Ronzi, S., Gravenhorst, K. orcid.org/0000-0001-9618-8260, Rinaldi, C. orcid.org/0000-0002-8603-7167 et al. (6 more authors) (2023) Intersectionality and public understandings of health inequity in England: learning from the views and experiences of young adults. Public Health, 222. pp. 147-153. ISSN 0033-3506
Abstract
Objectives
Attempts to reduce health inequities in England frequently prioritise some equity dimensions over others. Intersectionality highlights how different dimensions of inequity interconnect and are underpinned by historic and institutionalised power imbalances. We aimed to explore whether intersectionality could help us shed light on young adults’ understanding of health inequities.
Study design
The study incorporatedqualitative thematic analysis of primary data.
Methods
Online focus groups with young adults (n = 25) aged 18–30 living in three English regions (Greater London; South Yorkshire/Midlands; North-East England) between July 2020 and March 2021. Online semistructured interviews (n = 2) and text-based communication was conducted for participants unable to attend online groups.
Results
Young adults described experiencing discrimination, privilege, and power imbalances driving health inequity and suggested ways to address this. Forms of inequity included cumulative, within group, interacting, and the experience of privilege alongside marginalisation. Young adults described discrimination occurring in settings relevant to social determinants of health and said it adversely affected health and well-being.
Conclusion
Intersectionality, with its focus on discrimination and identity, can help public health stakeholders engage with young adults on health equity. An upstream approach to improving health equity should consider multiple and intersecting forms of discrimination along with their cultural and institutional drivers.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023 The Author(s). Published by Elsevier Ltd on behalf of The Royal Society for Public Health. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
Keywords: | Ethnicity; Gender; Health inequality; Intersectionality; Socio-economic status; Young people; Humans; Young Adult; Focus Groups; Health Equity; Health Inequities; Health Status Disparities; Intersectional Framework; Adolescent; Adult |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Social Sciences (Sheffield) > Department of Sociological Studies (Sheffield) The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > Health Sciences School (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 09 Feb 2024 11:10 |
Last Modified: | 09 Feb 2024 11:10 |
Status: | Published |
Publisher: | Elsevier BV |
Refereed: | Yes |
Identification Number: | 10.1016/j.puhe.2023.07.002 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:208748 |