Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
School of Health and Wellbeing, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Int J Equity Health. 2023 Dec 18;22(1):264. doi: 10.1186/s12939-023-02061-8.
Women are at greater risk of common mental disorders. The intersectionality concept provides a framework to examine the effects of multiple social disadvantages on women's mental health. We conducted a systematic review to collect and analyse information to identify the quantitative methodologies and study designs used in intersectional research to examine women's mental health and multiple social disadvantages. Included studies used accepted statistical methods to explore the intersectional effects of gender and one or more types of social disadvantage from the PROGRESS-Plus inequity framework: a place of residence, race/ethnicity, occupation, gender/ sex, religion, education, socioeconomic status, social capital (O'Neill et al. J Clin Epidemiol 67:56-64, 2014). The scope of this systematic review was limited to studies that analysed common mental disorders in women and men comparatively. Studies focusing on only one gender were excluded, ensuring a comprehensive comparative analysis of the intersection of social disadvantages in mental health.Twelve papers were included in the narrative synthesis (Table 1). Eight of the included papers (67%) reported an intersectional effect of gender and one or more additional types of social disadvantage. The multiplicative effect of gender and socioeconomic status on the risk of common mental disorders was the most commonly reported interaction. This systematic review shows that multiplicative and simultaneous interactions of multiple social disadvantage increase the risk of common mental disorders experienced by women. Moreover, it underlines the potential for quantitative research methods to complement qualitative intersectionality research on gender and mental health. The findings of this systematic review highlight the importance of multiple social disadvantage in understanding the increased risk of mental health experienced by women.
女性面临更大的常见精神障碍风险。交叉性概念提供了一个框架，用于研究多种社会劣势对女性心理健康的影响。我们进行了一项系统综述，以收集和分析信息，确定用于研究女性心理健康和多种社会劣势的交叉性研究中的定量方法和研究设计。纳入的研究使用公认的统计方法来探索性别和 PROGRESS-Plus 不平等框架中的一种或多种类型的社会劣势的交叉影响：居住地、种族/民族、职业、性别/性别、宗教、教育、社会经济地位、社会资本（O'Neill 等人，J Clin Epidemiol 67:56-64, 2014）。本系统综述的范围仅限于比较分析女性和男性常见精神障碍的研究。排除了仅关注一种性别的研究，以确保对心理健康中社会劣势的交叉进行全面比较分析。有 12 篇论文被纳入叙述性综合分析（表 1）。纳入的论文中有 8 篇（67%）报告了性别和一种或多种其他类型的社会劣势的交叉影响。性别和社会经济地位对常见精神障碍风险的相乘效应是最常报告的相互作用。本系统综述表明，多种社会劣势的相乘和同时相互作用会增加女性常见精神障碍的风险。此外，它强调了定量研究方法在补充性别和心理健康的定性交叉性研究方面的潜力。本系统综述的结果强调了多种社会劣势在理解女性心理健康风险增加方面的重要性。
Zotero 插件