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

Authors: Harari, Lexi, ORCID 0000-0001-7980-5 407. Department of Sociology, University of California-Riverside, Riverside, CA, US Lee, Chioun, ORCID 0000-0002-6886-8 397. Department of Sociology, University of California-Riverside, Riverside, CA, US, chiounl@ucr.edu

Address: Lee, Chioun, Department of Sociology, University of California-Riverside, 1207 Watkins Hall, 900 University Ave., Riverside, CA, US, 92521, chiounl@ucr.edu

Source: Social Science & Medicine, Vol 277, May, 2021. ArtID: 113876

NLM Title Abbreviation:

Soc Sci Med

Publisher: Netherlands : Elsevier Science ISSN: 0277-9536 (Print)

1873-5347 (Electronic) Language: English Keywords: Intersectionality, Quantitative methods,

Health disparities, Race/ethnicity, Gender, Socioeconomic status, Social determinants of health, Health equity

Abstract: 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

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,

among diverse intersectional groups, future research must be assisted by the collection and examination of data that overcomes these limitations. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Document Type:

Journal Article

Subjects: *Empirical Methods; *Quantitative Methods; *Health Disparities; *Intersectionality; Racial and Ethnic Differences; Socioeconomic Status; Equity

Medical Subject Headings (MeSH):

Empirical Research; Health Status Disparities; Humans

PsycINFO Classification:

Health & Mental Health Treatment & Prevention (3300)

Population: Human Location: US Age Group: Adulthood (18 yrs & older) Grant Sponsorship:

Sponsor: National Institutes of Health, National Institute on Aging, US Grant Number: R00AG052458 Recipients: No recipient indicated

Sponsor: National Institutes of Health, National Institute On Minority Health And Health Disparities, US Grant Number: U54MD013368 Recipients: No recipient indicated

Methodology: Literature Review; Systematic Review Supplemental Data:

Tables and Figures Internet

Format Covered:

Electronic

Publication

Type:

Journal; Peer Reviewed Journal

Publication History:

First Posted: Mar 24, 2021; Accepted: Mar 19, 2021; Revised: Mar 11, 2021

Release Date: 20210531 Correction Date:

20210712

http://dx.doi.org/10.1016/j.socs cimed.2021.113876

PMID: 33866085 Accession Number:

2021-45579-001

Number of Citations in Source:

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Database: APA PsycInfo

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