Background Intersectionality is a theoretical framework rooted in the premise that human experience is jointly shaped by multiple social positions (e.g. race, gender), and cannot be adequately understood by considering social positions independently. Used widely in qualitative studies, its uptake in quantitative research has been more recent. Objectives To characterize quantitative research applications of intersectionality from 1989 to mid-2020, to evaluate basic integration of theoretical frameworks, and to identify innovative methods that could be applied to health research. Methods Adhering to PRISMA guidelines, we conducted a systematic review of peer-reviewed articles indexed within Scopus, Medline, ProQuest Political Science and Public Administration, and PsycINFO. Original English-language quantitative or mixed-methods research or methods papers that explicitly applied intersectionality theoretical frameworks were included. Experimental studies on perception/stereotyping and measures development or validation studies were excluded. We extracted data related to publication, study design, quantitative methods, and application of intersectionality. Results 707 articles (671 applied studies, 25 methods-only papers, 11 methods plus application) met inclusion criteria. Articles were published in journals across a range of disciplines, most commonly psychology, sociology, and medical/life sciences; 40.8% studied a health-related outcome. Results supported concerns among intersectionality scholars that core theoretical tenets are often lost or misinterpreted in quantitative research; about one in four applied articles (26.9%) failed to define intersectionality, while one in six (17.5%) included intersectional position components not reflective of social power. Quantitative methods were simplistic (most often regression with interactions, cross-classified variables, or stratification) and were often misapplied or misinterpreted. Several novel methods were identified. Conclusions Intersectionality is frequently misunderstood when bridging theory into quantitative methodology. Further work is required to (1) ensure researchers understand key features that define quantitative intersectionality analyses, (2) improve reporting practices for intersectional analyses, and (3) develop and adapt quantitative methods.
A scoping literature review to identify the multilevel HIV serosorting related elements was developed. Articles from EBSCO, PubMed, PsyNET and Science Direct with serosort* or serosorting at the tittle or abstract, written in English or Spanish were included. No restriction in type of population or design were applied. 239 records were retrieved after duplicates removed, but 181 references were extracted for full-text review. Individual level: HIV knowledge, serostatus, risk perceptions, abilities to disclose and for condom use negotiation, motivations, use of drugs, stigma, attitudes toward condom use, and perceptions/beliefs about the HIV and related treatments, HIV infection rates/testing and behavioral factors. Interpersonal level: social networks, abilities (sexual behavior negotiation, and communication). Community level: stigma, social norms, access to HIV related services. Structural level: political context, HIV related funding and public policies. HIV Serosorting is not solely an interpersonal behavior it involves multilevel elements that must be acknowledged by professionals and stakeholders.
Introducción. La violencia de pareja (VP) es un fenómeno complejo compuesto por múltiples factores micro y macro socio estructural, y prioritario para la salud pública. El objetivo del estudio fue identificar intervenciones para prevenir la VP dirigidas a población Latina e Hispanoamericana a través de una revisión sistemática basada en las directrices del Joanna Briggs Institute. Metodología. Se extrajeron estudios de PubMed, EBSCO, PsycINFO, Web of Sciences, Scopus y Scielo mediante una estrategia de búsqueda específica para cada base de datos. Se incluyeron artículos para prevenir VP en población Latina y/o Hispano-Americana de entre 13 y 24 años de edad, publicadas en inglés o español y hasta julio del 2020. Después de eliminar duplicados se examinaron 1031 a título y resumen, se revisaron 31 a texto completo en pares, y seis se incluyeron en la síntesis de la evidencia. Resultados. Cuatro estudios mostraron calidad mediana y dos de alta de acuerdo a las directrices del Joanna Briggs Institute. Cuatro se realizaron en EUA y dos en México. De las características de las muestras totales de las intervenciones, el rango de edad fue de 13 a 23 años, todas dirigidas a ambos sexos. Las intervenciones se realizaron en instituciones educativas. La intervención más corta fue de una sesión de cuatro horas y la más amplia de 18 sesiones. Cinco de las intervenciones estuvieron basadas en teoría, como la Teoría del Aprendizaje Social, Teoría Social Cognitiva, Teatro del Oprimido, Modelo de Desarrollo Social. Una de ellas utilizó al mismo tiempo metodología comunitaria participativa. Algunos de los resultados significativos fueron disminución de la aceptación de la violencia, mayor autoeficacia para resolver conflictos no violentos y mayores intenciones de no actuar violentamente, incremento en la percepción y actitudes hacia la violencia, aumentó del conocimiento sobre violencia, menor aceptación de la agresión de las mujeres sobre los hombres e incremento de la búsqueda de ayuda. Discusión y conclusiones. Resultan pocas las intervenciones de prevención de VP en adolescentes, adultas(os) jóvenes y culturalmente ad hoc a poblaciones Latina e Hispano-americanas, cuando se comparan con intervenciones disponibles que no consideran criterios de raza o de antecedentes socio-culturales específicos. La corta duración de las intervenciones sigue siendo una característica observable en relación al resultado esperado en las variables dependientes, ya que de esto depende el cambio conductual. Las intervenciones para prevenir VP pueden ser prometedoras cuando se implementan en el contexto educativo, incluyendo estudiantes, personal docente y administrativo, con enfoques comunitarios participativos, considerando las singularidades del contexto socio-cultural y estructural que moldea a las conductas de violencia contra las mujeres. La adaptación de dichas intervenciones a contextos similares mediante procesos sistemáticos contribuye a la transferencia del conocimiento y al mejoramiento de las innovaciones.
Purpose: Personality traits are an important factor in health behaviors. However, personality traits and self-care in T2DM in the Mexican population are not yet explored due to this; the purpose of this work was to explore the relationship of personality traits with self-care in Mexican adults with type 2 diabetes mellitus. Patients and Methods: A cross-sectional study was carried out in a sample of 197 T2DM patients from a primary care center in Oaxaca, Mexico. The Big Five Inventory and the Summary of Diabetes Self-care Activities (SDSCA) were the tools used. Correlation models and multiple linear regression models were used for the analysis. Results: Most of the study participants were women (74.6%). The mean age was 53.1 years (SD = 8.4). The average years of schooling of the participants were 5.7 (SD = 4.3). The number of years lived with T2DM was 9.0 (SD = 6.5). The waist circumference was 96.3 (SD = 14.2), and the BMI was 27.5 kg/m2 (SD = 4.1). The traits of conscientiousness (r = 0.283) and openness (r = 0.259) were positively correlated with self-care activities, while neuroticism was inversely correlated (r = −0.144). In the multiple linear regression models, only the conscientiousness and openness traits were predictors of self-care; they explained 19% of the variance. Conclusion: People with greater openness and conscientiousness were associated with greater compliance with self-care. Conversely, neuroticism was inversely associated with self-care in patients with T2DM.
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