Structural Intersectionality as a New Direction for Health Disparities Research.

Journal Article (Journal Article)

This article advances the field by integrating insights from intersectionality perspectives with the emerging literatures on structural racism and structural sexism-which point to promising new ways to measure systems of inequality at a macro level-to introduce a structural intersectionality approach to population health. We demonstrate an application of structural intersectionality using administrative data representing macrolevel structural racism, structural sexism, and income inequality in U.S. states linked to individual data from the Behavioral Risk Factor Surveillance System to estimate multilevel models (N = 420,644 individuals nested in 76 state-years) investigating how intersecting dimensions of structural oppression shape health. Analyses show that these structural inequalities: (1) vary considerably across U.S. states, (2) intersect in numerous ways but do not strongly or positively covary, (3) individually and jointly shape health, and (4) are most consistently associated with poor health for black women. We conclude by outlining an agenda for future research on structural intersectionality and health.

Full Text

Duke Authors

Cited Authors

  • Homan, P; Brown, TH; King, B

Published Date

  • September 2021

Published In

Volume / Issue

  • 62 / 3

Start / End Page

  • 350 - 370

PubMed ID

  • 34355603

Pubmed Central ID

  • PMC8628816

Electronic International Standard Serial Number (EISSN)

  • 2150-6000

International Standard Serial Number (ISSN)

  • 0022-1465

Digital Object Identifier (DOI)

  • 10.1177/00221465211032947


  • eng