Can intersectionality theory enrich population health research?

Green, Mark A.; Evans, Clare R.; Subramanian, S. V.

doi:10.1016/j.socscimed.2017.02.029

Cited by 135 publications

(117 citation statements)

References 9 publications

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“…System indicators were represented by healthcare resources (distribution of personnel and hospital beds); accessibility (waiting time for psychotherapy) and affordability (inability to afford treatment/medication). In line with the current equity approach that adopts an intersectional perspective, 34 these indicators re ect disparities in multiple social determinants of health -gender, ethnicity, religiosity, socio-economic status, education, income and geographic periphery -which often interact with each other, thus amplifying the burden of individual inequalities. 3 The level of agreement between participants' scores was good in the rst and second rounds and moderate in the nal round.…”

Section: Discussionmentioning

confidence: 99%

Developing a national set of health equity indicators using a consensus building process

Wilf‐Miron

Avni²,

Valinsky³

et al. 2020

Preprint

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BackgroundConsiderable health disparities documented in Israel between communities, populations and regions, undermine the rights of all citizens to attain the best possible health. The first step towards health equity is to agree on a set of national indicators, reflecting equity in health services provision and health outcomes, and allowing monitoring of the impact of interventions on the reduction of disparities. We sought to describe the process of reaching a consensus on a defined set of national equity indicators. MethodsThe study was conducted between January 2019 and June 2020, in a multistage design: A) Identifying appropriate disparity measures. B) Agreement on the screening criteria and relative weighting. C) Constructing the consultation framework as an on-line, 3-round Delphi technique.ResultsThirty measures of disparity, presented to participants, represented the following domains: Health promotion (11 indicators); acute and chronic morbidity (11), life expectancy and mortality (2), health infrastructures and affordability of care (4); education and employment (2). Three scoring rounds took place between February-May 2020. Of the 77 individuals contacted, 75 (97%) expressed willingness to participate, and 55 (73%) completed all three rounds. The leading ten indicators selected were: Diabetes care, childhood obesity, adult obesity, distribution of healthcare personnel, fatal childhood injuries, smoking, infant mortality, inability to afford care, access to mental health services, and distribution of hospital beds. Agreement among raters, measured as intra-class correlation coefficient was 0.75.ConclusionThe Delphi technique provided a cost–effective, feasible and acceptable method for reaching a consensus with a variety of experts and public representatives. Equity indicators chosen by a broad range of people from different sectors are more likely to be accepted and ultimately implemented. The diverse set of clinical and system indicators should be used to guide governmental decision-making and inter-sectoral strategies, furthering the pursuit of a more equitable healthcare system.

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Section: Discussionmentioning

confidence: 99%

Developing a national set of health equity indicators using a consensus building process

Wilf‐Miron

Avni²,

Valinsky³

et al. 2020

Preprint

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“…In the current study, the intersectionality framework helps to uncover the complexities and within-group heterogeneities (M. A. Green, Evans, & Subramanian, 2017) in queer women's relationships-as well as the potential effects of multiple and intersecting sources of stressors.…”

Section: Discussionmentioning

confidence: 99%

Associations between individual and couple-level minority stressors and relationship stress in queer women’s interracial/interethnic couple relationships

Veldhuis¹

2020

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Intimate relationships provide protections against excess stress. Little research has investigated this in same-sex/gender couples, and particularly interracial/interethnic same-sex/gender couples. In a sample of N = 215 women in same-sex/gender couple relationships, 43% if whom were in interracial/interethnic relationships, we examined differences in general stressors and both individual- and couple-level minority stressors. Women in interracial/interethnic couple relationships reported higher levels of individual-level childhood stress, microaggressions, stress related to race/ethnicity, and couple-level expectations and stereotypes. We also examined the associations between stressors and relationship outcomes and whether these associations differed comparing women in monoracial and interracial/interethnic couple relationships. We found multiple sources of general stressors and individual- and couple-level stressors that were associated with poorer relationship outcomes but found few differences by whether couples were monoracial or interracial/interethnic. Our findings have implications for couple-level interventions and highlight the importance of taking intersectional approaches to research on same-sex couples, as well as the importance of examining multiple sources and levels of stress.

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“…Since its introduction in the late 1980s, intersectionality has been adopted among other disciplines and interdisciplines in the humanities, social sciences, and natural sciences (see Bowleg, 2012;Calás, Ou, & Smircich, 2013;Carbado et al, 2013;Carrington, Donnermeyer, & DeKeseredy, 2014;Green, Evans, & Subramanian, 2017;Zingsheim, 2010). On the one hand, widening the parameters of intersectionality has given rise to complex and fluid interpretations and articulations.…”

Section: Intersectionality: the Theory And The Methodsmentioning

confidence: 99%

“So It’s Not Always the Sappy Story”: Women of Colour and Indigenous Women in the Indoor Sectors of the Canadian Sex Industry Speak Out

Raguparan¹

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The lived experiences of racialised and Indigenous indoor sex workers are often made to be invisible. Frequently, they are left unmarked and are imbedded within White indoor sex workers' experiences; alternately, stereotypes about racialised and Indigenous sex workers mean their experiences are overgeneralised and assumed to be part of street-based sectors. This study draws on forty in-depth interviews with racialised and Indigenous indoor sex workers from nine different cities across Canada in order to bring their intersectional experiences to the forefront of contemporary discussions. Grounded in Kimberlé Crenshaw's conceptualisation of intersectionality, this dissertation takes a post-intersectionality approach of collaborative intersectionality to examine the multilayered experiences of research participants and expose multidimensional, inter-categorical complexities of and differences between participants' experiences. With the objectives of deconstructing and, at times, decolonising normative assumptions, attitudes, and political initiatives that essentialise the experiences of women in the Canadian sex industry, this study addresses a much-needed research gap by looking at racialised and Indigenous women's participation in different indoor sectors. Furthermore, it contributes to valuable analyses on human rights, employment standards, agency, and resistance within a growing body of critical sex work literature.

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Can intersectionality theory enrich population health research?

Cited by 135 publications

References 9 publications

Developing a national set of health equity indicators using a consensus building process

Developing a national set of health equity indicators using a consensus building process

Associations between individual and couple-level minority stressors and relationship stress in queer women’s interracial/interethnic couple relationships

“So It’s Not Always the Sappy Story”: Women of Colour and Indigenous Women in the Indoor Sectors of the Canadian Sex Industry Speak Out

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