ArticleGlobal health action
Meddling with middle modalities: a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden.
Article in Global health action. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Utilising quantitative methods to study the intersectionality of multiple social disadvantages in women with common mental disorders: a systematic review.International journal for equity in health · 2023Pooled it
- Mapping the evidence on the intersection of gender and social determinants of health in health inequality: a scoping review.BMC public health · 2025Article
- A Scoping Review and Narrative Synthesis Comparing the Constructs of Social Determinants of Health and Social Determinants of Mental Health: Matryoshka or Two Independent Constructs?Frontiers in psychiatry · 2022Article
- Intersectional equity in health care: assessing complex inequities in primary and secondary care utilization by gender and education in northern Sweden.International journal for equity in health · 2020Article
- Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors.International journal for equity in health · 2020Article
- Do inequalities add up? Intersectional inequalities in smoking by sexual orientation and education among U.S. adults.Preventive medicine reports · 2020Article
- Languishing in the crossroad? A scoping review of intersectional inequalities in mental health.International journal for equity in health · 2019Article
- What drives us apart? Decomposing intersectional inequalities in cigarette smoking by education and sexual orientation among U.S. adults.International journal for equity in health · 2019Article
- Intersectional decomposition analysis with differential exposure, effects, and construct.Social science & medicine (1982) · 2019Article
- Unsafe and unequal: a decomposition analysis of income inequalities in fear of crime in northern Sweden.International journal for equity in health · 2018Article
- Decomposing gender inequalities in self-assessed health status in Liberia.Global health action · 2018Article
- Intersections between gender and other relevant social determinants of health inequalities.Global health actionArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntersectionality has received increased interest within population health research in recent years, as a concept and framework to understand entangled dimensions of health inequalities, such as gender and socioeconomic inequalities in health. However, little attention has been paid to the intersectional middle groups, referring to those occupying positions of mixed advantage and disadvantage.
objectiveThis article aimed to 1) examine mental health inequalities between intersectional groups reflecting structural
designParticipants (
resultsSignificant mental health inequalities were found between dominant (high-income women and middle-income men) and subordinate (middle-income women and low-income men) middle groups. The health inequalities between adjacent middle groups were mostly explained by violence (mid-income women vs. men comparison); material conditions (mid- vs. low-income men comparison); and material needs, job relations, and unmet medical needs (high- vs. mid-income women comparison).
conclusionsThe study suggests complex processes whereby dominant middle groups in the intersectional space of economic affluence and gender can leverage strategic resources to gain mental health advantage relative to subordinate middle groups.
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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.