Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Curr Opin Pediatr. 2023 Aug 1;35(4):401-407. doi: 10.1097/MOP.0000000000001251. Epub 2023 Apr 4.
This review defines intersectionality, discusses recent studies that use an intersectional framework in adolescent health research, and outlines ways where clinicians can use intersectionality to address health disparities in youth of color through clinical practice, research, and advocacy.
Research using an intersectional framework can identify populations at risk for certain disorders or behaviors. Recent studies in adolescent health research using an intersectional lens identified lesbian girls of color as an at-risk population for e-cigarette use, demonstrated lower skin color satisfaction among Black girls of all ages predicted greater binge-eating disorder symptoms, and showed that two-thirds of Latine (gender-neutral term that refers to people with Latin American roots) youth who recently immigrated to the United States experienced at least one traumatic event during their migration journey, putting them at risk for PTSD and other mental health disorders.
Intersectionality refers to how multiple social identities intersect to produce a specific experience that reflects overlapping systems of oppression. Diverse youth contain multiple identities that intersect to produce unique experiences and health inequities. Using an intersectional framework acknowledges that youth of color are not homogenous. Intersectionality becomes an important tool to care for marginalized youth and advance health equity.
本文定义了交叉性，讨论了最近在青少年健康研究中使用交叉性框架的研究，并概述了临床医生如何通过临床实践、研究和宣传来利用交叉性来解决有色人种青年的健康差距。
使用交叉性框架的研究可以确定某些疾病或行为的高危人群。最近在青少年健康研究中使用交叉视角的研究发现，有色人种的女同性恋者是电子烟使用的高危人群，表明所有年龄段的黑人女孩的肤色满意度较低，预示着暴食症症状更严重，并且表明三分之二最近移民到美国的拉丁裔（指具有拉丁美洲血统的人）青年在移民过程中至少经历过一次创伤性事件，使他们面临创伤后应激障碍和其他心理健康障碍的风险。
交叉性是指多个社会身份如何交叉产生特定的经历，反映了重叠的压迫制度。不同的青年包含多个身份，这些身份的交叉产生了独特的经历和健康不平等。使用交叉性框架承认有色人种青年并非同质。交叉性成为关心边缘化青年和促进健康公平的重要工具。
