Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA.
Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA, USA.
Cult Health Sex. 2020 Apr;22(sup1):145-160. doi: 10.1080/13691058.2019.1671494. Epub 2019 Oct 29.
Intersectionality theory has been used primarily in legal research to provide a framework for understanding the experiences of populations situated within multiple systems of oppression, particularly in relation to anti-discrimination law and gender-based violence. Gender transformative approaches to health seek to move beyond individual-level change and instead centre on restructuring the power relationships that create and maintain gender inequalities. Intersectionality theory is well-suited for the study of gender transformation on health, but there is a lack of consensus on clearly defined intersectional methodology in the field of public health, particularly for quantitative studies. Because qualitative methodologies are well-developed and employed with regularity for intersectional health research, the objective of this paper is to describe innovative quantitative and mixed methods approaches underutilised in public health and provide researchers examples of how to design a study's methodology to adequately address intersectional research questions. The proposed methods provide a toolkit for the investigation of complex interactions across multiple levels, which may offer insight into effective points of intervention to reduce disparities, strengthen larger social movements, and ultimately alter structural and policy contexts. Despite challenges posed by the theory, intersectional approaches may be the key to addressing persistent inequalities that limit gender transformation.
交叉性理论主要用于法律研究，为理解处于多种压迫制度下的人群的经历提供了一个框架，特别是在反歧视法和基于性别的暴力方面。促进性别平等的健康方法旨在超越个人层面的改变，而是将重点放在重构造成和维持性别不平等的权力关系上。交叉性理论非常适合研究健康方面的性别转变，但在公共卫生领域，特别是在定量研究方面，对于明确界定的交叉性方法缺乏共识。由于定性方法已经很发达，并经常用于交叉健康研究，因此本文的目的是描述公共卫生领域中未充分利用的创新定量和混合方法，并为研究人员提供如何设计研究方法以充分解决交叉性研究问题的示例。拟议的方法为研究多个层次的复杂相互作用提供了一个工具包，这可能为确定有效的干预点提供了一些思路，以减少差距、加强更大的社会运动，并最终改变结构和政策环境。尽管该理论存在挑战，但交叉性方法可能是解决限制性别转变的持续不平等问题的关键。
