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A Methodology to Analyse the Intersections of Social Inequalities in Health

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  • Gita Sen
  • Aditi Iyer
  • Chandan Mukherjee

Abstract

An important issue for health policy and planning is the way in which multiple sources of disadvantage, such as class, gender, caste, race, ethnicity, and so forth, work together to influence health. Although 'intersectionality' is a topic for which there is growing interest and evidence, several questions as yet remain unanswered. These gaps partly reflect limitations in the quantitative methods used to study intersectionality in health, even though the techniques used to analyse health inequalities as separable processes can be sophisticated. In this paper, we discuss a method we developed to analyse the intersections between different social inequalities, including a technique to test for differences along the entire span of the social spectrum, not just between the extremes. We show how this method can be applied to the analysis of intersectionality in access to healthcare, using cross-sectional data in Koppal, one of the poorest districts in Karnataka, India.

Suggested Citation

  • 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.
    • Handle: RePEc:taf:jhudca:v:10:y:2009:i:3:p:397-415
    DOI: 10.1080/19452820903048894
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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. Kothari, Brianne H. & Godlewski, Bethany & McBeath, Bowen & McGee, Marjorie & Waid, Jeff & Lipscomb, Shannon & Bank, Lew, 2018. "A longitudinal analysis of school discipline events among youth in foster care," Children and Youth Services Review, Elsevier, vol. 93(C), pages 117-125.
    3. Simantini Mukhopadhyay & Trisha Chanda, 2022. "Abused but “Not Insulted†: Understanding Intersectionality in Symbolic Violence in India," Indian Journal of Human Development, , vol. 16(1), pages 119-138, April.
    4. Yang Liu & Yanan Ma & Nan Jiang & Shenzhi Song & Qian Fan & Deliang Wen, 2018. "Interaction between Parental Education and Household Wealth on Children’s Obesity Risk," IJERPH, MDPI, vol. 15(8), pages 1-12, August.
    5. Drydakis, Nick, 2023. "Health Inequalities Among People Experiencing Food Insecurity. An Intersectional Approach," GLO Discussion Paper Series 1362, Global Labor Organization (GLO).
    6. Amina Aitsi-Selmi & Tarani Chandola & Sharon Friel & Reza Nouraei & Martin J Shipley & Michael G Marmot, 2012. "Interaction between Education and Household Wealth on the Risk of Obesity in Women in Egypt," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-8, June.
    7. Madhabendra Sinha & Anjan Ray Chaudhury, 2021. "Assessing the Between-Group Inequality Through Alternative Measures of Grouping: An Indian Evidence," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 157(3), pages 1021-1045, October.
    8. Teresa Janevic & Janko Jankovic & Elizabeth Bradley, 2012. "Socioeconomic position, gender, and inequalities in self-rated health between Roma and non-Roma in Serbia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 49-55, February.
    9. Drydakis, Nick, 2023. "Forced Labor and Health-Related Outcomes. The Case of Beggar Children," GLO Discussion Paper Series 1337, Global Labor Organization (GLO).
    10. 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.
    11. Chris G. Buse & Valerie Lai & Katie Cornish & Margot W. Parkes, 2019. "Towards environmental health equity in health impact assessment: innovations and opportunities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 15-26, January.
    12. 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).
    13. 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.
    14. Hankivsky, Olena, 2012. "Women’s health, men’s health, and gender and health: Implications of intersectionality," Social Science & Medicine, Elsevier, vol. 74(11), pages 1712-1720.
    15. Fang, Tony & Gunderson, Morley & Ha, Viet Hoang & Ming, Hui, 2024. "Intersectional Analysis of the Labour Market Impacts of COVID: The Triple-Whammy of Females, Children, and Lower Skill," IZA Discussion Papers 17235, Institute of Labor Economics (IZA).
    16. Tolhurst, Rachel & Leach, Beryl & Price, Janet & Robinson, Jude & Ettore, Elizabeth & Scott-Samuel, Alex & Kilonzo, Nduku & Sabuni, Louis P. & Robertson, Steve & Kapilashrami, Anuj & Bristow, Katie & , 2012. "Intersectionality and gender mainstreaming in international health: Using a feminist participatory action research process to analyse voices and debates from the global south and north," Social Science & Medicine, Elsevier, vol. 74(11), pages 1825-1832.
    17. Hadewijch Vandenheede & Patrick Deboosere & Albert Espelt & Matthias Bopp & Carme Borrell & Giuseppe Costa & Terje Eikemo & Roberto Gnavi & Rasmus Hoffmann & Ivana Kulhanova & Margarete Kulik & Mall L, 2015. "Educational inequalities in diabetes mortality across Europe in the 2000s: the interaction with gender," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(4), pages 401-410, May.
    18. Aránzazu Hernández-Yumar & Maria Wemrell & Ignacio Abásolo Alessón & Beatriz González López-Valcárcel & George Leckie & Juan Merlo, 2018. "Socioeconomic differences in body mass index in Spain: An intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-23, December.

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