Zubizarreta Dougie, Beccia Ariel L
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Soc Sci Med. 2025 Feb;367:117712. doi: 10.1016/j.socscimed.2025.117712. Epub 2025 Jan 17.
There has been a recent influx in the development of novel measures of structural forms of discrimination, including structural racism, xenophobia, sexism, heterosexism, and cisgenderism. These systems of power and oppression are inherently interdependent and mutually constitutive, yet a paucity of research has investigated their joint impacts; this gap is likely reflective of the limited guidance that exists regarding how to effectively combine multiple measures of structural discrimination to examine their joint impacts on population health and health inequities. In this commentary, we seek to redress this by describing conceptual and methodologic considerations for population health researchers interested in conducting quantitative structural intersectionality research - an intersectionality-informed research approach focused on examining how systems of power and oppression intersect to shape population health and health inequities. Developing best practices for measuring and analyzing the joint impacts of structural forms of discrimination is crucial for effectively describing and quantifying their impacts on population health and health inequities, and for informing interventions, laws, and policies to advance health equity and social justice.
最近,在新型结构性歧视形式的衡量标准开发方面出现了大量成果,这些歧视形式包括结构性种族主义、仇外心理、性别歧视、恐同症和顺性别主义。这些权力和压迫体系本质上相互依存、相互构成,但很少有研究探讨它们的共同影响;这一差距可能反映出在如何有效结合多种结构性歧视衡量标准以研究其对人群健康和健康不平等的共同影响方面,现有的指导有限。在这篇评论中,我们试图通过描述对有兴趣开展定量结构性交叉性研究的人群健康研究人员的概念和方法考量来纠正这一问题——这是一种基于交叉性的研究方法,专注于研究权力和压迫体系如何相互交叉以塑造人群健康和健康不平等。制定衡量和分析结构性歧视形式共同影响的最佳实践对于有效描述和量化其对人群健康和健康不平等的影响,以及为推进健康公平和社会正义的干预措施、法律和政策提供信息至关重要。