un lugar clave en la vida de la mujer, y a su vez comprende varias dimensiones. Dos de ellas son el trabajo doméstico no remunerado (TDNR) e invisibilizado, y el trabajo productivo remunerado (TPR) fuera dela casa. El objetivo de esta investigación fue comprender cómo es la percepción de salud en la mujer actual de clase media urbana con doble jornada laboral y cómo ella jerarquiza su TPR. Métodos. Investigación con enfoque cualitativo realizada en un hospital privado universitario de la Ciudad de Buenos Aires, mediante entrevistas individuales a mujeres adultas y alfabetas de 30 a 60 años de edad, seleccionadas a través del método de bola de nieve a partir de sus médicos de cabecera. Se utilizaron fichas demográficas estructuradas y entrevistas en profundidad. Se registraron datos personales y prácticas médicas realizadas en los últimos años. Se realizó un análisis de contenido. Resultados. Entrevistamos a 47 mujeres, la mayoría con hijos y la mitad, a cargo de las tareas domésticas en su hogar. Ninguna de ellas reconoció la tarea doméstica (TDNR) como trabajo, 76 % refirió no realizar controles habituales de salud,aunque más del 90 % hizo las prácticas preventivas recomendadas para su edad. Las mujeres entrevistadas expresaron diferentes significados atribuidos por ellas al TPR como independencia, desarrollo personal, mejoría en autoestima, calidad de vida, y sociabilidad. Sin embargo, ante su ausencia en el hogar se mostraron ambivalentes y con sentimientos de culpabilidad. Conclusiones. Este estudio permite reconocer que las mujeres con trabajo TDNR y TPR valoran positivamente a este último, pero se cuestionan que éste les quite tiempo a su participación en el ámbito familiar. Esto resulta en una mayor autoexigencia y perpetúa la invisibilidad del TDNR. En relación al autocuidado, sienten que no realizan sus cuidados médicos, pero tienen buenos indicadores de prácticas preventivas. Quizás sea necesario propiciar la reflexión acerca del rol que tiene el TPR en su bienestar. (AU)

Introduction. Work occupies a key place in the life of women, and in turn, comprises several dimensions. Two of them are unpaid domestic work (UDW) and paid productive work (PPW) outside the home. The objective of this research was to understand how the perception of health is in the current urban middle-class woman with a double working day and how she prioritizes her PPW. Methods. Research with a qualitative approach carried out in a private university hospital in the City of Buenos Aires, through individual interviews with adult and literates women aged 30 to 60, selected through the snowball method from their general practitioners. Structured demographics and in-depth interviews were used. Personal data and medical practices carried out in recent years were recorded. A content analysis was performed. Results. We interviewed 47 women, the majority with children and half of them, in charge of housework in their home. None of them recognized housework (UDW) as work, 76 % reported not doing regular health checks, although more than 90 % did the recommended preventive practices for their age. The women interviewed expressed different meanings attributed bythem to the PPW such as independence, personal development, improvement in self-esteem, quality of life, and sociability. However, in their absence at home, they were ambivalent and guilty. Conclusions. This study allows us to recognize that women with UDW and PPW value the latter positively, but question whether it takes time away from their participation in the family environment. This results in increased self-demand and perpetuates the invisibility of the UDW. In relation to self-care, they feel that they do not perform their medical care, buthave good indicators of preventive practices. It may be necessary to encourage reflection on the role of the PPW in theirwell-being. (AU)

Homemakers and heights. Intra-household resource allocation and male stature in the Netherlands, 1860-1930.

In this article we test the hypothesis that the secular increase in heights in the course of the second half of the nineteenth century was associated with the rise of the breadwinner-homemaker household. In these 'modern' households, women raised the living standards (quality and quantity of food, hygiene and care) for all members, especially the children. We model the assumed contributions to the family budget by age and gender of household members, and find that a strong imbalance between consumers and producers in the household put severe strains on effective resource allocation, leading to lower net nutrition and lower young adult heights. We suggest a carefully calibrated consumer/producer ratio as an indicator to capture these effects. The ratio is not meant to replace others, and we show that sibling rank order as well as gender preferences also played a role in intra-household resource allocation. For our research, we have used a database with reconstructed life histories (including co-residence) of 3003 Dutch army recruits. Our results indicate that the consumer/producer ratio as experienced by recruits in their early life indeed had a strong impact (-1,8 cm) on their heights. However, this effect differed by social class, which can be explained by differences in acceptance of the income pooling model.

The Making of a Good Woman: Extended Parental Leave Entitlements and Mothers' Work Commitment in Germany.

The authors investigate the relationship between family policy and women's attachment to the labor market, focusing specifically on policy feedback on women's subjective work commitment. They utilize a quasi-experimental design to identify normative policy effects from changes in mothers' work commitment in conjunction with two policy changes that significantly extended the length of statutory parental leave entitlements in Germany. Using unique survey data from the German Socio-Economic Panel and difference-in-differences, triple-differenced, and instrumental variables estimators for panel data, they obtain consistent empirical evidence that increasing generosity of leave entitlements led to a decline in mothers' work commitment in both East and West Germany. They also probe potential mediating mechanisms and find strong evidence for role exposure and norm setting effects. Finally, they demonstrate that policy-induced shifts in mothers' preferences have contributed to. retarding women's labor force participation after childbirth in Germany, especially as far as mothers' return to full-time employment is concerned.

Traveling with faith: the creation of women's immigrant aid associations in nineteenth and twentieth-century France.

This article explores the efforts of French Catholic, Protestant, and Jewish women to morally, spiritually, and physically protect immigrant and migrant women and girls in the late nineteenth and early twentieth centuries. Women of faith worried about the dangers posed by the white slave trade, and they feared the loss of spiritual consciousness among women living far from their families and their places of worship. In response to these concerns, they developed numerous faith-based international organizations aimed at protecting vulnerable working-class immigrants. Upper-class women's work in immigrant aid societies allowed them to take on much greater social and religious leadership roles than they had in the past. Likewise, the intricate, international networks that these women developed contributed to the building of international cooperation throughout Europe.

Salesclerks, sexual danger, and national identity in Egypt, 1920s-1950s.

This article investigates change and continuity in anxieties about shopping during the first half of the twentieth century in Egypt to argue that department stores and their salesclerks became critical sites for enacting and challenging new notions of sexuality and citizenship. Retail innovations, such as commission pay, display, free entry, and large commercial staffs, became understood as sexual and moral problems because department stores blurred the boundaries between classes and were public spaces where unrelated men and women could mix. These concerns about sexuality in the 1920s were recycled and amplified in the late 1940s and early 1950s when salesclerks again came under scrutiny during debates over citizenship and ethnicity. I argue that the particular way this latter debate was barnacled by the concerns of the 1920s helped to delineate the broader society's reaction to the challenges of defining Egyptian nationality.

Healthy vocations: field nursing and the religious overtones of public health.

This article argues that the Office of Indian Affairs (OIA) field nursing program of the 1930s, which continued much of the same assimilation-style health care practices begun generations earlier by missionaries and field matrons, perpetuated the nineteenth-century link between religion and health care. Following in the footsteps of their female predecessors, field nurses targeted native women for health education, emphasizing personal hygiene and individual responsibility at the expense of socioeconomic causes of illness. Native women nonetheless appear to have maintained agency and power in negotiating health and health care. Peaking during the era of OIA Commissioner John Collier's Indian New Deal, the history of field nursing problematizes this period, particularly with regard to women's experiences. The article is significant for its exploration of field nursing as a contested site of cultural negotiation, revealing issues of power and difference in the lives of American women.

The social nature of the mother's tie to her child: John Bowlby's theory of attachment in post-war America.

This paper examines the development of British psychiatrist and psychoanalyst John Bowlby's views and their scientific and social reception in the United States during the 1950s. In a 1951 report for the World Health Organization Bowlby contended that the mother is the child's psychic organizer, as observational studies of children worldwide showed that absence of mother love had disastrous consequences for children's emotional health. By the end of the decade Bowlby had moved from observational studies of children in hospitals to animal research in order to support his thesis that mother love is a biological need. I examine the development of Bowlby's views and their scientific and social reception in the United States during the 1950s, a central period in the evolution of his views and in debates about the social implications of his work. I argue that Bowlby's view that mother love was a biological need for children influenced discussions about the desirability of mothers working outside the home during the early Cold War. By claiming that the future of a child's mind is determined by her mother's heart, Bowlby's argument exerted an unusually strong emotional demand on mothers and had powerful implications for the moral valuation of maternal care and love.

The good, the bad and the confusing: the political economy of social care expansion in South Korea.

Recent social policy reforms in South Korea indicate a progressive shift by a conservative government to modify the familialistic male breadwinner model that informs its welfare regime. The Korean government has demonstrated support for women through an increase in the provision, regulation and coordination of childcare and workplace support programmes for working parents. At the same time, labour market reforms have also created more pressures on women to seek and maintain paid work outside the home. Conflicting social and economic policy objectives have resulted in a confusing mix of policies, advancing and impeding gender equality at the same time. This contribution examines the recent family­work reconciliation policy reforms in Korea and discusses why these reforms may be good politics but a bad deal for women.

Harsh choices: Chinese women's paid work and unpaid care responsibilities under economic reform.

China's economic reforms over the past three decades have dramatically changed the mechanisms for allocating goods and labour in both market and non-market spheres. This article examines the social and economic trends that intensify the pressure on the care economy, and on women in particular in playing their dual roles as care givers and income earners in post-reform China. The analysis sheds light on three critical but neglected issues. How does the reform process reshape the institutional arrangements of care for children and elders? How does the changing care economy affect women's choices between paid work and unpaid care responsibilities? And what are the implications of women's work­family conflicts for the well-being of women and their families? The authors call for a gendered approach to both social and labour market policies, with investments in support of social reproduction services so as to ease the pressures on women.

Who cares in Nicaragua? A care regime in an exclusionary social policy context.

In Latin American countries with historically strong social policy regimes (such as those in the Southern Cone), neoliberal policies are usually blamed for the increased burden of female unpaid work. However, studying the Nicaraguan care regime in two clearly defined periods ­ the Sandinista and the neoliberal eras ­ suggests that this argument may not hold in the case of countries with highly familialist social policy regimes. Despite major economic, political and policy shifts, the role of female unpaid work, both within the family and in the community, remains persistent and pivotal, and was significant long before the onset of neoliberal policies. Nicaragua's care regime has been highly dependent on the 'community' or 'voluntary' work of mostly women. This has also been, and continues to be, vital for the viability of many public social programmes.

"Freedom. Money. Fun. Love.": the warlore of Vietnamese bargirls.

Memories of the Vietnam War abound in the minds of those who survived it, be they veterans or civilians, Vietnamese or American. Vietnamese refugees, forced to flee their homeland after the war ended in 1975, tell particularly poignant stories of loss -- of country, of family, of tradition, and of identity. Not so the women featured in this article. During the war, they served as bargirls in Saigon, entertaining American soldiers. The stories they tell of the war paint an entirely different picture: one of good times, and camaraderie, and the exhilaration of being young and free in the city. They were able to break free from tradition and the expectations imposed on their gender because of the war, and because of that, remember the war as the best time of their lives.

Stratified familialism: the care regime in India through the lens of childcare.

This article explores the political and social economy of care in India through a focus on childcare practices, from the viewpoint of the care giver ­ a perspective frequently ignored or touched on only generally in earlier discussions on development or social policy. It is argued that the care regime is an ad hoc summation of informal, stratified practices. It is shaped by the institutional context, in particular the economic and social inequalities of work and livelihoods, as well as trends and absences in state economic and social policy. Central to the dynamics of care practices in India is the ideology of gendered familialism in public discourse and policy, which reiterates care as a familial and female responsibility and works to devalue and diminish the dimensions of care. By delineating the range of institutions through which everyday childcare practices are organized, this contribution draws out the differentiations and actualities of stratified familialism and care. At one end of the spectrum are those who have the possibility to retain familial carers at home and supplement them with paid and other institutional carers; at the other are those who are neither able to retain family members at home nor fill the care gap through formal institutions.

Putting two and two together? Early childhood education, mothers' employment and care service expansion in Chile and Mexico.

In recent years, several middle-income countries, including Chile, Mexico and Uruguay, have increased the availability of early childhood education and care (ECEC) services. These developments have received little scholarly attention so far, resulting in the (surely unintended) impression that Latin American social policy is tied to a familialist track, when in reality national and regional trends are more varied and complex. This article looks at recent efforts to expand ECEC services in Chile and Mexico. In spite of similar concerns over low female labour force participation and child welfare, the approaches of the two countries to service expansion have differed significantly. While the Mexican programme aims to kick-start and subsidize home- and community-based care provision, with a training component for childminders, the Chilean programme emphasizes the expansion of professional ECEC services provided in public institutions. By comparing the two programmes, this article shows that differences in policy design have important implications in terms of the opportunities the programmes are able to create for women and children from low-income families, and in terms of the programmes' impacts on gender and class inequalities. It also ventures some hypotheses about why the two countries may have chosen such different routes.

The making and transnationalization of an ethnic niche: Vietnamese manicurists.

The article addresses how Vietnamese immigrant women developed an urban employment niche in the beauty industry, in manicuring. They are shown to have done so by creating a market for professional nail care, through the transformation of nailwork into what might be called McNails, entailing inexpensive, walk-in, impersonal service, in stand-alone salons, nationwide, and by making manicures and pedicures de riguer across class and racial strata. Vietnamese are shown to have simultaneously gained access to institutional means to surmount professional manicure credentializing barriers, and to have developed formal and informal ethnic networks that fueled their growing monopolization of jobs in the sector, to the exclusion of non-Vietnamese. The article also elucidates conditions contributing to the Vietnamese build-up and transformation of the niche, to the nation-wide formation of the niche and, most recently, to the transnationalization of the niche. It also extrapolates from the Vietnamese manicure experience propositions concerning the development, expansion, maintenance, and transnationalization of immigrant-formed labor market niches.

Art, class and gender in Joseon dynasty Korea: representations of lower-class women by the scholar-painter Yun Duseo.

This paper examines several pioneering genre paintings by the important scholar painter Yun Duseo (1668-1715), with its focus on their artistic sources which have not yet been explored so far. Painted on ramie, 'Women Picking Potherbs' is one of the most intriguing examples among Yun Duseo's oeuvre, which encompasses a broad variety of themes, including genre imagery, landscapes, portraits, dragons, and horses. Even among Yun Duseo's genre paintings, 'Women Picking Potherbs' is extraordinary, as recent scholarship regards it as the earliest independent representation of lower-class women in the history of Korean art. In particular, Yun Duseo painted two women who were working ourdoors to gather spring potherbs. In a conservative Confucian society, it was extraordinary women who were working outdoors. Hence, Yun Duseo occupies a highly important place in Korean painting. Furthermore, even though Yun Duseo came from the upper-class, he often painted images of lower class people working. It is possible that Yun Duseo was familiar with the book titled "Tian gong kai wu" (Exploitation of the Works of Nature) which was published in the 17th century. By identifying the probable body of his artistic sources in the book known as "Tian gong kai wu," it will be possible to assess the innovations and limitations found in 'Women Picking Potherbs'.

La protección a la maternidad de las trabajadoras en Argentina: aspectos legales y administrativos en la primera mitad del siglo XX / Maternity protection for working women in Argentina: legal and administrative aspects in the first half of the twentieth century

Analiza el proceso de construcción de las políticas sociales destinadas a las trabajadoras en su cualidad de madres en Argentina. Para ello revisamos el corpus legal que le dio origen, los alcances de la normativa y las críticas a su puesta en marcha de la sociedad civil y de los círculos médicos, legales y políticos. Nos detenemos en el debate acerca de la creación de la Caja de Maternidad (1934) y en los cambios de orientación de las discusiones en torno a la política de asistencia a las trabajadoras producidos durante el primer peronismo. La metodología se basa en un análisis cualitativo de los debates parlamentarios, las propuestas de reforma de la legislación y las reacciones de la prensa periódica.

This article discusses the construction of social policies aimed at working women as mothers in Argentina. Thus, we examine the legal corpus, the scope of legislation, and the criticisms of its implementation coming from civil society and from medical, legal and political circles. We focus on the debate about the creation of the Caja de Maternidad (1934) and the shifts in the discussions regarding welfare policy for working women during Perón's first term in office. The methodology is based on a qualitative analysis of parliamentary debates, proposals for legislative reform and reactions in the press.

Becoming farmers: opening spaces for women's resource control in Calakmul, Mexico.

Despite empirical findings on women's varied and often extensive participation in smallholder agriculture in Latin America, their participation continues to be largely invisible. In this article, I argue that the intransigency of farming women's invisibility reflects, in part, a discursive construction of farmers as men. Through a mixture of quantitative and qualitative methods, including interviews with one hundred women in Calakmul, Mexico, I demonstrate the material implications of gendered farmer identities for women's control of resources, including land and conservation and development project resources. In particular, I relate the activities of one women's agricultural community-based organization and the members' collective adoption of transgressive identities as farmers. For these women, the process of becoming farmers resulted in increased access to and control over resources. This empirical case study illustrates the possibility of women's collective action to challenge and transform women's continued local invisibility as agricultural actors in rural Latin American spaces.

It's not only for the money: an analysis of adolescent versus adult entry into street prostitution.

Numerous studies examine the causal factors of entrance into prostitution and find economic marginalization, substance addiction, and interpersonal networks are common reasons women enter the trade. However, we know less about the role that age of onset plays in shaping female pathways into prostitution. Here, we build from insights into previous research by analyzing not only entry pathways but also how age categories are linked to time spent in the trade and whether the length of time in prostitution exacts a greater "toll" on women. Drawing from the feminist and age of onset literatures, we analyze 40 in-depth interviews with female street prostitutes from five U.S. cities. Our results underscore the importance of age as an organizing feature of women's pathways into prostitution and the potential associated consequences of working in this trade.