当前位置: X-MOL 学术Int. J. Equity Health › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Intersectionality-based quantitative health research and sex/gender sensitivity: a scoping review.
International Journal for Equity in Health ( IF 4.5 ) Pub Date : 2019-12-21 , DOI: 10.1186/s12939-019-1098-8
Emily Mena 1, 2 , Gabriele Bolte 1, 2 ,
Affiliation  

BACKGROUND The implementation of a theoretical intersectionality framework into quantitative data analyses is gaining increasing interest in health research. The substantive foundation of intersectionality was established in the U.S., based on the claim of black feminists to broaden the scope of contemporary gender studies by considering the intersection between sex/gender and race/ethnicity more firmly. The aim of our scoping review with particular emphasis on sex/gender was to assess how intersectionality-informed studies in epidemiological research considered different social dimensions in their multivariable and multivariate analyses. METHODS Following the PRISMA Extension for Scoping Reviews (PRISMA-ScR), we conducted a literature review in PubMed. Three distinct health-related fields were brought into focus: diabetes representing a frequent chronic disease, smoking as a wide-spread behavioural health determinant and physical activity as a central target for health promotion. Initially, we compared which and how different social dimensions were accounted for and how inter-categorical and intersectionality-informed analyses were conducted. Further, we assessed sex/gender sensitivity by comparing operationalisation of sex/gender, how sex/gender theories were used and which central theoretical sex/gender concepts were referred to when aiming at explanation of (intersectional) sex/gender differences. RESULTS Our results suggest, that intersectionality-based analyses within the three selected health-related fields are mainly conducted in the U.S. and focused on the intersection between sex/gender and race/ethnicity by using them jointly as subgrouping variables and as parts of interaction terms in regression analyses. Income and education as proxies for social class as well as age are mainly used for adjustment in quantitative analyses. Other approaches for calculating interactions (i.a. synergy-index, CART-analysis) are an exception. Even though sex/gender was considered in every included study and Gender was the most frequent theoretical sex/gender concept referred to when theoretically explaining sex/gender differences, it was exclusively operationalised as binary and solution-linked sex/gender variables were hardly considered in quantitative analyses. CONCLUSION The systematic integration of solution-linked variables indicating modifiable aspects of sex/gender-related living conditions and disadvantages could improve sex/gender sensitivity as part of intersectionality-based quantitative data analysis in health research.

中文翻译:

基于交叉性的定量健康研究和性别/性别敏感性:范围界定审查。

背景技术在定量数据分析中实现理论相交性框架越来越引起人们对健康研究的兴趣。基于黑人女权主义者声称通过更牢固地考虑性别/种族与种族/民族之间的交汇来扩大当代性别研究的范围,在美国建立了交往的实质性基础。我们进行范围界定审查的目的尤其是针对性别,旨在评估流行病学研究中以交叉性为基础的研究如何在其多变量和多变量分析中考虑不同的社会维度。方法根据PRISMA范围评价扩展(PRISMA-ScR),我们在PubMed中进行了文献综述。三个与健康相关的不同领域成为焦点:糖尿病是一种常见的慢性疾病,吸烟是广泛的行为健康决定因素,而体育锻炼是促进健康的主要目标。最初,我们比较了哪些因素以及如何解释不同的社会维度,以及如何进行类别间和交叉性信息分析。此外,我们通过比较性别/性别的可操作性,如何使用性别/性别理论以及在解释(部门间)性别/性别差异时引用了哪些核心理论性/性别概念来评估性别/性别敏感性。结果我们的结果表明,在三个选定的与健康相关的领域内,基于交叉性的分析主要在美国进行。并通过将它们共同用作分组变量和作为回归分析中的交互作用的一部分,重点关注性别/种族与种族/民族之间的交集。收入和教育作为社会阶层和年龄的代理,主要用于定量分析的调整。其他计算交互作用的方法(例如,协同指数,CART分析)是一个例外。即使在每个纳入的研究中都考虑了性别/性别,并且性别是理论上解释性别/性别差异时提到的最常见的理论性别/性别概念,但由于二元化和解决方案相关的性别/性别变量在研究中几乎没有被考虑,因此它仅可用于性别/性别。定量分析。
更新日期:2019-12-21
down
wechat
bug