School of Public Health, University of Queensland, 266 Herston Rd, Herston, QLD 4006, Australia.
Health Promot Int. 2020 Aug 1;35(4):866-876. doi: 10.1093/heapro/daz080.
Health promotion researchers and practitioners are grappling with how to address growing health inequalities for population groups. In particular, critiques of dominant behaviour change approaches draw attention to the need to engage with social theories to better understand the social and relational drivers of health. Public health researchers are increasingly acknowledging intersectionality as an important theoretical approach, providing a framework for investigating health inequalities by highlighting intersections of individuals' multiple identities within social systems of power that compound and exacerbate experiences of ill health. This article provides an overview of the diverse ways public health researchers and practitioners have applied intersectionality theory to better understand and address health inequalities. We map three key applications of intersectionality theory in public health: as an epistemological approach, as a methodological approach, and as a tool for action and intervention. Drawing on this work, we argue that health promotion researchers and practitioners can enhance engagement with intersectionality theory to address important challenges within the field. Through this article, we aim to inspire the continued exploration of intersectionality and offer some insights into opportunities and challenges for doing so in health promotion.
健康促进研究人员和从业者正在努力解决人口群体日益增长的健康不平等问题。特别是,对主导行为改变方法的批评引起了人们对需要参与社会理论的关注,以便更好地理解健康的社会和关系驱动因素。公共卫生研究人员越来越多地承认交叉性是一种重要的理论方法,通过强调个人在权力社会系统中的多种身份的交叉点,为调查健康不平等提供了一个框架,这些交叉点加剧了健康不良的体验。本文概述了公共卫生研究人员和从业者为了更好地理解和解决健康不平等问题而应用交叉性理论的多种方式。我们将交叉性理论在公共卫生领域的三个关键应用进行了分类:作为一种认识论方法、作为一种方法论方法,以及作为一种行动和干预工具。通过借鉴这些工作,我们认为健康促进研究人员和从业者可以通过增强对交叉性理论的参与来应对该领域的重要挑战。通过本文,我们旨在激发对交叉性的持续探索,并为健康促进中的交叉性提供一些机会和挑战的见解。