Can intersectionality help with understanding and tackling health inequalities? Perspectives of professional stakeholders
Can intersectionality help with understanding and tackling health inequalities? Perspectives of professional stakeholders
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交叉性可以帮助理解和解决健康不平等问题吗？
DOI：
10.1101/2020.10.26.20217463
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Holman D
中科院分区：
文献类型：
--
作者：
Holman D
背景“交叉性”的概念越来越多地应用于公共卫生领域，特别是在北美，并往往预示着提供巨大的潜力，以推进健康不平等的研究和行动。鉴于在解决健康不平等方面进展缓慢，以及最近在联合王国和欧洲呼吁重新制定这一议程，交叉性可能作出的贡献值得关注。然而，没有现有的研究已经研究了专业利益相关者的理解和观点，应用intercultuality到这个领域。MethodsIn本文中，我们试图解决这一差距，借鉴咨询调查和面对面的研讨会（n= 23）在英国进行。调查包括研究人员（n= 53）和政策和实践专业人员（n= 20），他们在研究和评价中的作用和参与程度各不相同。主题包括熟悉“交叉性”这一术语和概念、与健康不平等工作的相关性以及影响其吸收的问题。答复者还被要求就两项具体的政策建议发表意见：跨部门确定目标和定制干预措施，以及评估政策的跨部门影响。研讨会的目的是分享健康不平等的研究和实践中应用交叉性的例子;了解研究和实践的同事对潜在的贡献和挑战的意见;并确定潜在的方法，以促进intersectional approaches.ResultsFindings表示一个普遍的积极响应的概念和谨慎乐观的评估，交叉的方法可能是有价值的。然而，各方意见不一，提出了各种挑战，特别是围绕交叉性研究是否一定是关键性的和变革性的，以及如何在方法上加以操作。尽管如此，人们普遍认为，交叉性关注的是不同的不平等和权力系统，塑造them.ConclusionsWe定位在更广泛的背景下，健康不平等的政策和做法的交叉性，提出了潜在的方式前进的方法在英国的背景下。政策和实践专业人员的意见表明，交叉性有很长的路要走，以帮助反对个人主义的叙述，并鼓励一种方法，是亚群体的不平等和产生它们的过程敏感。有希望的做法的例子，尽管主要是在北美，表明交叉性有可能获得牵引力。
BackgroundThe 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. Given persistently poor progress towards tackling health inequalities, and recent calls to reframe this agenda in the United Kingdom and Europe, the possible contribution of intersectionality deserves attention. Yet, no existing research has examined professional stakeholder understandings and perspectives on applying intersectionality to this field.MethodsIn this paper we seek to address that gap, drawing upon a consultation survey and face-to-face workshop (n= 23) undertaken in the United Kingdom. The survey included both researchers (n= 53) and policy and practice professionals (n= 20) with varied roles and levels of engagement in research and evaluation. Topics included familiarity with the term and concept “intersectionality”, relevance to health inequalities work, and issues shaping its uptake. Respondents were also asked to comment on two specific policy suggestions: intersectionally targeting and tailoring interventions, and evaluating the intersectional effects of policies. The workshop aims were to share examples of applying intersectionality within health inequalities research and practice; understand the views of research and practice colleagues on potential contributions and challenges; and identify potential ways to promote intersectional approaches.ResultsFindings indicated a generally positive response to the concept and a cautiously optimistic assessment that intersectional approaches could be valuable. However, opinions were mixed and various challenges were raised, especially around whether intersectionality research is necessarily critical and transformative and, accordingly, how it should be operationalized methodologically. Nonetheless, there was general agreement that intersectionality is concerned with diverse inequalities and the systems of power that shape them.ConclusionsWe position intersectionality within the wider context of health inequalities policy and practice, suggesting potential ways forward for the approach in the context of the United Kingdom. The views of policy and practice professionals suggest that intersectionality has far to travel to help counter individualistic narratives and to encourage an approach that is sensitive to subgroup inequalities and the processes that generate them. Examples of promising practice, albeit mostly in North America, suggest that it is possible for intersectionality to gain traction.
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DOI：
--
发表时间：
2001
期刊：
影响因子：
--
作者：
Réjean Landry;N. Amara;M. Lamari
通讯作者：
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影响因子：
4.8
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影响因子：
4.5
作者：
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通讯作者：
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影响因子：
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作者：
King, Tania L.;Shields, Marissa;Kavanagh, Anne
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