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Title: Structural Intersectionality as a New Direction for Health Disparities Research

Citation Type: Journal Article

Publication Year: 2021

ISSN: 21506000

DOI: 10.1177/00221465211032947

PMID: 34355603

Abstract: 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.

Url: https://doi.org/10.1177/00221465211032947

Url: https://journals-sagepub-com.ezp1.lib.umn.edu/doi/pdf/10.1177/00221465211032947

Url: https://journals.sagepub.com/doi/abs/10.1177/00221465211032947

User Submitted?: No

Authors: Homan, Patricia; Brown, Tyson H.; King, Brittany

Periodical (Full): Journal of Health and Social Behavior

Issue: 3

Volume: 62

Pages: 350-370

Data Collections: IPUMS CPS

Topics: Gender, Poverty and Welfare, Race and Ethnicity

Countries:

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