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Who gains, who loses and how: Leveraging gender and class intersections to secure health entitlements

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  • Sen, Gita
  • Iyer, Aditi

Abstract

This paper argues that a focus on the middle groups in a multi-dimensional socioeconomic ordering can provide valuable insights into how different axes of advantage and disadvantage intersect with each other. It develops the elements of a framework to analyse the middle groups through an intersectional analysis, and uses it to explore how such groups leverage economic class or gender advantages to secure entitlements to treatment for long-term illness.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:11:p:1802-1811
    DOI: 10.1016/j.socscimed.2011.05.035
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    References listed on IDEAS

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    1. Shireen J. Jejeebhoy & Zeba A. Sathar, 2001. "Women's Autonomy in India and Pakistan: The Influence of Religion and Region," Population and Development Review, The Population Council, Inc., vol. 27(4), pages 687-712, December.
    2. Elizabeth Katz, 1997. "The Intra-Household Economics of Voice and Exit," Feminist Economics, Taylor & Francis Journals, vol. 3(3), pages 25-46.
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    4. Griffin, Joan M. & Fuhrer, Rebecca & Stansfeld, Stephen A. & Marmot, Michael, 2002. "The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class?," Social Science & Medicine, Elsevier, vol. 54(5), pages 783-798, March.
    5. Rohini Pande, 2003. "Selective gender differences in childhood nutrition and immunization in rural India: The role of siblings," Demography, Springer;Population Association of America (PAA), vol. 40(3), pages 395-418, August.
    6. Gita Sen & Aditi Iyer & Chandan Mukherjee, 2009. "A Methodology to Analyse the Intersections of Social Inequalities in Health," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 10(3), pages 397-415.
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    Cited by:

    1. Taş, Emcet O. & Reimão, Maira Emy & Orlando, Maria Beatriz, 2014. "Gender, Ethnicity, and Cumulative Disadvantage in Education Outcomes," World Development, Elsevier, vol. 64(C), pages 538-553.
    2. 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.
    3. Maira Emy Reimão & Emcet O. Taş, 2017. "Gender Education Gaps among Indigenous and Non-Indigenous Groups in Bolivia," Development and Change, International Institute of Social Studies, vol. 48(2), pages 228-262, March.
    4. Gkiouleka, Anna & Huijts, Tim, 2020. "Intersectional migration-related health inequalities in Europe: Exploring the role of migrant generation, occupational status & gender," Social Science & Medicine, Elsevier, vol. 267(C).
    5. Achin Chakraborty & Simantini Mukhopadhyay, 2017. "Decomposing Nutritional Inequality by Caste and Class: A Quantitative Approach to Reckon Intersectionality," Economics Bulletin, AccessEcon, vol. 37(2), pages 1339-1350.
    6. Tahir Mahmood, 2023. "He said, she said: Unpacking the determinants of Pakistan’s Intra-household gender differences," Quality & Quantity: International Journal of Methodology, Springer, vol. 57(1), pages 213-237, February.
    7. Tas, Emcet O. & Reimao, Maira Emy & Orlando, Maria Beatriz, 2013. "Gender, ethnicity and cumulative disadvantage in education : evidence from Latin American and African censuses," Policy Research Working Paper Series 6734, The World Bank.
    8. Gustafsson, Per E. & Fonseca-Rodríguez, Osvaldo & Castel Feced, Sara & San Sebastián, Miguel & Bastos, João Luiz & Mosquera, Paola A., 2024. "A novel application of interrupted time series analysis to identify the impact of a primary health care reform on intersectional inequities in avoidable hospitalizations in the adult Swedish populatio," Social Science & Medicine, Elsevier, vol. 343(C).
    9. Kline, Nolan, 2022. "Syndemic statuses: Intersectionality and mobilizing for LGBTQ+ Latinx health equity after the Pulse shooting," Social Science & Medicine, Elsevier, vol. 295(C).
    10. Fagrell Trygg, Nadja & Månsdotter, Anna & Gustafsson, Per E., 2021. "Intersectional inequalities in mental health across multiple dimensions of inequality in the Swedish adult population," Social Science & Medicine, Elsevier, vol. 283(C).

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