ArticleInternational journal for equity in health2021
An intersectional analysis providing more precise information on inequities in self-rated health.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed.
- Intersectional inequalities in social-emotional problems among three-year-old children in Sweden: a population-based study.BMC public health · 2026Article
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- Affiliate stigma and health-related quality of life among caregivers of people with severe mental illness in a collectivist context: a cross-sectional study.Frontiers in psychiatry · 2026Article
- Which transgender and gender diverse groups benefit most from E-health? Subgroup analyses of the randomized controlled trial iInternational journal of transgender health · 2026Article
- Mapping the evidence on the intersection of gender and social determinants of health in health inequality: a scoping review.BMC public health · 2025Article
- Cardiovascular risk factors in immigrants: an intersectional real world data approach to understand health inequalities.BMC public health · 2025Observational
- Geographic and socioeconomic differences in potentially inappropriate medication among older adults - applying a simplified analysis of individual heterogeneity and discriminatory accuracy (AIHDA) for basic comparisons of healthcare quality.BMC health services research · 2025Article
- Social and geographical inequalities in prenatal care coverage in Colombia: a multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).BMJ global health · 2025Observational
- Advancing health equity in Nova Scotia by exploring gaps in healthcare delivery: a mixed methods protocol.Research in health services & regions · 2025Article
- Operationalising routinely collected patient data in research to further the pursuit of social justice and health equity: a team-based scoping review.BMC medical research methodology · 2025Article
- Trust in healthcare and perceived discrimination in Sweden: a fixed effects analysis of individual heterogeneity and discriminatory accuracy.Frontiers in public health · 2025Article
- Improving equity and wellness in cancer care with people of Latin American and African Descent: a study protocol.Frontiers in oncology · 2025Article
- Intersectional analysis of social determinants of health and their association with mortality in patients with multimorbidity.Journal of global health · 2024Article
- Incorporating Anti-racist Principles Throughout the Research Lifecycle: A Position Statement from the Society of General Internal Medicine (SGIM).Journal of general internal medicine · 2024Review
- Impact of an oral care subsidization reform on intersectional inequities in self-rated oral health in Sweden.International journal for equity in health · 2024Article
- Self-identified barriers to health services among migrants 50 years of age or older: population-based survey study of Russian speakers in Finland.BMC health services research · 2024Article
- Mapping socio-geographical disparities in the occurrence of teenage maternity in Colombia using multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).International journal for equity in health · 2024Article
- Intersectional inequalities in somatic symptom severity in the adult population in Germany found within the SOMA.SOC study.Scientific reports · 2024Article
- The sociodemographic patterning of sick leave and determinants of longer sick leave after mild and severe COVID-19: a nationwide register-based study in Sweden.European journal of public health · 2024Observational
- We are complex beings: comparison of statistical methods to capture and account for intersectionality.BMJ open · 2024Article
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Abstract
backgroundIntersectionality theory combined with an analysis of individual heterogeneity and discriminatory accuracy (AIHDA) can facilitate our understanding of health disparities. This enables the application of proportionate universalism for resource allocation in public health. Analyzing self-rated health (SRH) in Sweden, we show how an intersectional perspective allows for a detailed mapping of health inequalities while avoiding simplification and stigmatization based on indiscriminate interpretations of differences between group averages.
methodsWe analyzed participants (n=133,244) in 14 consecutive National Public Health Surveys conducted in Sweden in 2004-2016 and 2018. Applying AIHDA, we investigated the risk of bad SRH across 12 intersectional strata defined by gender, income and migration status, adjusted by age and survey year. We calculated odds ratios (with 95% confidence intervals) to evaluate between-strata differences, using native-born men with high income as the comparison reference. We calculated the area under the receiver operating characteristic curve (AU-ROC) to evaluate the discriminatory accuracy of the intersectional strata for identifying individuals according to their SRH status.
resultsThe analysis of intersectional strata showed clear average differences in the risk of bad SRH. For instance, the risk was seven times higher for immigrated women with low income (OR 7.00 [95% CI 6.14-7.97]) than for native men with high income. However, the discriminatory accuracy of the intersectional strata was small (AU-ROC=0.67).
conclusionsThe intersectional AIHDA approach provides more precise information on the existence (or the absence) of health inequalities, and can guide public health interventions according to the principle of proportionate universalism. The low discriminatory accuracy of the intersectional strata found in this study warrants universal interventions rather than interventions exclusively focused on strata with a higher average risk of bad SRH.
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