Advancing health equity by integrating intersectionality into epidemiological research: applications and challenges

Mandelbaum, Jennifer

doi:10.1136/jech-2020-213847

Cited by 22 publications

(16 citation statements)

References 10 publications

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“…The nature of intersecting identities is often complex and socioculturally determined; intersectional identities are (1) rarely entirely homogenous groups (Viruell-Fuentes et al, 2012); (2) can be simultaneously oppressed and privileged (L opez & Gadsden, 2016;Mandelbaum, 2020);…”

Section: Holistic Assessment Of Identity Dimensions and Psychopatholo...mentioning

confidence: 99%

“…The nature of intersecting identities is often complex and socioculturally determined; intersectional identities are (1) rarely entirely homogenous groups (Viruell‐Fuentes et al, 2012); (2) can be simultaneously oppressed and privileged (López & Gadsden, 2016; Mandelbaum, 2020); (3) interdependent and not always a simple 1 + 1 = 2 of identities, but instead a unique experience (Bowleg, 2008); and (4) often fluid and changing over time, such as in the case of sexual and gender minority individuals (Suen et al, 2020; Watson et al, 2020). This speaks to the importance of accurate empirical research on the way identities intersect and correlate with psychopathology and contribute to mental health disparities.…”

Section: Holistic Assessment Of Identity Dimensions and Psychopatholo...mentioning

confidence: 99%

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Multidimensional conceptualization of identity and psychopathology: Assessing mental health disparities from an intersectional and dimensional framework

Langwerden

Thompson

Wagner

2021

Personality & Mental Health

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Black, Indigenous, and People of Color (BIPOC) currently constitute 40% of the US population and will become the majority by 2045. Current mental health systems have not sufficiently accounted for disparities, inequities, and social determinants impacting BIPOC lives. We outline several advances that could improve mental health disparities research. Research on BIPOC requires mental health assessment accurately capturing multiple facets of one's identity, taking into account the complexities of multifaceted historical oppression.Assessing (personality) psychopathology in a dimensional and hierarchical manner could provide greater insight into mental health disparities between diverse identity individuals. We encourage studying moderators that are protective assets for BIPOC-such as resiliency and community factors-as opposed to deficit-dominant, category-based, and majority-dominant assessments. | INTRODUCTIONThe goal of this activity should be to facilitate the inclusion of marginalized groups for whom it can be said: "When they enter, we all enter." (Crenshaw, 1989, p. 167) Robbert J. Langwerden and Michelle G. Thompson share first authorship, as they have contributed equally to the manuscript.

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Section: Holistic Assessment Of Identity Dimensions and Psychopatholo...mentioning

confidence: 99%

Section: Holistic Assessment Of Identity Dimensions and Psychopatholo...mentioning

confidence: 99%

Multidimensional conceptualization of identity and psychopathology: Assessing mental health disparities from an intersectional and dimensional framework

Langwerden

Thompson

Wagner

2021

Personality & Mental Health

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“…Informing this 'MOTHERS' study is a Feminist Intersectional framework for understanding the relational and cumulative nature of independent systems of privilege and oppression that shape individual health and lead to health disparities (22)(23)(24). Our approach was guided by constructivist Grounded Theory, which aims to generate theory to explain human phenomena and acknowledges the researcher and participants as co-constructers of its meaning (25)(26)(27)(28)(29).…”

Section: Designmentioning

confidence: 99%

“The medications are the decision-makers…” Making reproductive and medication use decisions among female patients with rheumatoid arthritis: a constructivist Grounded Theory

Rebić

Munro

Garg

et al. 2021

Preprint

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Objective To examine how female patients with RA form decisions about having children, pregnancy, and medication use. Methods We employed a constructivist grounded theory design and recruited female participants who are 18 years or older, have a rheumatologist-confirmed RA diagnosis, live in Canada, and able to communicate in English or French. We collected data through semi-structured individual and focus group interviews using telephone or video conferencing technology. Data collection and analysis were iterative, employed theoretical sampling, reflexive journaling, and peer debriefing, and culminated in a theoretical model. Results We recruited 21 participants with a mean age of 34 years and median 10 years since RA diagnosis. Overall, 33% had never been pregnant, 57% had previously been pregnant, and 10% were pregnant at the time of interview. Of those who had experienced pregnancy, 64% had at least one pregnancy while diagnosed with RA and of those, 56% used DMARD(s) during a pregnancy. We constructed a woman-centered framework depicting the dynamic relationships between 4 decision-making processes: 1) using medications, 2) having children, 3) planning pregnancy, and 4) parenting. These processes were influenced by participants’ intersecting identities and contextual factors, particularly attitudes towards health and medications, disease onset and severity, familial support system, and healthcare provider relationship. Conclusion Our framework provides insight into how patients make reproductive decisions in the context of managing RA. A patient-centered care approach is suggested to support female patients with RA in making reproductive and medication choices aligning with their individual desires, needs, and values.

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“…This is important because it is known that aspects of sociocultural identity are not experienced in isolation but rather that they are experienced simultaneously [14]. By looking at determinants of inequalities in frailty using intersectional methodology, specific vulnerable groups could be identified that need more attention in health policy [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Inequalities in Frailty Among Older Turkish and Moroccan Immigrants and Native Dutch: Data from the Longitudinal Aging Study Amsterdam

Hoogendijk

Muntinga

Breij

et al. 2021

J Immigrant Minority Health

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Very few studies have investigated frailty among older immigrants in Europe. The aim of the current study was to investigate inequalities in frailty in young-olds related to gender, educational level and country of origin, as well as intersections between these characteristics. Cross-sectional data were used from older Turkish and Moroccan immigrants (n = 466) and native Dutch (n = 1,020), all aged 55–65 years and participating in the Longitudinal Aging Study Amsterdam. Frailty was assessed with a 30-item frailty index, based on the deficit accumulation approach. Frailty was higher among women, lower educated, and people with a migration background. Of all groups considered, frailty levels were the highest among Turkish immigrants. No statistically significant interaction effects between gender, educational level and country of origin were found. When targeting frailty interventions, special attention should be devoted to older immigrants, as they are the most vulnerable group with the highest frailty levels.

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Advancing health equity by integrating intersectionality into epidemiological research: applications and challenges

Cited by 22 publications

References 10 publications

Multidimensional conceptualization of identity and psychopathology: Assessing mental health disparities from an intersectional and dimensional framework

Multidimensional conceptualization of identity and psychopathology: Assessing mental health disparities from an intersectional and dimensional framework

“The medications are the decision-makers…” Making reproductive and medication use decisions among female patients with rheumatoid arthritis: a constructivist Grounded Theory

Inequalities in Frailty Among Older Turkish and Moroccan Immigrants and Native Dutch: Data from the Longitudinal Aging Study Amsterdam

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