Infectious Disease Outbreaks · Journal article
One Health · July 19, 2026
Reinforces what was already believed, rather than introducing something new.
This mixed-methods study of 906 survey respondents and 508 qualitative respondents in Guinea documents gendered disparities in socioeconomic impacts during infectious disease outbreaks, with women disproportionately affected by caregiving burden, income loss, and reduced market access, while men experienced income loss and role disruption. The findings confirm that vulnerability is intersectional, shaped by gender, age (30–49 years at highest risk), and occupational precarity, and highlight gaps in formal social protection systems.
Mixed-methods observational study (quantitative survey and qualitative open-ended questionnaire). Adults aged 18 and over in Guinea, sampled to include gender, age, and vulnerable populations during infectious disease outbreaks (yellow fever, Ebola, Marburg, Mpox, COVID-19).. Intervention: Exposure to infectious disease outbreaks (epidemics and pandemics including yellow fever, Ebola, Marburg, Mpox, COVID-19). n = 906. Guinea.
Women disproportionately bore caregiving and household management responsibilities and reported inability to sell goods (qualitative data). Men were more affected by income loss and disruptions to traditional gender roles (quantitative data). Adults aged 30–49 and those in informal or precarious employment experienced heightened economic and social stress.
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Public health and outbreak preparedness professionals should recognize that infectious disease response strategies must be gender- and age-sensitive, accounting for differential economic vulnerability, caregiving burdens, and gaps in formal social protection. Incorporating social science perspectives into One Health planning is essential for equitable preparedness.
Mixed-methods study documenting gendered socioeconomic impacts of infectious disease outbreaks in Guinea with adequate sample sizes and combined quantitative and qualitative evidence, confirming known patterns of gender-differentiated vulnerability without claiming novel intervention efficacy.
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Public health and outbreak preparedness professionals should recognize that infectious disease response strategies must be gender- and age-sensitive, accounting for differential economic vulnerability, caregiving burdens, and gaps in formal social protection. Incorporating social science perspectives into One Health planning is essential for equitable preparedness.
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This study examines the gendered socioeconomic impacts of infectious disease outbreaks, including both epidemics (e.g., yellow fever, Ebola, Marburg and Mpox) and pandemics (e.g., COVID-19), on populations in Guinea, using data from the Decentralize and Operationalize One Health Platforms (DOPERAUS) project. A mixed-methods approach combined quantitative survey data (N = 906) from participants aged 18 and over and qualitative data from an open-ended questionnaire answered by 508 respondents to capture both measurable outcomes and nuanced experiences. Sampling accounted for gender, age, and vulnerable populations. Analyses incorporated descriptive statistics, Chi-square tests, Wilcoxon-Mann-Whitney tests, and thematic coding of qualitative data. Findings reveal gendered disparities in how socioeconomic impacts are experienced during infectious disease outbreaks. Women disproportionately bore caregiving and household management responsibilities and were more affected by income loss and reduced market access, as many reported being unable to sell their goods in the qualitative data. Men were more affected by income loss and disruptions to traditional gender roles based on the quantitative data. Vulnerability was also shaped by age and occupational status, with adults aged 30-49 and those in informal or precarious employment experiencing heightened economic and social stress. Women frequently relied on informal borrowing and community support to cope with financial strain, highlighting structural gaps in social protection systems. These results underscore the intersectional nature of infectious disease outbreaks impacts, showing that gender alone does not fully explain vulnerability. The study emphasizes the importance of integrating social science perspectives into the One Health approach. Understanding household dynamics, community roles, and economic inequalities is essential for designing effective and equitable outbreak preparedness and response strategies.
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