Despite substantial evidence that these social determinants are the strongest determinants of health, an individualistic, largely apolitical stance about health persists. By diversity within an intersectionality health equity lens, we are referring to research scientists whose own awareness of their intersectional identities—that is, ethnicity, race, gender, class, sexuality, nativity, and disability—pushes them to design research that produces greater knowledge and clarity about the conceptualization of sound intersectionality-grounded studies and the range of methods to ensure new knowledge, better applications of knowledge, and effective uses of knowledge to guide our understanding of human development and health. It should come as no surprise that an intersectionality-focused project might appear opaque or obscure initially, despite its potential to uncover the breadth of issues faced in ensuring health and well being. One might well ask, given the complex relationships in addressing identity, whether it is possible to create intersectionality-grounded projects that integrate the issues of race, class, gender, disability, and other identities, statuses, and social locations in research on health and well-being for the range of issues facing marginalized children, youth, and families. They are shaped by many factors in diverse and mutually influencing ways. But why is lack of educational achievement so racalized? Once upon a time, the social determinants mantra was necessarily focused away from health services in an effort to help people understand that health was more about social factors, rather than entirely about provision of adequate health services.
Additional chapters focus on mental health and links between oppression, migration and health. Collins and Blige 2016 describe intersectionality as: Intersectionality is a way of understanding and analyzing complexity in the world, in people, and in human experiences. The objective of this work is to study the limitations and opportunities for e-learning development in the inclusive education system in higher education establishments. If you're interested in contributing and would like to join our growing community, get in contact with us! Law and Society Review, 1129-1202. Copyright by the National Academy of Sciences.
Job Market Paper, Economics Department, University of Michigan. A methodology to analyse the intersections of social inequalities in health. More than culture: Structural racism, intersectionality theory, and immigrant health. Moving to Opportunity for Fair Housing Program, Department of Housing and Urban Development. Learning to understand the social determinants of health, to advocate for equitable health system change, and to advance social justice throughout their careers should be the focus of this training. Health Inequities, Social Determinants, and Intersectionality.
These lived experiences can either enhance or challenge the developmental pathways of children through adulthood and the ability of parents and families to ensure a positive trajectory for their children. Intersectionality and the determinants of health: A Canadian perspective. We similarly understand the limitations of relying on one-dimensional categories that are, at best, additive, for example, first race, then maybe class, then maybe gender, depending on the focus of the research. Black feminist thought: Knowledge, consciousness, and the politics of empowerment. For Collins and Bilge 2016 ideas matter and how messages are manufactured creates explanations, justifications or challenges to the status quo vis-à-vis inequalities.
In this chapter, I tackle health care access in the context of oppression. To determine the possibility of e-learning application in inclusive higher education, the principles of evolutionary economics and institutional theory were used. Journal of Health and Social Behavior, 57 2 , 200-222. Part 2, How oppression operates to produce health inequities, provides examples of how ageism, sexism, racism, colonialism, neocolonialism and social exclusion affect the health of older women, people of colour, Indigenous peoples and socially excluded groups. Research that engages intersectionality as a guiding conceptual, methodological, and praxis-oriented framework is focused on power dynamics, specifically the relationships between oppression and privilege that are intrinsic to societal practices. Over the past 20 years, two major shifts in discussions of health disparities and inequity have spurred interest and research.
At a minimum, they suggest a revisioning of policies that cut across relevant areas of health, education, social services, and law. High mobility and absenteeism rates of children 9. We also argue that to reveal the full expanse of complex intersecting factors that create social determinants of health and well-being, the discomforts associated with linking the different identities, the tendency to focus on one over another, and the difficulty of determining and building appropriate methodologies will have to be addressed see Gadsden et al. In other words, these poor decisions are understood to affect not just the individual, but also the broader population e. It also provides a simple way to monitor and evaluate the impact of policies and programmes on different sub-groups from the most disadvantaged through the middle layers to those with particular advantages. A summary overview of Moving to Opportunity: A random assignment housing mobility study in five U. These and other problems are manifested in parental stress, for example, in mother-headed and two-parent, low-income, and immigrant households alike.
The findings demonstrate that evidence-informed policy development cannot always overcome political power imbalances, such as those created by the socially constructed ideology of heteronormativity. American Behavioral Scientist 57 8 :1152-1173. The goal of the book is to support, enhance and provoke action to interrogate the progress of oppression. We need all of us working together, harmoniously, to continue to make advancements and these insights should be reflected in what is considered required coursework for all disciplines interested in health equity. While an intersectionality health equity lens may inform or drive interdisciplinary or transdisciplinary research, it must also be considered as part of both the process of conceptualizing the problem and the product of research on the problem.
We are in dire need of a critical counternarrative—to continue to create an intellectual and ethical space where we care about each other and the planet, and where we understand that human suffering and ecological degradation have political origins that we can challenge and change. Anecdotes, however, are not enough to support the structural changes needed to address this issue — what is needed now is data on how Black people access and receive care, and the barriers they face when doing so. Such measures map and interrupt inequality among racially stigmatized and other marginalized communities in local, municipal, state, and national contexts. Race, ethnicity, and health, 2nd ed. As this training prepares leaders to press for system change in the U.
The authors explore public discourse as reflected in state agency websites and in blogs surrounding two forms of therapy during the time of the design and early implementation of the Patient Protection and Affordable Care Act. A list of resources focused on intersectionality appears in Box 2 and demonstrates the range of efforts. They include early childhood development, employment and working conditions, income and its equitable distribution, food and housing security, health care access, education, social exclusion, social safety nets, and self-determination. However, one recent study of families in high-poverty Toronto neighbourhoods found no relationship between geographic access to food retail and household food insecurity; 79% of households in this study were food-insecure despite the presence of discount supermarkets in their neighbourhoods. Integrating Race, Gender, Class, and Sexuality as Lived Experiences: A Case Example In considering intersectionality projects, we must be aware of the overwhelming inequities associated with longstanding problems of race and gender and the added problems of poverty and class, problems that have narrowed in some cases over time but where inequality persists. Mapping the margins: Intersectionality, identity politics, and violence against women of color. .