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Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People

Author

Listed:
  • Fiona Robards

    (Department of General Practice, Westmead Clinical School, The University of Sydney, Westmead 2145, Australia)

  • Melissa Kang

    (Department of General Practice, Westmead Clinical School, The University of Sydney, Westmead 2145, Australia
    Australian Centre for Public and Population Health Research, University of Technology Sydney, Ultimo 2007, Australia)

  • Georgina Luscombe

    (School of Rural Health, The University of Sydney, Orange 2800, Australia)

  • Catherine Hawke

    (School of Rural Health, The University of Sydney, Orange 2800, Australia)

  • Lena Sanci

    (Department of General Practice, University of Melbourne, Carlton 2218, Australia)

  • Katharine Steinbeck

    (Discipline of Child and Adolescent Health, University of Sydney, Clinical School at The Children’s Hospital at Westmead NSW, Westmead 2145, Australia)

  • Karen Zwi

    (School of Women’s and Children’s Health, The University of New South Wales, Sydney 2052, Australia)

  • Susan Towns

    (Discipline of Child and Adolescent Health, University of Sydney, Clinical School at The Children’s Hospital at Westmead NSW, Westmead 2145, Australia
    Department of Adolescent Medicine, Sydney Children’s Hospital Network, Westmead 2145, Australia)

  • Tim Usherwood

    (Department of General Practice, Westmead Clinical School, The University of Sydney, Westmead 2145, Australia
    The George Institute for Global Health, University of New South Wales, Camperdown 2050, Australia)

Abstract

Background: The aim of this study was to measure young people’s health status and explore associations between health status and belonging to one or more socio-culturally marginalised group. Methods: part of the Access 3 project, this cross-sectional survey of young people aged 12–24 years living in New South Wales, Australia, oversampled young people from one or more of the following groups: Aboriginal and or Torres Strait Islander; living in rural and remote areas; homeless; refugee; and/or, sexuality and/or gender diverse. This paper reports on findings pertaining to health status, presence of chronic health conditions, psychological distress, and wellbeing measures. Results: 1416 participants completed the survey; 897 (63.3%) belonged to at least one marginalised group; 574 (40.5%) to one, 281 (19.8%) to two and 42 (3.0%) to three or four groups. Belonging to more marginalised groups was significantly associated with having more chronic health conditions ( p = 0.001), a greater likelihood of high psychological distress ( p = 0.001) and of illness or injury related absence from school or work ( p < 0.05). Conclusions: increasing marginalisation is associated with decreasing health status. Using an intersectional lens can to be a useful way to understand disadvantage for young people belonging to multiple marginalised groups.

Suggested Citation

  • Fiona Robards & Melissa Kang & Georgina Luscombe & Catherine Hawke & Lena Sanci & Katharine Steinbeck & Karen Zwi & Susan Towns & Tim Usherwood, 2020. "Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People," IJERPH, MDPI, vol. 17(21), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8104-:d:439348
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    References listed on IDEAS

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    1. 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.
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    2. Rachael McDonnell Murray & Eilis Conroy & Michelle Connolly & Diarmuid Stokes & Kate Frazer & Thilo Kroll, 2021. "Scoping Review: Suicide Specific Intervention Programmes for People Experiencing Homelessness," IJERPH, MDPI, vol. 18(13), pages 1-21, June.
    3. Anna Matheson & Jacquie Kidd & Heather Came, 2021. "Women, Patriarchy and Health Inequalities: The Urgent Need to Reorient Our Systems," IJERPH, MDPI, vol. 18(9), pages 1-4, April.

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