Individual‐level factors are typically identified as barriers to health and well‐being for African Australians, whereas little attention is paid to the multiple intersecting dimensions of inequality. Without accounting for the interrelated nature of African Australians’ social locations and intersecting systems of oppression/privilege, practice and policy responses may have limited impact. This qualitative empirical study utilizes intersectional analysis to understand concerns about African Australian health and well‐being in Greater Melbourne gleaned from an Issues Paper produced by 50 African Australians, two group interviews, and 22 slow interviews. Participants included 35 African Australians and nine people of non‐African backgrounds working with, and for, African Australians in the community sector. Systems of oppression/privilege that impact health outcomes for certain African Australians are found at the intersections of migration pathway, age, and gender and manifest within three Australian institutions, including via segregation and othering in education, labor market discrimination, and gendered racism in health care provision. As such, intersectional and equity‐orientated practice and policy actions are recommended to shift the distribution of power across all social institutions and eradicate health inequities.

中文翻译：

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压迫和特权的互锁系统影响大墨尔本地区的非洲澳大利亚人的健康和福祉：定性的交叉分析

个体层面的因素通常被认为是非洲澳大利亚人健康和福祉的障碍，而人们很少关注不平等的多重交叉方面。如果不考虑非洲裔澳大利亚人的社会地位和压迫/特权相交系统的相互关联性，那么实践和政策对策的影响可能有限。这项定性的实证研究利用交叉分析来了解对大墨尔本地区非洲裔澳大利亚人的健康和福祉的关注，该问题来自50名非洲澳大利亚人编写的问题报告，两次小组访谈和22次慢访谈。参与者包括35位非洲澳大利亚人和9位非非洲背景的人，他们与社区部门的非洲澳大利亚人一起工作，并为他们服务。影响某些非洲澳大利亚人健康结果的压迫/特权制度存在于移民途径，年龄和性别的交汇处，并在三个澳大利亚机构中体现出来，包括通过教育中的隔离和其他隔离，劳动力市场歧视以及健康中的性别种族主义护理规定。因此，建议采取交叉，公平的做法和政策行动，以改变所有社会机构的权力分配并消除健康不平等现象。