The poor health of Black men in the United States has been an enigma, hidden in plain sight, for more than 100 years. Therefore, this study aimed to determine the extent to which previous studies have applied intersectionality and its . 1.) Damian Barr on Twitter. social identities are multiple and intersecting. Intersectionality is a theoretical framework rooted in the premise that human experience is jointly shaped by multiple social positions (e.g. This article describes the Intersectionality Toolbox and details how it can be utilized in public health classes. Apply Intersectionality to Public Health in Times of Crisis Tonia Poteat, PhD, MPH, PA-C (she/her) Department of Social Medicine . Key areas of health inequity research . Center for Health Equity Research. We discuss why intersectionality is a useful framework to analyze health inequalities and inequities, address common research pitfalls and solutions, and discover how . Defining the issues and understanding the history of systems of discrimination . First coined by Kimberlé Crenshaw in 1989, intersectionality is a term that encompasses and explains the interlocking matrixes of a person's identity. As public health mourns the inequitable loss of lives to coronavirus disease 2019 (COVID-19) and confronts other major social crises, practitioners must explicitly address systems of oppression in . It does not assume that "knowledge for knowledge's sake"10(p118) will resolve our current public health crises, but instead demands a "radical reimagin [ing] of intersectional praxis" (Elnaiem, p. 94) to solve them. To illustrate the added value of intersectionality, we consider two global health issues prioritised on the SDGs agenda: cardiovascular disease and migration. Learn more. The series also aims to increase public awareness . Whether you're a group or an individual, we help researchers at all . The LSE International Development Review by the LSESU International Development Society is an entirely student-run journal. Intersectionality theory reminds us not to approach public health solutions with overly simplistic categories that reduce inequities to race or gender or class or rurality or LGBTQ status or veteran status. 2019;15:e1994. . Health is a huge issue when it comes to the Asian diaspora for numerous reasons - cultural barriers, traditional systems of medicine, discrimination, and other factors all play an important role. ." 13 On top of potential discrimination in healthcare, transgender individuals already face serious issues with public harassment, mental health issues, . UCLA Fielding School of Public Health. Fundamentally, many theories on social determinants of health, including Intersectionality Theory, predicate the health of the socially marginalized—whether that be on the basis of gendered race, socioeconomic status, etc.—on a set of resources of which they are systematically deprived. 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. If we want mental health care services to move . Intersectionality has since expanded as a framework. Howard Spivak, MD, a world class expert in violence and . Intersectionality is that tool. The introduction situates intersectionality within the broader field of critical policy studies, traces the development of the relationship between intersectionality and public policy, and highlights key challenges, critiques, and possibilities of intersectionality-informed approaches in public policy analysis and studies. population epidemiology, social epidemiology, public health, medical sociology, health promotion, community medicine, community psychology) that aims to understand and impact the health and well-being of . It offers a promising approach to these issues within public policy and within public health. Although it is estimated that up to 75% of health workers are female (World Health Organization, Global strategy on human resources for health: Workforce 2030, 2016), this gender ratio is not reflected in the top levels of leadership in international or . Research has shown us that gender, ethnicity and social class have a strong impact on our health, yet the simple fact is that no one is just a man or woman, . Lisa Bowleg is an AJPH associate editor and is with the Department of Psychological and Brain Sciences, Intersectionality Training Institute, The George Washington University, Washington, DC. We discuss why intersectionality is a useful framework to analyze health inequalities and inequities, address common research pitfalls and solutions, and discover how . The implementation of a theoretical intersectionality framework into quantitative data analyses is gaining increasing interest in health research. Black feminist and critical race scholar Kimberlé Crenshaw, the progenitor of the term, described intersectionality as "a method and a . Nadia S. Islam, PhD, MPHIL, MA Associate Professor, Department of Population Health NYU Grossman School of Medicine Associate Director, NYU Langone's Institute for Excellence in Health Equity . . Intersectional thinking has been around around for hundreds of years. Effects of power differentials are explored on the individual, community, and societal levels . CONFLICTS OF INTEREST The author has no conflicts of interest to declare. The Intersectionality of Health Risks and Required Services. Keywords: Intersectionality, Equity, Policy analysis, Reflexivity, Health Introduction move forward work in this field, there is a growing In the field of health, numerous frameworks (e.g., sex and interest in the theory of intersectionality and its poten- gender based analysis, health equity impact assessments) tial to improve current equity . The limited integration of an intersectional theoretical framework in epidemiological research is partly due to methodological challenges. race, ethnicity) or fluid (e.g. Public health researchers are increasingly acknowledging intersectionality as an important theoretical approach, providing a framework for investigating health inequalities by highlighting intersections of individuals' multiple identities within social systems of power that compound and exacerbate experiences of ill health. Intersectionality is one of many lenses that can be used to better understand these issues. Karen L. Parker is with the Sexual & Gender Minority Research Office, Office of the Director, National Institutes of Health. History of intersectionality is in Black feminist scholarship and is studied in women's studies, legal studies, but is not included in mainstream public health. In this course, students will be introduced to the historical and theoretical underpinnings of intersectionality scholarship. Introduction: Why Intersectionality Matters for Health Equity and Policy Analysis The chapter begins with a brief overview of public policy, health policy and a number of select approaches to health policy analysis, including sex and gender based analysis and health equity impact assessment tools, which, to date, represent the most promis- Intersectionality is a way to think about and act upon social inequality and discrimination. The goal of an intersectionality-informed analysis is to map health inequities with more precision and then to chart more effective directions in policy and programme development. Population health research and the need for explicit theory. If you are interested in learning more about this topic please see our "Readings" page which provides in depth resources. Damian Barr on Twitter. Given the potential of intersectionality to identify the causes of inequalities, there is a growing tendency toward applying it in the field of health. Learn more. ILLUSTRATION: BARBARA KELLEY. Health-related stigma is a complex phenomenon, the experience of which intersects with those of other adversities arising from a diversity of social inequalities and oppressive identities like gender, sexuality, and poverty - a concept called "intersectionality". Health Inequalities and Intersectionality January 2015 . Degutis recently co-edited the book "Gun Violence Prevention: A Public Health Approach" which was published by the APHA Press. Jedi public health: Co . people from multiple historically oppressed/marginalized groups are the starting point. While public health researchers are beginning to explore intersectionality theory as a lens to understand and investigate health inequalities and diverse lived experiences, intersectionality informed approaches to methodology in public health are still evolving (McCall, 2005; Hankivsky and Christoffersen, 2008; Bowleg, 2012; Shimmin et al., 2017). The NIH Office of Research on Women's Health's (ORWH) virtual speaker series Diverse Voices: COVID-19, Intersectionality, and the Health of Women amplifies key COVID-19 research findings that are relevant to diverse groups of women and incorporate a multidimensional sex-and-gender focus. The substantive foundation of intersectionality was established in the U.S., based on the claim of black feminists to broaden the scope of contemporary gender studies by considering the intersection between sex/gender and race/ethnicity more firmly. We'll explore the tenets of intersectional theory and the necessity for public health to take an intersectional approach to our research, policy, and practice. Intersectionality is fundamentally a resistance project. Activist coalitions challenged the deadly impact of stigma, discrimination, and inadequate access to life-saving substance use disorder (SUD) and Arguments made in the journal take a step forward in unmasking the . The term "population health research" can be used to refer to quantitative research across a range of disciplines (e.g. Both Asian Canadians and LGBTQ+ Canadians are facing increasing rates of discrimination and violence. Crenshaw, however, was not the first person to tackle the complexities of intersectional identity. What is Intersectionality? The journal aims to perpetuate a sustainable development discourse by incorporating the fields of development studies, migration studies, the political economy, human development and global health. At the Intersectionality Training Institute, we offer short group seminars, webinars and workshops for research centers and institutions. Degutis continues to be involved in policy, research and teaching, as well as serving as a consultant in injury and violence prevention and public health. A Virtual Symposium on May 7, 2021 Thank you all for joining us at our inaugural Intersectionality and Public Health symposium! Intersectionality has emerged as an important framework for understanding and responding to health inequities by making visible the fluid and interconnected structures of power that create them . She has her face turned to the right and has a long braid to her left. Such models fail to recognize how these factors interact to create unique obstacles that hinder the ability of individuals and communities . Used widely in qualitative studies, its uptake in quantitative research has been more recent. It does not assume that "knowledge for knowledge's sake" 10 (p118) will resolve our current public health crises, but instead demands a "radical reimagin [ing] of intersectional praxis" (Elnaiem, p. 94) to solve them. This briefing note briefly explains intersectionality and explores the potential of an intersectional Although applications of intersectionality are increasing in public health, this framework is absent in environmental health, which has instead focused on the . Intersectionality is an approach or lens that recognizes that health is shaped by a multi-dimensional overlapping of factors such as race, class, income, education, age, ability, sexual orientation, immigration status, ethnicity, indigeneity, and geography. Intersectionality and genetic ancestry: New methods to solve old problems. The events and conditions of social and political life and the self can seldom be understood as shaped by one factor. Intersectionality Matters! The intersectionality approach was first introduced by feminist scholars to study gender and race. It is important to understand the intersectionality of people's experiences, because they are complex and have an impact on every aspect of their lives. Join ORWH on June 24, 2021, for "Analysis and Action: Applications of Intersectionality in COVID-19," the second webinar in the "Diverse Voices: COVID-19, Intersectionality, and the Health of Women" speaker series. American Journal of Public Health , 01 Jan 2021, 111 (1): 88-90. Through this series, a variety of guests - from local policymakers to community organizers to international public health innovators - share insights on anti-racist practice and engage in a dialogue with faculty, staff, and students. Intersectionality Lesson [Image description: A female student's profile is shown in red with a light blue dress and sneakers seated in a dark blue wheelchair. The growing recognition that gender inequalities shape health inequities is contributing to the development and strengthening of gender transformative approaches (GTA) in public health. Nevertheless, the extent of the application of intersectionality in designing and implementing health interventions is unclear. It helps readers avoid flattening or whitening intersectionality and instead use it for transformative change. These categories might be fixed (e.g. The Storm(s) The Navigation. Using Intersectionality to better understand health system resilience What is intersectionality? doi: 10.18294/sc.2019.1994 Theoretical-methodological debates on a theoretical-methodological tool to better intersectionality and health understand and confront differences and in- equalities in health, something that has been The . The orange Office of the People affected by overdose deaths are advocating for prevention and increased access to treatment. 95-97. Intersectionality in public health practice and advocacy • Aligns well with the understanding that social and structural factors beyond the individual are largely responsible for health and redirects framing • Centers the voices of the marginalized to speak to their own experiences Intersectionality is a research approach that explores the interaction of different social categories such as race, ethnicity, gender, class, religion and sexuality. Intersectionality and Public Health 3 (2012) has more generally discussed the benefits of using an intersectional framework in public health analyses to policy-making. These identity markers overlap with each other to create an "intersection" which determines the unique ways in which each of our lives are shaped and the experiences we have. In the almost thirty years since the term intersectionality was introduced, it has been taken up in a range of academic disciplines in the United States and beyond.It has even entered public discourse as a buzzword in the age of identity politics. This patient case ushers us into the discussion of allostatic load, intersectionality, and health equity. University of North Carolina School of Medicine. . 1 (January 1, 2021): pp. The symposium was a huge success defined by innovative research and cutting-edge conversations. In the mid-1980s, while researching drug use and HIV/AIDS prevention among pregnant injection drug users and sex workers in highly disenfranchised Boston . Tenants of intersectionality. "Intersectionality in Public Health Research: A View From the National Institutes of Health", American Journal of Public Health 111, no. Intersectionality is fundamentally a resistance project. Many of these approaches attempt to integrate considerations of intersectionality, including sex and gender-based analysis plus (SGBA+) in the Canadian context. 14th Annual Muslim Mental Health Conference March 25-26, 2022 Yale University and Michigan State University Department of Psychiatry, Scholar Cohort and Community Partners convene to examine . Over the past 36 years, Amaro has dedicated herself to improving minority health through public health research and initiatives. The Storm(s) The Navigation. She is in front of an abstract triangular orange shape and a light green circle. In this entry-level training on intersectionality in (public) health research, we cover the basic theoretical and methodological foundations of intersectionality theory. It features panel discussions with renowned public health experts. THE FEMINIST PERSPECTIVE OF INTERSECTIONALITY IN THE FIELD OF PUBLIC HEALTH 5 SALUD COLECTIVA. and minoritize others. Each embodies health risks that have too often been ignored or disregarded by high-quality public health services. The Intersectionality Toolbox (ITB) is a framework developed from a variety of interdisciplinary resources designed to apply an intersectional perspective to public health issues. Through this series, a variety of guests - from local policymakers to community organizers to international public health innovators - share insights on anti-racist practice and engage in a dialogue with faculty, staff, and students. Geronimus AT et al. The use of intersectionality as an explicit theoretical framework in quantitative public health research is relatively recent, and has involved a wide array of study design and statistical methods. Intersectionality is a critical theoretical framework that emphasizes the influence of intersecting systems of oppression on the lived experiences of people marginalized by inequity. In essence, the impact of COVID-19 on global communities at the micro and macro level, as well as intersectionality and its applications to the pandemic have been explored. Course Description Intersectionality researchers emphasize the need to consider complex interactions between structures of power and oppression and interconnected aspects of individual and group identity and social location. Intersectionality "prompts public health scholars to conceptualize and analyze disparities and social inequalities in health in the complex and multidimensional ways that mirror the experiences of the populations for whom adverse health outcomes are most disproportionate" (Bowleg, 2012, p. 1271). DOI: 10.2105/ajph.2020.306031 PMID: 33326269. They are shaped by many factors in diverse and mutually influencing ways. The term allostatic load was coined by McEwen and Stellar in 1993 and is defined as the "cost of chronic exposure to fluctuating or heightened neural or neuroendocrine response resulting from repeated or chronic environmental challenge . On Intersectionality in Healthcare — Journal of Young Investigators September 5, 2020 Author: Isha Yardi Intersectionality, a term coined by Dr. Kimberelé Crenshaw, refers to the idea that systems of oppression are inherently bound together, and thus create singular social experiences for people who bear the force of multiple systems. Racial divisiveness is a known contributing factor to negative health outcomes such as increased chronic disease among minority populations. Abstract. Identity markers include our gender, sexuality, religion, age, caste, class, ability/disability, race, ethnicity etc. University of North Carolina School of Medicine. American Journal of Public Health December 2020 110(12) INTERSECTIONALITY Artificial Intelligence, Intersectionality, and the Future of Public Health Other Race/Ethnicity, Human Rights, Statistic… Intersectionality was originally the rejection of the idea of a universal women's experience; the argument was that a white woman's experiences with sexism will be fundamentally different than that of an African American woman because of race. Michael Zhang, a first-year studying public policy, discussed Asian American mental health intersectionality, focusing on external stereotypes, societal reinforcements through the media and other . However, Two prevalent frameworks include the Ecoosical Model (Krieger, 2019), and Intersectionality Theory (Dhamoon & Hankivsky, 2011; Bowleg, 2012). For example, you may have an older white woman as a client. Intersectionality theory was not predicated on the ability to test health outcomes related to validated constructs; there are no central variables of intersectionality that can be tested empirically. Public Health Approach Intersectionality "Systems of oppression give greater social power to some people over others based on race, gender, sexual orientation, ability, and other aspects of identity. Intersectionality has since expanded as a framework. Intersectionality moves us from one dimensional understandings of discrimination and marginalization to the multifaceted roots of injustice. Intersectionality was originally the rejection of the idea of a universal women's experience; the argument was that a white woman's experiences with sexism will be fundamentally different than that of an African American woman because of race. race, gender), and cannot be adequately understood by considering social positions independently. Understanding this intersectionality between health-related stigma and other forms of social marginalization can provide a . This Let's Talk defines intersectionality and what it means for public health. In this panel discussion, we'll explore intersectionality—the simultaneous effects of race, ethnicity, gender, sexuality, and other social and personal categories of identity. Apply Intersectionality to Public Health in Times of Crisis Tonia Poteat, PhD, MPH, PA-C (she/her) Department of Social Medicine . Objectives . Intersectionality provided a basis upon which the team was able to advocate for this patient to promote her appropriate management within the healthcare system in light of the perceived pejorative dimensions of her various identities. This is the third webinar of a series that focuses on enhancing understanding of the intersection of cancer, obesity and disparities within racially-ethnically diverse populations. March 1, 2022 from 5:30 - 7:00 pm (EST) In addition, scientific organisations and public health experts should target vaccine efficacy education campaigns to address hesitancy among young adults, especially those who do not have a college education. To best understand how someone is experiencing the myriad changes happening during the current public health crisis, one must first understand how perspectives can change based on the intersectionality of diverse identities — everything from socioeconomic status to race, gender identity and expression, sex, sexual orientation, nationality, locale and physical and mental abilities. 1 author. Intersectionality is a way of understanding and analyzing complexity in the world, in people, and in human experiences. Register for Next Week's Webinar on Intersectionality and Structural Inequality During Public Health Crises. The concept of "intersectionality" is increasingly employed within public health arenas, particularly in North America, and is often heralded as offering great potential to advance health inequalities research and action. In this entry-level training on intersectionality in (public) health research, we cover the basic theoretical and methodological foundations of intersectionality theory. Intersectionality in Racism and Public Health. As best practices have not been identified, guidance for research design and analysis is needed. Go to: CONFLICTS OF INTEREST She has privileges because of her skin colour but oppressions because of her age and the social structures that have an impact on . It features panel discussions with renowned public health experts. Center for Health Equity Research. 1 Although Black men's poor health is well documented, few 2.) ILLUSTRATION: BARBARA KELLEY. We need innovative studies to bridge these diversity gaps in health and a paradigm shift in our approaches. 7 Common approaches to public health research consider . 1. For individuals, we offer a 5-day (in person) summer intensive and free intersectionality research salons. that intersectionality holds as a lens for studying the social determinants of health, reducing health dispari-ties, and promoting health equity and social justice. There has been a welcome emphasis on gender issues in global health in recent years in the discourse around human resources for health. Intersectionality theory, developed to address the non-additivity of effects of sex/gender and race/ethnicity but extendable to other domains, allows for the potential to study health and disease at different intersections of identity, social position, processes of oppression or privilege, and policies or institutional practices. Public Health academics have created frameworks to help explain health disparities. 1.