Labor, Health, Family and Gender of the Women in Intimate Labor During the COVID 19 Pandemic
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Abstract
Background and Objectives: The COVID-19 pandemic profoundly affected women’s working and family lives, particularly those engaged in occupations involving close interpersonal contact, care, and bodily or emotional services. Such occupations can be understood through the concept of “intimate labor,” which highlights forms of work involving physical proximity, interpersonal interaction, care, and emotional engagement. These occupations are also highly gendered and reflect the broader feminization of labor. This study examines the multifaceted impacts of the COVID-19 pandemic on women engaged in intimate labor, focusing on the interrelated dimensions of labor, health, gender, and family. It also explores how women’s social positions and family living arrangements shaped their experiences and responsibilities during the pandemic.
Methods: The study employed a mixed-methods approach combining survey research and qualitative interviews. It focused on four occupational groups of women working in Bangkok and its surrounding metropolitan areas. Two groups, nurses and hotel receptionists, represented workers in the formal labor sector, while masseuses/spa workers and hairdressers represented workers in the informal labor sector. The concepts of intimate labor and the feminization of labor were employed as the theoretical framework for examining and interpreting women’s experiences during the COVID-19 pandemic. The analysis considered the interconnected effects of the pandemic on employment and income, physical and mental health, household responsibilities, and family relationships.
Results: The findings reveal that the COVID-19 pandemic substantially affected women engaged in intimate labor, although the extent and nature of these impacts varied across occupational groups and social positions. Economic consequences were particularly pronounced among masseuses/spa workers and hairdressers in the informal labor sector, whose income and employment opportunities were more vulnerable to pandemic-related restrictions. Women across occupational groups also encountered physical and mental health risks associated with their work and the broader conditions of the pandemic. In terms of gender and family relations, women experienced increased household responsibilities and, in some cases, greater family tensions. These pressures contributed to serious relationship difficulties for some participants, including divorce or separation. Women’s experiences were further shaped by their family living arrangements and social positions, including marital status, economic status, age, and motherhood.
Application of this study: The findings can contribute to the development of labor and social protection policies that recognize the specific vulnerabilities of women engaged in intimate labor, particularly informal workers whose employment and income may be highly sensitive to public health emergencies. The study also highlights the importance of integrating gender and family dimensions into crisis-response policies rather than considering employment, health, and household responsibilities as separate issues.
Conclusions: The COVID-19 pandemic affected women engaged in intimate labor through interconnected economic, health, gender, and family dimensions. Its impacts extended beyond employment and income to women’s physical and mental well-being, household responsibilities, and family relationships. Family living arrangements and women’s social positions played an important role in shaping these experiences. Understanding these intersecting dimensions is therefore essential for developing more gender-sensitive and inclusive labor and social policies during future public health crises.
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References
Attwood, F., Hakim, J., & Winch, A. (2017). Mediated intimacies: Bodies, technologies, and relationships. Journal of Gender Studies, 26(3), 249–253. https://doi.org/10.1080/09589236.2017.1297888
Boris, E., & Parreñas, R. S. (2010). Introduction. In E. Boris & R. S. Parreñas (Eds.), Intimate labors: Cultures, technologies, and the politics of care (pp. 1–12). Stanford University Press.
Department of Labour Protection and Welfare. (2006, March 7). Handbook on rights and duties under the law. http://protection.labour.go.th/attachments/article/๑๐๗/01-2563.pdf
Informal Labour Coordination Center. (2012). Strategic plan for the management of informal labour, 2012–2016. Ministry of Labour. (In Thai)
Sangkaew, P., Saowane, R., & Haupala, A. (2022). Survey on family violence during the COVID-19 pandemic [Research report]. Mahidol University.
Malathum, K., & Malathum, P. (2020). The COVID-19 pandemic: What we have learned from Thai experiences. Pacific Rim International Journal of Nursing Research, 24(4), 431–435.
Human Reproduction Programme, World Health Organization. (2020, March 28). COVID-19 and violence against women: What the health sector/system can do [Brief]. https://www.who.int/docs/default-source/searo/thailand/covid-19-and-vaw-summary-28-march-thai.pdf?sfvrsn=a06f64c_0
Phantanee, T., Thitichai, T., & Phanthila, T. (2021). Report on the situation review of COVID-19 and prevention and control measures at the global and national levels. Bureau of Non-Communicable Diseases, Department of Disease Control.
Bureau of Epidemiology, & Bureau of Non-Communicable Diseases, Department of Disease Control. (2021). Report on the situation review of COVID-19 and prevention and control measures at the global and national levels. Department of Disease Control.
Bangkok Biz News. (2023, July 15). 100-day timeline of the COVID-19 situation in Thailand. https://www.bangkokbiznews.com/social/875664
BBC News Thai. (2020, March 26). Coronavirus: The government has declared a state of emergency for the entire country from 26 March to 30 April to contain COVID-19. https://www.bbc.com/thai/thailand-52030713
Khunworapanya, A. (2022). Adaptation to the coronavirus disease 2019 (COVID-19) outbreak situation to prepare for the new normal for support-type workers: Mahidol University. Journal of Yanasangvorn Research Institute, 13(1), 83–104.
Duffy, M. (2005). Reproducing labor inequalities: Challenges for feminist conceptualizing of care at the intersections of gender, race, and class. Gender & Society, 19(1), 66–82.
Constable, N. (2009). The commodification of intimacy: Marriage, sex, and reproductive labor. Annual Review of Anthropology, 38, 49–64.
Akorsu, A. D. (2016). Feminization of labor. In N. A. Naples (Ed.), The Wiley Blackwell Encyclopedia of Gender and Sexuality Studies (1st ed., pp. 1-3). Chicester: John Wiley & Sons.
Morini, C. (2007). The feminization of labour in cognitive capitalism. Feminist Review, 87(1), 40–59.
Can, B. (2017). The gendered workplaces of women garment workers in Istanbul. Reproductive Health Matters, 25(Suppl. 1), S47–S55.
Delahanty, J. (1999). A common thread: Issues for women workers in the garment sector. Women in Informal Employment: Globalizing and Organizing.
English, B. (2013). Global women’s work: Historical perspectives on the textile and garment industries. Journal of International Affairs, 67(1), 67–82.
Gallioz, S. (2009). Feminization in construction companies: Social normalization of male workers’ behavior? Cahiers du Genre, 47(2), 55–75.
Lombardi, M. R. (2017). Women engineers in construction industry: The feminization possible and gender discrimination. Cadernos de Pesquisa, 47(163), 122–145. Translated by A. P. Renesto.
Abdelali-Martini, M., Goldey, P., Jones, G., & Bailey, E. (2003). Towards a feminization of agricultural labour in Northwest Syria. The Journal of Peasant Studies, 30(2), 71–94.
Liu, J., Xu, Z., Zheng, Q., & Hua, L. (2019). Is the feminization of labor harmful to agricultural production? The decision-making and production control perspective. Journal of Integrative Agriculture, 18(6), 1392–1401.
Pattnaik, I., Lahiri-Dutt, K., Lockie, S., & Pritchard, B. (2018). The feminization of agriculture or the feminization of agrarian distress? Tracking the trajectory of women in agriculture in India. Journal of the Asia Pacific Economy, 23(1), 138–155.
Fortin, N. M. (2005). Gender role attitudes and the labour-market outcomes of women across OECD countries. Oxford Review of Economic Policy, 21(3), 416–438.
Vella, F. (1994). Gender roles and human capital investment: The relationship between traditional attitudes and female labour market performance. Economica, 61(242), 191–211.
Tanika Lanwong, Phattharaphon Kitrenu, Kansuphat Balthip, Phalida Nuthala, Sirimat Phumichaiya, & Sorn Suwanruangsri. (2023). The process of creating life balance when facing the COVID-19 pandemic among vulnerable working-age groups. Enhancing Harmony in Life of Vulnerable Worker Group, 1–15. (In Thai)
Thawan Ruiyaphon, Trinet Saraphong, & Worayut Poolsuk. (2022). Legal problems concerning labor protection during the Coronavirus Disease 2019 pandemic. Journal of Graduate Studies, Valaya Alongkorn Rajabhat University under the Royal Patronage, 105–122. (In Thai)
Niphaphan Jensantikul. (2020). Labor in the Coronavirus (COVID-19) pandemic: Government measures and impacts. Journal of Multidisciplinary in Humanities and Social Sciences, 601–612. (In Thai)
Phatthara Phueakphan, Kanyaphat Setthachotuek, & Phawinee Saiklang. (2022). Psychological impacts of the COVID-19 pandemic on nursing students. Thai Journal of Nursing. (In Thai)
Kalaween Wuttikrom, Krittawan Sarai, Ranong Rattanopha, Phop Thephasit, & Eknarin Sawatwaengkuang. (2025). Adaptation of persons with disabilities during the COVID-19 era. Journal of Pacific Institute of Management Science, 11(3), 13–26. (In Thai)
Jiraporn Plaengpraphan, & Somchai Jitsuchon. (2020). The impact of COVID-19 on households with young children. Thailand Development Research Institute Foundation. https://tdri.or.th/2020/08/covid19-impact-early-child/ (In Thai)
Phitthaya Sangkaew, Rungthiwa Saowanee, & Araya Haupala. (2022). A survey of domestic violence during the COVID-19 pandemic in Bangkok. Ramathibodi Medical Journal, 45(3), 33–41. (In Thai)
Wischhover, C. (2020, March 17). The salon business isn’t built to withstand a pandemic. Allure. https://www.allure.com/story/coronavirus-effect-on-salon-industry
Tanika Lanwong, Phattharaphon Kitrenu, Kansuphat Balthip, Phalida Nuthala, Sirimat Phumichaiya, & Sorn Suwanruangsri. (2023). The process of creating life balance when facing the COVID-19 pandemic among vulnerable working-age groups. Enhancing Harmony in Life of Vulnerable Worker Group, 1–15. (In Thai)
Anuchida Chinsiraprapha. (2021). The impact of COVID-19 on the tourism economy in Eastern Thailand. Industrial Business Administration Journal, 1–4. (In Thai)
Antonopoulos, R. (2009). The unpaid care work–paid work connection (Working Paper No. 86). Policy Integration and Statistics Department, International Labour Office.
Yeates, N. (2005). Global care chains: A critical introduction (Global Migration Perspectives No. 44). Global Commission on International Migration.
Kofman, E., & Raghuram, P. (2012). Women, migration and care: Explorations of diversity and dynamism in the global South. Social Politics: International Studies in Gender, State & Society, 19(3), 408–432. https://doi.org/10.1093/sp/jxs011
Craig, L., & Churchill, B. (2021). Dual-earner parent couples’ work and care during COVID-19. Gender, Work & Organization, 28(Suppl. 1), 66–79.
Alon, T., Doepke, M., Olmstead-Rumsey, J., & Tertilt, M. (2020). The impact of COVID-19 on gender equality (NBER Working Paper No. 26947). National Bureau of Economic Research. https://doi.org/10.3386/w26947
Ahmed, D. A. A., Buheji, M., & Fardan, S. (2020). Re-emphasising the future family role in “care economy” as a result of COVID-19 pandemic spillovers. American Journal of Economics, 10(6), 332–338.