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Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity

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  • Bauer, Greta R.

Abstract

Intersectionality theory, developed to address the non-additivity of effects of sex/gender and race/ethnicity but extendable to other domains, allows for the potential to study health and disease at different intersections of identity, social position, processes of oppression or privilege, and policies or institutional practices. Intersectionality has the potential to enrich population health research through improved validity and greater attention to both heterogeneity of effects and causal processes producing health inequalities. Moreover, intersectional population health research may serve to both test and generate new theories. Nevertheless, its implementation within health research to date has been primarily through qualitative research. In this paper, challenges to incorporation of intersectionality into population health research are identified or expanded upon. These include: 1) confusion of quantitative terms used metaphorically in theoretical work with similar-sounding statistical methods; 2) the question of whether all intersectional positions are of equal value, or even of sufficient value for study; 3) distinguishing between intersecting identities, social positions, processes, and policies or other structural factors; 4) reflecting embodiment in how processes of oppression and privilege are measured and analysed; 5) understanding and utilizing appropriate scale for interactions in regression models; 6) structuring interaction or risk modification to best convey effects, and; 7) avoiding assumptions of equidistance or single level in the design of analyses. Addressing these challenges throughout the processes of conceptualizing and planning research and in conducting analyses has the potential to improve researchers' ability to more specifically document inequalities at varying intersectional positions, and to study the potential individual- and group-level causes that may drive these observed inequalities. A greater and more thoughtful incorporation of intersectionality can promote the creation of evidence that is directly useful in population-level interventions such as policy changes, or that is specific enough to be applicable within the social contexts of affected communities.

Suggested Citation

  • Bauer, Greta R., 2014. "Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity," Social Science & Medicine, Elsevier, vol. 110(C), pages 10-17.
    • Handle: RePEc:eee:socmed:v:110:y:2014:i:c:p:10-17
    DOI: 10.1016/j.socscimed.2014.03.022
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    References listed on IDEAS

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    1. Springer, Kristen W. & Mager Stellman, Jeanne & Jordan-Young, Rebecca M., 2012. "Beyond a catalogue of differences: A theoretical frame and good practice guidelines for researching sex/gender in human health," Social Science & Medicine, Elsevier, vol. 74(11), pages 1817-1824.
    2. Schwartz, S. & Carpenter, K.M., 1999. "The right answer for the wrong question: Consequences of type III error for public health research," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1175-1180.
    3. Warner, David F. & Brown, Tyson H., 2011. "Understanding how race/ethnicity and gender define age-trajectories of disability: An intersectionality approach," Social Science & Medicine, Elsevier, vol. 72(8), pages 1236-1248, April.
    4. Krieger, Nancy & Smith, Kevin & Naishadham, Deepa & Hartman, Cathy & Barbeau, Elizabeth M., 2005. "Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health," Social Science & Medicine, Elsevier, vol. 61(7), pages 1576-1596, October.
    5. Krieger, N., 2008. "Proximal, distal, and the politics of causation: What's level got to do with it?," American Journal of Public Health, American Public Health Association, vol. 98(2), pages 221-230.
    6. Díaz, R.M. & Ayala, G. & Bein, E. & Henne, J. & Marin, B.V., 2001. "The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities," American Journal of Public Health, American Public Health Association, vol. 91(6), pages 927-932.
    7. Krieger, N., 2012. "Methods for the scientific study of discrimination and health: An ecosocial approach," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 936-945.
    8. Sen, Gita & Iyer, Aditi, 2012. "Who gains, who loses and how: Leveraging gender and class intersections to secure health entitlements," Social Science & Medicine, Elsevier, vol. 74(11), pages 1802-1811.
    9. Seng, Julia S. & Lopez, William D. & Sperlich, Mickey & Hamama, Lydia & Reed Meldrum, Caroline D., 2012. "Marginalized identities, discrimination burden, and mental health: Empirical exploration of an interpersonal-level approach to modeling intersectionality," Social Science & Medicine, Elsevier, vol. 75(12), pages 2437-2445.
    10. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
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