Intersectionality in quantitative health disparities research: A systematic review of challenges and limitations in empirical studies

2021
Rationale: Quantitative health disparities research has increasingly employed intersectionality as a theoretical tool to investigate how social characteristics intersect to generate health inequality. Yet, intersectionality was not designed to quantify, predict, or identify health disparities, and, as a result, multiple criticisms against its misapplication in health disparities research have been made. As such, there is an emerging need to evaluate the growing body of quantitative research that aims to investigate health disparities through an intersectional lens. Methods: We conducted a systematic review from earliest records to January 2020 to (i) describe the scope of limitations when applying intersectionality to quantitative health disparities research, and (ii) identify recommendations to improve the future integration of intersectionality with this scholarship. We identified relevant publications with electronic searches in PubMed and CA Web of Science. Studies eligible for inclusion were English-language publications that used quantitative methodologies to investigate health disparities among adults in the U.S. while explicitly claiming to adopt an intersectional perspective. Out of 1279 articles reviewed, 65 were eligible for inclusion. Results: Our review found that, while the value of intersectionality to the study of health disparities is evident, the existing research struggles with meeting intersectionality's fundamental assumptions. In particular, four limitations were found to be widespread: narrowing the measurements of intersectionality, intersectional groups, and health outcomes; placing primacy on the study of certain intersectional groups to the neglect of others; overlooking underlying explanatory mechanisms that contribute to the health disparities experienced by intersectional groups; and, lacking in the use of life-course perspectives to show how health disparities vary across different life stages. Conclusion: If the goal of health equality is to be achieved among diverse intersectional groups, future research must be assisted by the collection and examination of data that overcomes these limitations.
SOCIAL SCIENCE & MEDICINE
卷号:277
ISSN:0277-9536
收录类型
SSCI
发表日期
2021
学科领域
循证公共卫生
国家
美国
语种
英语
DOI
10.1016/j.socscimed.2021.113876
其他关键词
INEQUALITY; GENDER; WHITE; DISADVANTAGE; ADVANTAGE; MEDIATION; STRESS
EISSN
1873-5347
资助机构
National Institute on Aging of the US National Institutes of Health [R00AG052458]; National Institute On Minority Health And Health Disparities of the National Institutes of Health [U54MD013368]
资助信息
Research reported in this publication was supported by grants from the National Institute on Aging of the US National Institutes of Health (R00AG052458); The National Institute On Minority Health And Health Disparities of the National Institutes of Health under Award Number (U54MD013368).
被引频次(WOS)
4
被引更新日期
2022-01
来源机构
University of California System University of California Riverside
关键词
Intersectionality Quantitative methods Health disparities Race/ethnicity Gender Socioeconomic status Social determinants of health Health equity