Structural Intersectionality as a New Direction for Health Disparities Research.
Structural Intersectionality as a New Direction for Health Disparities Research.
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DOI：
10.1177/00221465211032947
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发表时间：
2021-09
影响因子：
5
通讯作者：
King B
中科院分区：
文献类型：
--
作者：
Homan P;Brown TH;King B
本文通过将交叉性视角的见解与结构性种族主义和结构性性别主义的新兴文献相结合（这些文献指出了在宏观层面上衡量不平等系统的有希望的新方法）来推进该领域，并引入结构交叉性方法来研究人口健康。我们展示了结构交叉性的应用，使用代表宏观层面结构性种族主义、结构性性别歧视和美国各州收入不平等的行政数据，并将其与来自行为风险因素监测系统的个人数据联系起来，以估计多层次模型（N = 420,644个人嵌套在76个州年），调查结构性压迫的交叉维度如何影响健康。分析表明，这些结构性不平等：(1)在美国各州差异很大，(2)在许多方面相交，但没有强烈或积极的协变，(3)单独或共同影响健康，(4)与黑人妇女健康状况不佳最一致。最后，我们概述了结构交叉性和健康的未来研究议程。
This article advances the field by integrating insights from intersectionality perspectives with the emerging literatures on structural racism and structural sexism—which point to promising new ways to measure systems of inequality at a macro level—to introduce a structural intersectionality approach to population health. We demonstrate an application of structural intersectionality using administrative data representing macrolevel structural racism, structural sexism, and income inequality in U.S. states linked to individual data from the Behavioral Risk Factor Surveillance System to estimate multilevel models (N = 420,644 individuals nested in 76 state-years) investigating how intersecting dimensions of structural oppression shape health. Analyses show that these structural inequalities: (1) vary considerably across U.S. states, (2) intersect in numerous ways but do not strongly or positively covary, (3) individually and jointly shape health, and (4) are most consistently associated with poor health for black women. We conclude by outlining an agenda for future research on structural intersectionality and health.
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1016/j.ssmph.2018.07.004
发表时间：
2018-12
期刊：
SSM - population health
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