Intersectional inequalities and the U.S. opioid crisis: challenging dominant narratives and revealing heterogeneities

Persmark, Anna; Wemrell, Maria; Evans, Clare R.; Subramanian, S. V.; Leckie, George; Merlo, Juan

doi:10.1080/09581596.2019.1626002

Cited by 34 publications

(32 citation statements)

References 66 publications

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“…Second, our findings indicate that the framing of socially constructed groups as homogenous (as it is often the case for migrants, women, MSM, LGBTQI+ and many others) is inadequate, because people within these groups may experience different health outcomes along the intersectional axes of inequalities [118,124]. Recognising the intersectional positions in populations will allow more effective, targeted health programmes and public health policies aiming to reduce health inequalities.…”

Section: Implications On Equity In Healthmentioning

confidence: 88%

Representation of gender in migrant health studies – a systematic review of the social epidemiological literature

Wandschneider

Batram‐Zantvoort

Razum

et al. 2020

Int J Equity Health

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Background Gender as a social construct contributes to determine who migrates and which migration-related risks and opportunities emerge in all phases of the migration trajectory. Simultaneously, migration influences the individual as well as societal definition and perception of gender roles. An explicit gender perspective in migration-related epidemiological research can contribute to adequately analyse and interpret the health of migrants. This systematic review gives a comprehensive overview on how gender has been conceptualised, operationalised and measured in social epidemiologic studies aiming to assess the influence of gender on health among migrants. Methods We searched PubMed, Embase, CINAHL, the Cochrane Library, EconLit and PsycINFO and conducted backward reference searching. Reviewers independently selected studies, extracted data and conducted the quality assessment. Eligible studies actively aimed to understand, identify or explain the influence of gender on migrants’ health, whereby the role of gender can encompass a variety of mechanisms, processes or states of differentiation, discrimination and/or inequality. Results Almost all of the 43 studies were cross-sectional and focussed on health outcomes in the post-migration phase. The most common theme of research was the health of male migrants in the US, and in particular of men who have sex with men (MSM). All studies treated gender as a binary variable (men vs. women), without discussing additional types of gender identities. A minority of studies differentiated clearly between sex and gender. Gender was mostly operationalised through attitudes toward gender roles and gender-based discrimination, experienced at the individual level. Community and societal level gender measures capturing structural gender determinants were underrepresented. Conclusions The intersections of migration and gender suggested synergistic effects on health that only become visible when considering those two social determinants together. Future research needs to embrace a multilevel and non-binary understanding of gender and reflect on the influence of gender in the different phases of the migration journey. Systematic review registration PROSPERO CRD42019124698.

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Section: Implications On Equity In Healthmentioning

confidence: 88%

Representation of gender in migrant health studies – a systematic review of the social epidemiological literature

Wandschneider

Batram‐Zantvoort

Razum

et al. 2020

Int J Equity Health

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“…This method involves defining a number of intersectional groups (or intersections) according to combinations of social attributes. These intersections are taken to be analogous to the types of contexts traditionally studied in multilevel models such as neighbourhoods or countries 37 . For example, one intersection may be BME women with high education and low income.…”

Section: Discussionmentioning

confidence: 99%

Mapping intersectional inequalities in biomarkers of healthy ageing and chronic disease in older English adults

Holman

Salway

Bell

2020

Sci Rep

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Chronic diseases and their inequalities amongst older adults are a significant public health challenge. Prevention and treatment of chronic diseases will benefit from insight into which population groups show greatest risk. Biomarkers are indicators of the biological mechanisms underlying health and disease. We analysed disparities in a common set of biomarkers at the population level using English national data (n = 16,437). Blood-based biomarkers were HbA1c, total cholesterol and C-reactive protein. Non-blood biomarkers were systolic blood pressure, resting heart rate and body mass index. We employed an intersectionality perspective which is concerned with how socioeconomic, gender and ethnic disparities combine to lead to varied health outcomes. We find granular intersectional disparities, which vary by biomarker, with total cholesterol and HbA1c showing the greatest intersectional variation. These disparities were additive rather than multiplicative. Each intersectional subgroup has its own profile of biomarkers. Whilst the majority of variation in biomarkers is at the individual rather than intersectional level (i.e. intersections exhibit high heterogeneity), the average differences are potentially associated with important clinical outcomes. An intersectional perspective helps to shed light on how socio-demographic factors combine to result in differential risk for disease or potential for healthy ageing.

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“…The lens of intersectionality has been used to frame and account for interrelations in complex identity options and power relations in everyday life (Block & Corona, ; Davis, ). It has also been used to account for the intersections between gender, language, and transnationalism on the one hand, and linguistic ideologies and practices on the other; the roles of contexts in the social production of health inequalities (Evans, ; Persmark et al, ), and the interaction of power relationships, social characteristics (e.g. gender, race, ethnicity, class, location, and age), and context‐specific experiences of climate hazards (Walker, Culham, Fletcher, & Reed, ).…”

Section: Social Class Signalling Intersectionality and Methodologicmentioning

confidence: 99%

Sociolinguistics and modes of social class signalling: African perspectives

Banda

2020

Journal of Sociolinguistics

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The paper evaluates spatial, behavioural, and material signalling of social class in African contexts, focusing on Kenya and Zambia. In particular, it draws on notions of mode of class signalling and intersectionality and a vignette of an interaction between urban-based Western educated development agents and local participants in rural Kenya to illustrate how social class is implicated in interactions. The paper shows how significant features of class and dimensions of social inequality may be perceived intersectionally so that positionalities in class structures are negotiated in contexts of interaction, thus illustrating how structural conditions of class may be challenged and questioned. The paper concludes that sociolinguistics needs to identify the various ways in which the marginalized challenge social structures of inequality. Otherwise there is a risk that sociolinguistics will work to validate inequalities as permanent and fixed, and victims of unequal treatment as permanently condemned and never able to rise against oppressive social structures that tyrannize them. Kutenga zitsanzo m'maiko ya Kenya ndi Zambia, pepalayi yaunika malo, macitidwe, zinthu zakuthupi ndi zipangizo zomwe zisonyeza zamakalasi apamwamba ndi apansi. Makamaka, pepalayi yatengela malingalilo amacitidwe osiyanitsa anthu m'makalasi, pakati pa ophunzitsidwa bwino azacitukuko ocokela m'matauni ndi omwe akutenga 4 | BANDA

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Intersectional inequalities and the U.S. opioid crisis: challenging dominant narratives and revealing heterogeneities

Cited by 34 publications

References 66 publications

Representation of gender in migrant health studies – a systematic review of the social epidemiological literature

Representation of gender in migrant health studies – a systematic review of the social epidemiological literature

Mapping intersectional inequalities in biomarkers of healthy ageing and chronic disease in older English adults

Sociolinguistics and modes of social class signalling: African perspectives

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