Abstract

In this paper we discuss the nexus of health and gender inequalities associated with the COVID-19 pandemic and highlight its adverse impacts on women's health, welfare and social standing. The COVID-19 pandemic has exposed the link between socio-economic inequalities and health outcomes, especially in the area of rheumatic and musculoskeletal (RMDs) diseases. Women are more adversely affected by RMDs diseases compared to men. Epidemiological research carried out over several decades has demonstrated the presence of clear gender patterns in the manifestation of musculoskeletal diseases, including osteoarthritis (OA), rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), systemic sclerosis (SS) and osteoporosis (OP). The public health measures that have been adopted to curb the spread of Sars-COV-2 are expected to have a particularly detrimental impact on women in the long term precisely because of the nexus between health outcomes and socio-economic structures. Moreover, the prioritization of urgent care will further compound this effect. COVID-19 has created a condition of ontological insecurity that is becoming increasingly manifested through various chronic diseases and associated comorbidities. RMDs and their impact on mobility and the ability of individuals to be independent, happy and mobile is a key public health challenge in the post-COVID-19 reality and a key part of the ongoing pandemic. There is an urgent need to engage with policymakers to publicize and prioritize this problem and develop viable solutions to address it.

Highlights

  • Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus [1]

  • There are many complex issues and factors that need to be accounted for as we look at the long-term impact of COVID-19 on the very fabric of humanity and society and how this ongoing crisis continues to affect health and social care outcomes for different groups

  • The long-term economic damage caused by COVID-19 induced lockdowns will cause more indirect deaths by starvation than deaths caused by the virus according to the United Nations

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Summary

INTRODUCTION

Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus [1]. As a result of the struggle to balance paid work and social reproduction many women are likely to be affected in the short, medium and long term by the decisions taken in the first half of 2020 and, in the UK and many other countries in lockdowns introduced as the second wave was starting These patterns have, in turn, had a detrimental impact on women’s access to “leisure” including exercise required for managing musculoskeletal conditions, which we will focus on. “failure” to continue with exercise regimes and physical activity to manage health conditions is the responsibility of an individual and in some countries and territories it is a shared decisionmaking process with a healthcare practitioner This has allowed policy-makers to overlook the impact of women’s role in social reproduction and the increasing weight of the double burden in the domestic sphere. In the two sections we will explore the interaction between the social and the physical generates a deep sense of ontological insecurity [27, 28]

EXACERBATION OF MUSCULOSKELETAL HEALTH INEQUALITIES
Monitoring Treatment
Mental Health and Anxiety
Findings
CONCLUSIONS
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