When Black + Lesbian + Woman ≠ Black Lesbian Woman: The Methodological Challenges of Qualitative and Quantitative Intersectionality Research

Bowleg, Lisa

doi:10.1007/s11199-008-9400-z

Cited by 1,534 publications

(1,461 citation statements)

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“…Each of these marginalized positions interacts with the others and results in ‘intersectional invisibility’ [91], where experiences of people with intersectional subordinate group identities are misrepresented, marginalized, and disempowered. Every woman in Kelly’s study had a unique experience of identity, disadvantage, and inequality, creating individual-specific multiple jeopardy [92] and universal social injustice. The integration of biomedical and intersectional approaches in this study meant that both the women’s PTSD systems and intersectional invisibility were acknowledged and addressed throughout the research study.…”

Section: Combining Biological Approaches and Intersectionalitymentioning

confidence: 99%

“…While they recognized their ‘sameness’ as women who experienced IPV, the women (and the staff and researchers) also recognized the multiple, variable, and ever-changing influences on their lives that made their experiences, degree of power, and options and opportunities unique, which, as mentioned previously, created individual-specific multiple jeopardy [92] and universal social injustice. The shared responsibility of the community partner and researcher was to address both of these, through developing and adapting the intervention, as well as providing additional resources to the women, and advocating for changes in health policy and legal systems that were harming the women beyond their overt oppression through IPV.…”

Section: Combining Biological Approaches and Intersectionalitymentioning

confidence: 99%

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The odd couple: using biomedical and intersectional approaches to address health inequities

Hankivsky

Doyal

Einstein

et al. 2017

Global Health Action

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Background: Better understanding and addressing health inequities is a growing global priority. Objective: In this paper, we contribute to the literature examining complex relationships between biological and social dimensions in the field of health inequalities. Specifically, we explore the potential of intersectionality to advance current approaches to socio-biological entwinements. Design: We provide a brief overview of current approaches to combining both biological and social factors in a single study, and then investigate the contributions of an intersectional framework to such work. Results: We offer a number of concrete examples of how intersectionality has been used empirically to bring both biological and social factors together in the areas of HIV, post-traumatic stress disorder, female genital circumcision/mutilation/cutting, and cardiovascular disease. Conclusion: We argue that an intersectional approach can further research that integrates biological and social aspects of human lives and human health and ultimately generate better and more precise evidence for effective policies and practices aimed at tackling health inequities.

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Section: Combining Biological Approaches and Intersectionalitymentioning

confidence: 99%

Section: Combining Biological Approaches and Intersectionalitymentioning

confidence: 99%

The odd couple: using biomedical and intersectional approaches to address health inequities

Hankivsky

Doyal

Einstein

et al. 2017

Global Health Action

View full text Add to dashboard Cite

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“…[40][41][42] 'Intersectionality' is the study of how multiple systems of social stratification (e.g., race, ethnicity, gender, sexual orientation) influence an individuals' identity and lived experience, recognizing that every person holds a position (privilege or disadvantage) in different systems simultaneously, and that such positions can vary in magnitude and direction depending on time, place, and circumstance. [43][44][45][46] For example, an African-American bisexual man may inhabit a different social position as a part of a community coalition to address HIV than while at work in the police department. Intersectionality also explores how different levels of a social framework influence individuals experiences, including the intrapersonal level (e.g., internalized racism), 47 the interpersonal level (e.g., bias, discrimination), 48 the contextual level (e.g., societal victimization such as hate crimes), 49 and the macro-level, where structural inequalities (e.g., education, income distribution) exist.…”

Section: Applying Intersectionality To Health Disparitiesmentioning

confidence: 99%

Development of a Conceptual Framework for Understanding Shared Decision making Among African-American LGBT Patients and their Clinicians

et al. 2016

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BACKGROUND: Enhancing patient-centered care and shared decision making (SDM) has become a national priority as a means of engaging patients in their care, improving treatment adherence, and enhancing health outcomes. Relatively little is known about the healthcare experiences or shared decision making among racial/ethnic minorities who also identify as being LGBT. The purpose of this paper is to understand how race, sexual orientation and gender identity can simultaneously influence SDM among AfricanAmerican LGBT persons, and to propose a model of SDM between such patients and their healthcare providers. METHODS: We reviewed key constructs necessary for understanding SDM among African-American LGBT persons, which guided our systematic literature review. Eligible studies for the review included English-language studies of adults (≥ 19 y/o) in North America, with a focus on LGBT persons who were African-American/black (i.e., > 50 % of the study population) or included sub-analyses by sexual orientation/gender identity and race. We searched PubMed, CINAHL, ProQuest Dissertations & Theses, PsycINFO, and Scopus databases using MESH terms and keywords related to shared decision making, communication quality (e.g., trust, bias), African-Americans, and LGBT persons. Additional references were identified by manual reviews of peer-reviewed journals' tables of contents and key papers' references. RESULTS: We identified 2298 abstracts, three of which met the inclusion criteria. Of the included studies, one was cross-sectional and two were qualitative; one study involved transgender women (91 % minorities, 65 % of whom were African-Americans), and two involved African-American men who have sex with men (MSM). All of the studies focused on HIV infection. Sexual orientation and gender identity were patient-reported factors that negatively impacted patient/provider relationships and SDM. Engaging in SDM helped some patients overcome normative beliefs about clinical encounters. In this paper, we present a conceptual model for understanding SDM in African-American LGBT persons, wherein multiple systems of social stratification (e.g., race, gender, sexual orientation) influence patient and provider perceptions, behaviors, and shared decision making. DISCUSSION: Few studies exist that explore SDM among African-American LGBT persons, and no interventions were identified in our systematic review. Thus, we are unable to draw conclusions about the effect size of SDM among this population on health outcomes. Qualitative work suggests that race, sexual orientation and gender work collectively to enhance perceptions of discrimination and decrease SDM among African-American LGBT persons. More research is needed to obtain a comprehensive understanding of shared decision making and subsequent health outcomes among African-Americans along the entire spectrum of gender and sexual orientation.

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“…Zviditelňuje to, jak jednotlivé zdroje identity nabývají na svém významu ve vztahu k dalším vlivům [Shields 2008]. Tím, jak se prolínají, vytvářejí unikátní zkušenosti, příležitosti a bariéry [Browne, Misra 2003], a tak provázaně (re)produkují mnohorozměrný systém odlišností a hierarchií [Bowleg 2008;Collins, Bilge 2016].…”

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An Intersectional Approach to Research on Unemployment

Hašková¹,

Křížková²,

Pospíšilová³

2018

Czech Sociological Review

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an Intersectional approach to research on Unemployment abstract: This article critically evaluates the use of an intergroup intersectional perspective in quantitative research on social inequalities and thereby helps to obtain deeper knowledge of the sources of inequality that impact chances of unemployment in the Czech Republic and contribute to the discussion of the benefits and limitations of using this approach. The advantage offered by the intersectional perspective is illustrated in an analysis of EU-SILC data. The analysis combines an additive and multiplicative (intersectional) approach to research on unemployment in the Czech Republic. An additive model of binary logistic regression is accompanied by binary logistic regression models with interactions. The aim is to identify the factors and the social positions that result from the interaction of these factors that together influence chances of unemployment. The analysis shows that one source of inequality in interaction with other sources can have an entirely different impact on chances of unemployment than individual factors have on their own. An example is the interaction of gender and parenthood, which creates different social positions for different subpopulations. Motherhood, fatherhood, and the absence of the need to care for a young child can generate specific (dis)advantages for women or men also depending on the nature of their employment.

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When Black + Lesbian + Woman ≠ Black Lesbian Woman: The Methodological Challenges of Qualitative and Quantitative Intersectionality Research

Abstract: The notion that social identities and social inequality based on ethnicity, sexual orientation, and sex/ gender are intersectional rather than additive poses a variety of thorny methodological challenges. Using research with Black lesbians (Bowleg, manuscripts in preparation; Bowleg et al.

Cited by 1,534 publications

References 30 publications

The odd couple: using biomedical and intersectional approaches to address health inequities

The odd couple: using biomedical and intersectional approaches to address health inequities

Development of a Conceptual Framework for Understanding Shared Decision making Among African-American LGBT Patients and their Clinicians

An Intersectional Approach to Research on Unemployment

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