Reintegrating contexts into quantitative intersectional analyses of health inequalities

Citation

Evans, Clare R. (2019). Reintegrating contexts into quantitative intersectional analyses of health inequalities. Health & Place. vol. 60

Abstract

Quantitative intersectional analyses often overlook the roles of contexts in shaping intersectional experiences and outcomes. This study advances a novel approach for integrating quantitative intersectional methods with models of contextual-level determinants of health inequalities. Building on recent methodological advancements, I propose an adaptation of intersectional MAIHDA (multilevel analysis of individual heterogeneity and discriminatory accuracy) where respondents are nested hierarchically in social strata defined by gender, race/ethnicity and socioeconomic classifications interacted with contextual classifications. To demonstrate this approach I examine past-month adolescent cigarette use intersectionally by school- and neighborhood-poverty status in Wave 1 of the National Longitudinal Study of Adolescent to Adult Health (N = 17,234). I conclude by discussing the adaptability of this approach to a variety of research questions, including intersectional effects that vary by contextual exposures over time, positions in social networks, and exposures to social policies.

URL

https://doi.org/10.1016/j.healthplace.2019.102214

Keyword(s)

Intersectionality

Reference Type

Journal Article

Journal Title

Health & Place

Author(s)

Evans, Clare R.

Year Published

2019

Volume Number

60

ISSN/ISBN

1353-8292

DOI

10.1016/j.healthplace.2019.102214

Reference ID

6579