Unpaid Work Research Articles

Fixers, Fieldwork, and Precarity: The Postcoloniality of Western Fieldwork on ISIS in Kurdistan

After the rise of the Islamic State of Iraq and Syria (ISIS) in 2014 and the fight of both Iraqi Kurdish Peshmerga forces as well as the Syrian Kurdish forces of the People's Protection Units (YPG, Yekîneyên Parastina Gel) and the Women's Protection Units (YPJ, Yekîneyên Parastina Jin) against them, Western journalists tried to gather information quickly. Locals were happy to share as much as possible, as ISIS was a great danger. As an often forgotten population under permanent occupation seeking visibility, the Kurds allow Westerners unparalleled access to the field and provide unpaid or underpaid labor, hoping that the world will see their struggle. This deepened the disparity between Kurdish journalists, academics, and writers and their Western counterparts. Using postcolonial theory on the mindset of colonialized peoples, this article shows how the fear of being forgotten, the material disparity between colonizers and colonized, and the coloniality of local political actors are obstacles for Kurdish professionals. Looking at a focus-group discussion and two interviews with Kurdish journalists, fixers, and translators from Iraq and Syria, the comparison shows that both autonomous regions are projects that sought to end decades of occupation and now face challenges that show similarities and differences.

The Political Economy of Disability and the Nursing Home Industry in the United States

While the mass of Covid-19 related deaths in nursing homes has begun to draw attention to the corruption of the industry, the existing literature focuses primarily on the post-productive population (the elderly), or on the unpaid and underpaid care workers, while the discussion of the young and disabled, making up over 15% of residents in U. S. nursing homes, is largely absent. What can a Marxist analysis of disability tell us about both the nature of disability oppression and of the nursing home industry in the United States? Why are 16.9% of nursing home residents young disabled people? How are nursing homes in the U. S. funded? What political conclusions can we draw from this analysis? Building on the work of the late disabled socialist activist Marta Russell, I argue that the trapping of young disabled people in nursing homes is a result of their absorption by the nursing home industry due to capitalism's “compulsory unemployment” of the disabled and the segregation of those who cannot produce surplus value (Russell, 2019). Furthermore, private nursing homes do not “extract” from the disabled, as some have argued, as surplus value can only be extracted from the living labor of nursing-home and other workers. The incorporation of the non-working, institutionalized disabled into class struggle, then, is the only path to ending capitalist exploitation of the entire working class.

Becoming Spectral: Toward a Media History of Ghosting

This article contextualizes contemporary forms of digital ghosting by examining how two of its historical precursors—Victorian calling culture and answering machines—have been represented in North American women’s magazines. To do so, we develop mediated avoidance as an analytical heuristic. This concept captures the material, relational and social dimensions of a set of understudied media practices that seek to strategically engage with the gaps that are inherent in all communication, to defer, deflect, or disrupt mediated connections. Representations of mediated avoidance from respective eras were found to reflect different anxieties over the management of the public/private divide. Calling culture relied on unpaid labor to facilitate the transmission of printed messages between bourgeoise women and was constrained by an array of social protocols that regulated interactions along conceptions of propriety. The disconnective features of answering machines, meanwhile, were represented as giving women the upper hand in courtship, as well as providing means for increased productivity and self-care, foreshadowing contemporary justifications of digital disconnection. Concerns over contemporary ghosting are discussed as produced by a spillage of media practices. Ghosting is considered acceptable in feminine-coded spheres like courtship. But it is viewed as inappropriate—sometimes even as signaling a broader social crisis—when it bleeds into other contexts, like when an employee ghosts their employer.

Cultural Norms and the Gendered Impact of Entrepreneurship Policy in Mexico

This article explores how policies that reduce barriers to entrepreneurship impact underrepresented groups differently depending on local norms and cultural beliefs. While prior studies suggest that underrepresented groups should benefit more than other groups do from policies lowering entry barriers, the empirical evidence is mixed. We argue that the absence of normative and cognitive support can undermine the effectiveness of these policies for underrepresented groups. To explore this, we leveraged the staggered rollout of a policy that reduced entry barriers to entrepreneurship in Mexico. The results show that while the policy increased the number of businesses founded by men, it had a small and statistically insignificant impact for women, thus exacerbating the gender gap in entrepreneurship. Further analyses suggest that while women were not more likely to become involved in entrepreneurship as founders, they did become engaged in alternative roles within new ventures, often leaving other forms of employment to enter unpaid work in businesses founded by men in their household. The effects of the policy on the gender gap in entrepreneurship and unpaid work were more pronounced in areas with a strong patriarchy logic and among married individuals. This research highlights the need to consider context in the design of policies intended to encourage entrepreneurship.

A digital narrative study concerning global crisis period: The pandemic's impact on the domestic responsibilities of women health workers in Türkiye

The COVID-19 pandemic has exerted a profound influence on female healthcare workers, resulting in a notable escalation in the time allocated to domestic duties and unpaid household labor. This study delves into the professional and personal experiences of these women through the medium of digital narratives. Employing interpretive analysis within a phenomenological framework, the research scrutinized six female healthcare workers, all of whom were mothers of children under the age of 18. The investigation revealed that the pandemic has exacerbated existing gender disparities, manifesting in an increased burden of unpaid domestic responsibilities coupled with a concomitant reduction in personal time. Moreover, the utilization of digital narratives emerged as a multifaceted tool, not only facilitating socialization among healthcare workers but also nurturing their well-being and fostering the development of digital literacy skills.

Urban Care for Unpaid Caregivers: Community Voices in the Care Block Program, in Bogotá, Colombia.

The Care Block of Bogotá, Colombia, is an urban program that offers services for low-income unpaid caregivers. This study aimed to (i) characterize unpaid caregivers' subjective well-being, mental health symptoms, physical activity levels, and use of public spaces linked to the Care Block; (ii) identify caregivers' perceived built and social environment facilitators and barriers to accessing the Care Block facility; and (iii) document the community-led advocacy process to improve the Care Block program. The quantitative component included a subjective well-being and mental health symptoms survey, and the System for Observing Play and Recreation in Communities (SOPARC) instrument. The qualitative component included the Our Voice citizen science method augmented with portable virtual reality equipment to engage participants in advocacy for changes. Participants (median age of 53years) dedicated a median of 13.8h a day to unpaid caregiving, had an average subjective well-being score of 7.0, and 19.1% and 23.8% reported having depression and generalized anxiety symptoms respectively. Caregivers reported that the program fosters their perception of purpose, enjoyment, resilience, and cognitive and emotional awareness. SOPARC evaluation showed that most women engaged in moderate to vigorous physical activity. The caregivers highlighted education, physical activity services, and integration of facilities as facilitators to accessing the Care Block program. Poor quality and lack of sidewalks and roads, limited personal safety, and the risk of pedestrian-vehicle collisions were identified as barriers. Virtual Reality sparked compelling dialogue between participants and stakeholders, allowing stakeholders to reflect on an urban program facilitating unpaid care work.

Keeping African women in social reproduction roles: a systematic qualitative review of literature on post-FTLRP Zimbabwe

ABSTRACT The capitalist sytem has been underwritten by unpaid social reproduction labour mostly provided by women. This article deploys social reproduction theory (SRT) to systematically review scholarly literature on Zimbabwe's fast track land reform programme (FTLRP) published since 2011. Research evidence indicates reasonable improvement on women's access to and control of land, but whether or not FTLPRP led to a more egalitarian division of social reproduction labour remains to be researched. The paper concludes by proposing a new research agenda on the shifting boundaries between workplace and home, paid and unpaid labour, for women on post-FTLRP farms.

Statistical analyses of gender disparities in unpaid work in Georgia

Using data from the Labour Force Survey (LFS) with a quarterly sample size of 6,400 households and the Georgia Time Use Survey (GTUS) covering 3,680 households nationwide, this article investigates gender disparities in unpaid work in Georgia and their impact on individual welfare. Employing international methodologies, we calculated new statistical indicators and refined existing ones, including the improvement of Sustainable Development Goal indicator 5.4.1 (SDG 5.4.1). Regression analysis identified education level as a significant factor influencing unpaid work. Our findings underscore significant gender disparities in unpaid work, leading to heightened workloads and temporary poverty for women. These disparities persist across various demographic factors. This research contributes to understanding the dynamics of unpaid work and its implications for gender equality and welfare.

Time to share unpaid domestic labor! Prevalence of depressive symptoms among working women

Time to share unpaid domestic labor! Prevalence of depressive symptoms among working women

Evolution of Labor Concepts and Feminist Perspectives

The study explores the historical evolution of labour from household-based manufacturing to wage-based industrial systems, examining how the definition of work has changed in modern economies. From an economic perspective, work is perceived as a good or service that is traded in markets based on supply and demand. Traditional definitions of work, which emphasize wage labour, are challenged by feminist viewpoints, which emphasize the underappreciation of unpaid care and domestic work. Women's social standing and economic empowerment are restricted by this devaluation, which upholds gender inequality. To look into women's employment and labour participation in Istanbul and Izmir, Turkey, the research uses a census technique and deliberate sampling. The results show that women's paid and unpaid labour is influenced by social, cultural, and economic factors such as family history, education, and occupational segregation. These factors also reveal gendered labour dynamics. The study concludes that labour must be redefined to encompass not only paid employment but also a wider range of activities and societal benefits. To advance gender equality and women's economic empowerment in the context of changing global economies, gender inequalities in labour definitions and regulations must be addressed.

Rural Murle Age-Set Men Tackling Elites in South Sudan

The Murle age system is often presented in a negative light in the South Sudan conflict reporting, which links age-set activities to communal violence, cattle rustling, and the abduction of women and children. Such assessments by outsiders overlook the positive effects of age-sets on interethnic relations in rural areas, where young people follow the Murle tradition and navigate the complex influence networks of Murle society. We focus on pastoral Murle youth in Pibor born in the 1980s and 1990s—that is, the laŋo age-set. By drawing on in-depth life-story interviews, this article studies how Murle laŋo masculinity is constructed, embodied, and negotiated. The analysis of our ethnographic data exemplifies how early childhood emotional bonds with caregivers, conflicts, and marginalisation impact the life trajectory of one Murle man. Our results show the connectedness of political orientation, tradition, and masculinity to intergenerational conflict and competition for political and societal power in Murle society. The study increases our understanding of Murle laŋo men’s survival strategies. Specifically, it shows that these rural marginalised Murle youth build alliances beyond kinship and ethnic ties, defend land, advance the goal of peace with neighbours, volunteer for unpaid community work to fight idleness, and act as a counter force to prevent manipulation by political and military leaders. Zɔɔz Zɔɔz nici ɔp bayiz ci ɔl o maac een murle abaak Murla, ki gɔl ci bayizo, ki gɔl ci ganonto been culanɛ ci kobɛkɛ ɔl kaal. Gi ci titiny bayize ceen murlen nɛɛn, buluwa kibeen kerenɛ ogi o murle gɔɔn anya bayiz o gɛɛr gɔɔn aruwɔn ɔl, ma kɔran tiin moda ma kagaman ŋai ki dɔɔl ci modo. Mazin liŋliŋɔnti nici aŋamnek kaal o abon agɔɔn bulowa o abaak murla loce o ɔl o kolik een junup ŋawo azɔɔzi kaal o bayiz uneŋ murlo. Ma golowa ci kaŋamneka kalyanit o bayiz o een murlen, ayelza rɔŋrɔŋanɔnɛt ci arɔrɔŋanɔn nigi ki, gɔɔl ci adiŋdiŋani Jowanɛ o adilyai, gɔl ci siaso, ki kɛranɛ, ki kaal ci akati ŋayetin ki jorɛnɛɛn zɛɛ been ŋɛrɔn ci aŋɛrɔɔn alata o murlo aŋɛrɛ sias giye ci arɔɔŋi rum o. Bayizi ween aturuwen aroŋnyi, ayelzai bule o kazi lango, agamta nigi bayiz ci aromɛn niŋgi dook kodoye, ma arican ganɔɔn ma buk ɔp calaŋ aŋɛɛr nɔgɔ siasa karabɔŋ een zɔɔz ci takirzetu. Keywords: masculinity, laŋo, life story, tradition, elites, Murle, South Sudan

Intersectional configuration of infant mortality due to malnutrition in Colombia: a mini-review.

The mini-review methodology involved a systematic literature search across databases like PubMed and Scielo, focusing on malnutrition and infant mortality in Colombia. We used specific keywords and Boolean operators to identify relevant studies, emphasizing socio-economic, gender, and ethnic factors, while excluding non-peer-reviewed and outdated publications. The relationship between gender and food/nutrition has deep historical and cultural roots. Patriarchal norms influence dietary habits based on gender roles, often placing undue responsibility on mothers for children's nutritional health, reflecting profound social intersections. Mortality due to malnutrition is most prevalent among indigenous and Afro-descendant children in rural, conflict-affected areas with limited access to healthcare. Unpaid domestic work restricts women's economic independence, intensifying challenges for single-parent households. A comprehensive understanding can shift institutional attitudes toward mothers, leading to more coherent policy strategies and effective interventions.

The Feminisation of Poverty in European Union Countries—Myth or Reality?

The feminisation of poverty is a complex, multidimensional phenomenon related to gender inequality in various aspects of life. Women are disproportionately affected by the gender pay gap, unequal intra-household resource distribution, unpaid domestic work, caregiving responsibilities, single motherhood, employment or educational barriers, violence, gender discrimination, and period poverty. Combating poverty and inequality are among the main goals of the 2030 Agenda for Sustainable Development adopted by the United Nations General Assembly on 25 September 2015, and their great importance is further highlighted in the preamble of the resolution outlining the plan to transform our world by 2030. This study uses SDG indicators from the Eurostat database to assess the feminisation of poverty in the EU-27 member states in 2020 based on selected diagnostic characteristics mainly related to SDG 1 and SDG 5; they are also related to other goals due to the cross-cutting nature of the topic. The characteristics were transformed to reflect gender gaps and afterwards unitised with a veto threshold indicating gender balance. These were then used to calculate a synthetic taxonomic measure, allowing for linear ordering and classification of countries based on the feminisation of poverty levels. The study confirmed significant feminisation of poverty in the EU-27, with a few aspects showing masculinisation. High feminisation of poverty was observed in both emerging and advanced economies.

P030 EFFECTS OF GENDER-RELATED FACTORS ON THE HYPERTENSION-WHITE MATTER HYPERINTENSITIES ASSOCIATION: A SEX-STRATIFIED ANALYSIS

Background: Hypertension (HTN) is a global health issue affecting various vascular beds, including the brain. There is a gap in understanding how gender-related factors, such as roles, identity, relationships, and institutionalized gender, contribute to sex differences in the relationship between HTN and brain structure changes. This study aims to investigate the role of gender-related factors in the relationship between HTN and white matter hyperintensities (WMH) in both males and females. Methods: This cohort study used MRI data from 41,300 UK Biobank participants. HTN status was determined through hospital records and self-report, and WMH volumes were measured using MRI. Eight gender-related factors, including unpaid work, caregiving, unemployment, risk-taking behavior, living alone, education, income, and material deprivation, were examined. Generalized linear models were used to evaluate the interactions between each gender-related factor and HTN in males and females. Effect modification was evaluated using the Z-test to compare the beta coefficients of the HTN-WMH association across strata. Results: The study included 19,260 males and 22,040 females aged 40-69 years at baseline, with 27.3% hypertensive. Hypertensive males (7.7±9.2 mL) and females (7.2±8.8 mL) exhibited greater WMH volumes compared to their normotensive counterparts (males: 4.7±5.9 mL; females: 3.9±5.2 mL). The main effects model revealed that low income was significantly associated with greater WMHs in females, while no gender-related factors were linked to WMHs in males after adjusting for clinical, behavioral, and gender-related variables. No significant interactions between HTN and gender-related factors were found in either males or females after adjustment. In the stratified analysis, females with lower material deprivation showed a significantly greater increase in WMHs compared to those with higher material deprivation. No other gender-related factors in either group interacted with HTN to amplify the association with WMHs. Discussion: Socioeconomic factors, particularly in females, were associated with WMH. These findings highlight the importance of considering biological and social determinants to address hypertension risks effectively.

Abstract P319: Organizational Determinants to Hypertension Management: A Qualitative Examination at Two Academic Learning Health Systems

Background: Hypertension management is a national priority. However, hypertension control rates are suboptimal and vary across clinics, even among those in the same health system and geographic region. Objective: To identify organizational barriers and facilitators that impact hypertension management at the provider- and clinic-level. Design: Semi-structured interviews were conducted with primary care providers (N=25) and patients with uncontrolled hypertension (N=22). Participants were recruited from thirteen family and internal medicine clinics across two academic learning health systems. Participants: Twenty-five providers and twenty-two patients were recruited from clinics across North Carolina and Kansas. Approach: Interviews were analyzed using both inductive and deductive coding methodologies. A health equity framework scaffolded interview guide design and codebook development, with thematic analysis employed to categorize emergent themes across the four framework domains. Key Results: Participants discussed organizational and clinic-level barriers and facilitators that impact hypertension management, with health systems’ resource centralization being frequently mentioned. Some participants lauded centralized interventions for improving patient access and increasing touchpoints, while others lamented reductions in their clinic’s staffing to accommodate centralized workflows. Insufficient in-clinic staffing and blood pressure (BP) measurement equipment, limited exam rooms, short appointment duration, and hurried clinic environments were all mentioned as challenges to hypertension management, particularly as they hindered adherence to BP recheck policies. Appointment availability was mentioned as a barrier, however providers referenced clinics’ use of virtual and/or nurse-specific visits as a mechanism to increase patient access. Multiple providers noted that tasks central to hypertension management, like BP telemonitoring and MyChart correspondence, go unaccounted for on their schedules and can lead to unpaid work, which they linked with increased stress and burnout. Conclusions: Primary care clinics experience multiple interrelated organizational barriers to effective hypertension management. Future studies should examine the impact of different clinic staffing models, including multidisciplinary care teams, telemedicine, and remote BP monitoring, on BP outcomes in diverse primary care settings.

Labour as a component of carceral circuitry: The case of asylum seekers

Building upon insights from carceral geography, this article conceptualises the ‘carceral’ as permeating beyond the prison walls to other areas of life through law and policymaking that confines and incarcerates without necessarily ‘imprisoning’. 1 Utilising the case study of asylum applicants in the UK, this article traces the role of ‘work’ as a component of carceral circuitry which enmeshes asylum seekers’ lives. Outside of immigration detention, this includes work exclusions which hinder mobility, life choices and economic independence, as well as fuelling engagement in both ‘voluntary’ unpaid work arrangements, and/or unregulated ‘criminal’ labour practices which arise as a result of exclusionary laws intent on creating a hostile environment. Inside of immigration detention analysis extends to the practice of ‘paid activities’ in which immigration detainees undertake millions of hours of work at a rate of £1.00 per hour, ostensibly ‘for their own benefit’. Labour law and its explicit exclusions, as well as the social welfare framework, thereby intersect with immigration control and the criminal law to construct, shape and reproduce this carceral sphere which seeks to control and govern asylum seekers’ lives as well as entrenching their vulnerability as an easily exploitable workforce from which value can be extracted.

Economic Burden of Sickle Cell Disease in Saudi Arabia

ObjectiveThis study aimed to determine the direct and indirect costs of sickle cell disease (SCD) in Saudi Arabia. MethodsData were collected from 217 participants aged ≥18 years in the eastern region of Saudi Arabia, using a prevalence-based cost-of-illness approach. The Institute for Medical Technology Assessment Medical Consumption Questionnaire and Institute for Medical Technology Assessment Productivity Cost Questionnaire were used to assess costs. A multistage process was used, encompassing patient data collection over 3 months, cost calculation from clinic visits and drug prices, and extrapolation for annual estimates. ResultsThe study revealed substantial societal costs of SCD, with an average per-patient cost of SAR181 899 (US$48 506), covering healthcare and productivity losses. Healthcare costs, including hospitalization, informal care, and medication, averaged SAR80 306 (US$21 415). In addition, productivity costs, including unpaid work and presenteeism, averaged SAR101 594 (US$27 092). Obtaining higher levels of education, such as a diploma and BSc degree or higher, has been found to significantly decrease the costs associated with SCD (P = .016, P = .001). Furthermore, when comparing different employment statuses, students (B = −0.301, P = .058) were found to have marginally lower SCD costs, suggesting that their expenses were lower than those of individuals in other employment categories. The predictive model used in this study explained 11.2% of the variation in costs. ConclusionOur study highlights a significant economic burden of SCD in Saudi Arabia and highlights the need for targeted strategies to alleviate financial challenges and improve patient well-being.

The Care Subsidy to the Labor Market: Rethinking the Care Diamond

Abstract The market is considered one of the four care agents and has been studied as a provider of paid services. However, the first part of this article posits the relevance of distinguishing two roles the market plays in care provision—private care provider and as the labor market—which shows, as feminist economics argues, that the market receives a subsidy from care work because the capital appropriates the value generated by the mostly female unpaid work in households through the family wage. The second part presents a methodology to estimate this subsidy of care to capital, based on time-use surveys and the computation of how many hours of total work are not paid for with household labor income using data from Mexico as a case study. With these figures, it is possible to develop public policy mechanisms that make the labor market co-responsible in care provision.

Ethical challenges in healthcare innovation: A leadership perspective.

Innovation is essential for advancing and sustaining healthcare systems, particularly in hospitals. While innovation offers solutions to challenges such as chronic disease management, access to care, and patient safety, it also introduces significant ethical dilemmas for health leaders. This column explores the broad ethical issues associated with healthcare innovation, focusing on resource allocation, support for diverse healthcare professions, equitable access to care, and the emphasis on technology-based innovations. It highlights the complexities of funding innovation through government, private sector, universities, donors, and the unpaid work of healthcare providers. The column also addresses the disparities in innovation support across different professions and the potential for innovation to exacerbate healthcare inequities. Potential solutions are proposed, including the establishment of interdisciplinary councils, dedicated innovation funds, and public-private partnerships. By prioritizing ethical leadership and balanced innovation strategies, health leaders can ensure that advancements benefit all stakeholders, fostering a more equitable and sustainable healthcare system in Canada.

For Whom Does One Toil? Time Use Differentials, Social Reproduction, and Occupational Prestige

Social reproduction theory builds upon Marxist theories that center on the extent to which labor power is the source of capital’s growth through the exploitation of the working class, providing a unique lens for analyzing how labor power differences may contribute to structural inequity. While research has shown that women and girls are primarily responsible for the majority of unpaid reproductive labor, little research has considered how time spent in unpaid work may also vary by social class position. We utilize nationally representative data from the American Time Use Survey to estimate time use differentials across occupational prestige deciles, separately by gender, to address this question. We find that higher occupational prestige is significantly associated with less time spent on unpaid household labor for women, but not for men. Our results highlight the complex nature of unpaid reproductive work under capitalism, emphasizing the importance of considering social class positions when examining inequities in the unpaid work burden.