IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v339y2023ics0277953623007463.html
   My bibliography  Save this article

Trading in harms: COVID-19 and sexual and reproductive health disparities during the first surge in New York state

Author

Listed:
  • Andaya, Elise
  • Bhatia, Rajani

Abstract

In March 2020, New York City was the national epicenter of the novel coronavirus in the United States. This article draws on rapid qualitative research from July to October of 2020 with sexual and reproductive healthcare (SRH) providers who served low-income people from racial and ethnic minority groups in New York State to examine their perceptions of the effects of COVID-related adaptations to care on healthcare access and quality. We found that care delivery protocols during the early months of the pandemic compromised healthcare interactions and clinical experiences by limiting support persons, separating newborns from parents, and restricting care time in hospitals. Additionally, closures of in-person SRH services and prohibitions on prenatal support persons increased obstacles to access and utilization of care. Our intersectional analysis underscores how COVID protocols interacted with other axes of inequality to compound disparities in SRH access and quality of care. Early COVID policies prioritized controlling the risk of viral exposure over the risk of harm from the policies themselves, reflecting zero-sum approaches that we describe as “trading in harms.” Our research thus raises crucial questions about how institutions and governing bodies conceive of, and organize, emergency preparedness. We argue that emergency preparedness must center concerns around racial, class, and gender equity, among others, to foreground the risks and benefits of emergency responses for different groups.

Suggested Citation

  • Andaya, Elise & Bhatia, Rajani, 2023. "Trading in harms: COVID-19 and sexual and reproductive health disparities during the first surge in New York state," Social Science & Medicine, Elsevier, vol. 339(C).
    • Handle: RePEc:eee:socmed:v:339:y:2023:i:c:s0277953623007463
    DOI: 10.1016/j.socscimed.2023.116389
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953623007463
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2023.116389?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Gema Zamarro & María J. Prados, 2021. "Gender differences in couples’ division of childcare, work and mental health during COVID-19," Review of Economics of the Household, Springer, vol. 19(1), pages 11-40, March.
    2. Katherine Lim & Mike Zabek, 2021. "Women’s Labor Force Exits during COVID-19: Differences by Motherhood, Race, and Ethnicity," Finance and Economics Discussion Series 2021-067r1, Board of Governors of the Federal Reserve System (U.S.), revised 03 Jul 2023.
    3. Kate Kennedy-Moulton & Sarah Miller & Petra Persson & Maya Rossin-Slater & Laura Wherry & Gloria Aldana, 2022. "Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data," Working Papers 22-55, Center for Economic Studies, U.S. Census Bureau.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Wilson, Jessica & Demou, Evangelia & Kromydas, Theocharis, 2024. "COVID-19 lockdowns and working women's mental health: Does motherhood and size of workplace matter? A comparative analysis using understanding society," Social Science & Medicine, Elsevier, vol. 340(C).
    2. Harbatkin, Erica & Strunk, Katharine O. & McIlwain, Aliyah, 2023. "School turnaround in a pandemic: An examination of the outsized implications of COVID-19 on low-performing turnaround schools, districts, and their communities," Economics of Education Review, Elsevier, vol. 97(C).
    3. Jacques Wels, & Booth, Charlotte & Wielgoszewska, Bożena & Green, Michael J. & Di Gessa, Giorgio & Huggins, Charlotte F. & Griffith, Gareth J. & Kwong, Alex S.F. & Bowyer, Ruth C.E. & Maddock, Jane & , 2022. "Mental and social wellbeing and the UK coronavirus job retention scheme: Evidence from nine longitudinal studies," Social Science & Medicine, Elsevier, vol. 308(C).
    4. Xiaoying Gao & Apostolos Davillas & Andrew M. Jones, 2022. "The Covid‐19 pandemic and its impact on socioeconomic inequality in psychological distress in the United Kingdom: An update," Health Economics, John Wiley & Sons, Ltd., vol. 31(5), pages 912-920, May.
    5. Ayllón, Sara, 2022. "Online teaching and gender bias," Economics of Education Review, Elsevier, vol. 89(C).
    6. David R. Agrawal & Aline Bütikofer, 2022. "Public finance in the era of the COVID-19 crisis," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 29(6), pages 1349-1372, December.
    7. Lídia Farré & Yarine Fawaz & Libertad González & Jennifer Graves, 2022. "Gender Inequality in Paid and Unpaid Work During Covid‐19 Times," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 68(2), pages 323-347, June.
    8. Bancalari, Antonella & Berlinski, Samuel & Buitrago, Giancarlo & García, María Fernanda & Mata, Dolores de la & Vera-Hernández, Marcos, 2023. "Health Inequalities in Latin American and the Caribbean: Child, Adolescent, Reproductive, Metabolic Syndrome and Mental Health," IDB Publications (Working Papers) 13158, Inter-American Development Bank.
    9. Charlene Marie Kalenkoski & Sabrina Wulff Pabilonia, 2022. "Impacts of COVID-19 on the self-employed," Small Business Economics, Springer, vol. 58(2), pages 741-768, February.
    10. Bansak, Cynthia & Grossbard, Shoshana & Wong, Ho-Po Crystal, 2022. "Mothers’ caregiving during COVID: The impact of marital property laws on women’s labor force status," Economics & Human Biology, Elsevier, vol. 47(C).
    11. Sawan Rathi & Anindya S. Chakrabarti & Chirantan Chatterjee & Aparna Hegde, 2022. "Pandemics and technology engagement: New evidence from m‐Health intervention during COVID‐19 in India," Review of Development Economics, Wiley Blackwell, vol. 26(4), pages 2184-2217, November.
    12. David H. Bernstein & Andrew B. Martinez, 2021. "Jointly Modeling Male and Female Labor Participation and Unemployment," Econometrics, MDPI, vol. 9(4), pages 1-14, December.
    13. Li, Shifeng & Xu, Qiongying & Xie, Jing & Wang, Lei & Li, Huining & Ma, Li & Xia, Ruixue, 2022. "Associations of parenting daily hassles with parents’ mental health during the COVID-19 school closure," Social Science & Medicine, Elsevier, vol. 311(C).
    14. Geoffrey M. Ducanes & Vincent Jerald R. Ramos, 2023. "COVID-19 Lockdowns and Female Employment: Evidence from the Philippines," Journal of Family and Economic Issues, Springer, vol. 44(4), pages 883-899, December.
    15. Josiah Hickson & Joseph Marshan, 2022. "Labour Market Effects of Bushfires and Floods in Australia: A Gendered Perspective," The Economic Record, The Economic Society of Australia, vol. 98(S1), pages 1-23, September.
    16. Bettina Siflinger & Michaela Paffenholz & Sebastian Seitz & Moritz Mendel & Hans-Martin von Gaudecker, 2021. "The COVID-19 Pandemic and Mental Health: Disentangling Crucial Channels," CRC TR 224 Discussion Paper Series crctr224_2021_271, University of Bonn and University of Mannheim, Germany.
    17. Thomas F Crossley & Paul Fisher & Hamish Low & Peter Levell, 2023. "A year of COVID: the evolution of labour market and financial inequalities through the crisis," Oxford Economic Papers, Oxford University Press, vol. 75(3), pages 589-612.
    18. Werner, Katharina & Woessmann, Ludger, 2021. "The Legacy of COVID-19 in Education," IZA Discussion Papers 14796, Institute of Labor Economics (IZA).
    19. Deole, Sumit S. & Deter, Max & Huang, Yue, 2021. "Home Sweet Home: Working from home and employee performance during the COVID-19 pandemic in the UK," GLO Discussion Paper Series 791, Global Labor Organization (GLO).
    20. Mello, Marco & Moscelli, Giuseppe, 2022. "Voting, contagion and the trade-off between public health and political rights: Quasi-experimental evidence from the Italian 2020 polls," Journal of Economic Behavior & Organization, Elsevier, vol. 200(C), pages 1025-1052.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:339:y:2023:i:c:s0277953623007463. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.