Center for Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Department of Medicine, George Washington School of Medicine and Health Sciences, Washington, DC, USA.
Adv Health Sci Educ Theory Pract. 2022 Aug;27(3):863-875. doi: 10.1007/s10459-022-10110-0. Epub 2022 Apr 2.
Intersectionality theory examines how matrices of power and interlocking structures of oppression shape and influence people's multiple identities. It reminds us that people's lives cannot be explained by taking into account single categories, such as gender, race, sexuality, or socio-economic status. Rather, human lives are multi-dimensional and complex, and people's lived realities are shaped by different factors and social dynamics operating together. Therefore, when someone occupies multiple marginalized intersections, their individual-level experiences reflect social and structural systems of power, privilege, and inequality. And yet, knowing that people occupy different social locations that afford them unique experiences is not the same as knowing how to analyze data in an intersectional way. Intersectional analyses are rigorous, and require the use of theory at multiple levels to see theoretical connections that are often only implicit.In this paper, we ask "How does one actually do intersectional research and what role does theory play in this process?" In an effort to make intersectionality theory more accessible to health professions education research, this article describes the simpler version of intersectional analyses followed by the more complex version representing how it was originally intended to be used; a means to fight for social justice. Using pilot data collected on first-generation medical students' professional identity experiences, we demonstrate the thinking and engagement with theory that would be needed to do an intersectional analysis. Along the way, we describe some of the challenges researchers may find in using intersectionality in their own work. By re-situating the theory within its original roots of Black feminist thought, we hope other health professions education (HPE) researchers consider using intersectionality in their own analyses.
交叉性理论研究权力矩阵和压迫性结构的相互关系如何塑造和影响人们的多种身份。它提醒我们,人们的生活不能仅仅通过考虑性别、种族、性取向或社会经济地位等单一类别来解释。相反,人的生活是多维度和复杂的,人们的生活现实是由不同的因素和社会动态共同塑造的。因此,当一个人处于多个边缘化的交叉点时,他们的个人经历反映了权力、特权和不平等的社会和结构体系。然而,了解人们占据不同的社会位置,使他们拥有独特的经历,与知道如何以交叉的方式分析数据是不同的。交叉分析是严格的,需要在多个层次上使用理论来看到理论联系,这些联系通常只是隐含的。在本文中,我们提出了“如何进行交叉研究,理论在这个过程中扮演什么角色?”为了使健康职业教育研究更容易理解交叉性理论,本文描述了更简单的交叉分析版本,以及更复杂的版本,代表了它最初的用途;一种争取社会正义的手段。我们使用第一代医学生职业认同经历的试点数据,展示了进行交叉分析所需的理论思考和参与。一路上,我们描述了研究人员在自己的工作中使用交叉性可能会遇到的一些挑战。通过将理论重新置于其最初的黑人女性主义思想根源中,我们希望其他健康职业教育(HPE)研究人员考虑在自己的分析中使用交叉性。