10 Best resources on… intersectionality with an emphasis on low- and middle-income countries.
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. It promotes an understanding of the dynamic nature of the privileges and disadvantages that permeate health systems and affect health. It considers the interaction of different social stratifiers (e.g. 'race'/ethnicity, indigeneity, gender, class, sexuality, geography, age, disability/ability, migration status, religion) and the power structures that underpin them at multiple levels. In doing so, it is a departure from previous health inequalities research that looked at these forms of social stratification in isolation from one another or in an additive manner. Despite its potential use and long history in other disciplines, intersectionality is uncommonly used in health systems research in low- and middle-income countries (LMICs). To orient readers to intersectionality theory and research, we first define intersectionality and describe its role in public health, and then we review resources on intersectionality. We found that applications in public health mostly increased after 2009, with only 14 out of 86 articles focused on LMICs. To arrive at 10 best resources, we selected articles based on the proportion of the article that was devoted to intersectionality, the strength of the intersectionality analysis, and its relevance to LMICs. The first four resources explain intersectionality as a methodology. The subsequent six articles apply intersectionality to research in LMIC with quantitative and qualitative analysis. We provide examples from India, Swaziland, Uganda and Mexico. Topics for the studies range from HIV, violence and sexual abuse to immunization and the use of health entitlements. Through these 10 resources, we hope to spark interest and open a needed conversation on the importance and use of intersectional analysis in LMICs as part of understanding people-centred health systems.
Department of International Health Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA elarso11@jhu.edu.
Elizabeth
E
Larson
Department of International Health Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Asha
A
George
Department of International Health Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Rosemary
R
Morgan
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Tonia
T
Poteat
D003906:Developing Countries; D005006:Ethnicity; D014943:Global Health; D006295:Health Resources; D054624:Health Status Disparities; D006801:Humans; D008962:Models, Theoretical; D011203:Poverty; D011634:Public Health; D012959:Socioeconomic Factors
Intersectionality; class; gender; inequalities; race; sexual orientation