“…The intersection of these specific race, gender, class, or age statuses confers health risks for African American women that are currently not fully included in empirical research. 6,11,21,28 Examination of intersectionality is also important because this approach frames health disparities not as characterizations of groups historically known to be disadvantaged, such as African Americans, the poor, women, or the elderly, but as a consequence of long-standing social, economic, and political processes that create hierarchies of privilege, power, and opportunity. The intersectional approach provokes examination of the ways in which race, gender, class, and age are not discrete or additive but, instead, are multiplicative, interlocking, interactive, and relational in how they structure vulnerability.…”