ArticleInternational journal for equity in health2011
Race, gender, class, and sexual orientation: intersecting axes of inequality and self-rated health in Canada.
Article in International journal for equity in health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 5 of them syntheses that pooled it.
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Who cites it
104 citing papers in PubMed, 5 syntheses or guidelines pooled it, 321 citations in OpenAlex.
- Longitudinal Trends in Racial and Gender Representation among Academic Faculty: A Systematic Review.Journal of immigrant and minority health · 2025Pooled it
- The concept of intersectionality in bioethics: a systematic review.BMC medical ethics · 2024Pooled it
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- Black Caribbean Emerging Adults: A Systematic Review of Religion and Health.Journal of religion and health · 2020Pooled it
- Non-pharmacological cancer pain interventions in populations with social disparities: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Pooled it
- Moderating effects of coping strategies on the associations between stigma and depression among emerging adults.Journal of affective disorders · 2025Trial
- Trial
- Health Inequalities, Intersectionality, and Justice.The Milbank quarterly · 2026Article
- Inaccessible mental health care is a risk factor for risky drinking behaviors among cancer survivors: an All of Us survey-based cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Intersectional identity, risk behaviors, and adolescent mental health in South Korea: who suffers the most in the loneliness epidemic?Dialogues in health · 2026Article
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- Getting Real: How Intersectionality Challenges the 'One Size Fits All' Approach to Global Mental Health.Journal of psychiatric and mental health nursing · 2025Article
- Sociodemographic Determinants of Telehealth Visits: A Comparison of Mental Health and Substance Use Disorders with Other Services.Epidemiologia (Basel, Switzerland) · 2025Article
- A Case-Control Study Examining the Differences in Vitamin D Levels Between Individuals With Rosacea and Healthy Individuals.Journal of cosmetic dermatology · 2025Article
- Intersectionality and mental health in university students: a jeopardy index approach.Revista de saude publica · 2025Article
- Gender and mental health of adolescents: A conceptual framework developed in a Delphi study.PloS one · 2025Article
- Improving prevalence estimates of mental health and well-being indicators among sexual minority men: a propensity-weighting approach.American journal of epidemiology · 2024Article
- Intersectional analysis of social determinants of health and their association with mortality in patients with multimorbidity.Journal of global health · 2024Article
- Binary and Nonbinary Transgender Patient Experiences Accessing Gender-affirming Top Surgery.Plastic and reconstructive surgery. Global open · 2024Article
44 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntersectionality theory, a way of understanding social inequalities by race, gender, class, and sexuality that emphasizes their mutually constitutive natures, possesses potential to uncover and explicate previously unknown health inequalities. In this paper, the intersectionality principles of "directionality," "simultaneity," "multiplicativity," and "multiple jeopardy" are applied to inequalities in self-rated health by race, gender, class, and sexual orientation in a Canadian sample.
methodsThe Canadian Community Health Survey 2.1 (N = 90,310) provided nationally representative data that enabled binary logistic regression modeling on fair/poor self-rated health in two analytical stages. The additive stage involved regressing self-rated health on race, gender, class, and sexual orientation singly and then as a set. The intersectional stage involved consideration of two-way and three-way interaction terms between the inequality variables added to the full additive model created in the previous stage.
resultsFrom an additive perspective, poor self-rated health outcomes were reported by respondents claiming Aboriginal, Asian, or South Asian affiliations, lower class respondents, and bisexual respondents. However, each axis of inequality interacted significantly with at least one other: multiple jeopardy pertained to poor homosexuals and to South Asian women who were at unexpectedly high risks of fair/poor self-rated health and mitigating effects were experienced by poor women and by poor Asian Canadians who were less likely than expected to report fair/poor health.
conclusionsAlthough a variety of intersections between race, gender, class, and sexual orientation were associated with especially high risks of fair/poor self-rated health, they were not all consistent with the predictions of intersectionality theory. I conclude that an intersectionality theory well suited for explicating health inequalities in Canada should be capable of accommodating axis intersections of multiple kinds and qualities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.