ArticleBMC public health2022
Decomposing intersectional inequalities in subjective physical and mental health by sex, gendered practices and immigration status in a representative panel study from Germany.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- 'Migration and grief go hand in hand' a qualitative analysis of losses and grief among first - and second-generation individuals with Turkish migration history in Germany through the lens of the minority stress model.European journal of psychotraumatology · 2026Article
- Sex and gender effects on incidence of migraine and stroke: a longitudinal observational study based on the german socio-economic panel.Biology of sex differences · 2026Observational
- Equity by design principles for digital health interventions.International journal for equity in health · 2025Article
- Depressive symptoms, education, gender and history of migration - an intersectional analysis using data from the German National Cohort (NAKO).International journal for equity in health · 2025Article
- Applicability of Retrospective and Prospective Gender Scores for Clinical and Health Data: Protocol for a Scoping Review.JMIR research protocols · 2025Article
- Gender scores in epidemiological research: methods, advantages and implications.The Lancet regional health. Europe · 2024Review
- Intersectional inequalities in somatic symptom severity in the adult population in Germany found within the SOMA.SOC study.Scientific reports · 2024Article
- Intersectional inequalities in health anxiety: multilevel analysis of individual heterogeneity and discriminatory accuracy in the SOMA.SOC study.Frontiers in public health · 2024Article
- Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada.International journal of environmental research and public health · 2022Article
- Racism in public health services: A research agenda.Frontiers in public health · 2022Article
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3 authors.
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Abstract
backgroundThe mapping of immigration-related health inequalities remains challenging, since immigrant populations constitute a heterogenous socially constructed group whose health experiences differ by social determinants of health. In spite of the increasing awareness that population mobility and its effects on health are highly gendered, an explicit gender perspective in epidemiology is often lacking or limited.
methodsTo map inequalities in self-reported physical and mental health in Germany at the intersections of sex, gendered practices and immigration status, we used data from the German Socioeconomic Panel (SOEP) and applied an intercategorical intersectional approach conducting multilevel linear regression models. We differentiated between sex (male/female) as reported in the survey and gendered social practices, quantified through a gender score (on a femininity-masculinity continuum).
resultsWe included 20,897 participants in our analyses. We saw an intersectional gradient for physical and mental health. Compared to the reference group, i.e. non-immigrant males with masculine gendered practices, physical and mental health steadily decreased in the intersectional groups that did not embody one or more of these social positions. The highest decreases in health were observed in the intersectional group of immigrant females with feminine gendered practices for physical health (-1,36; 95% CI [-2,09; -0,64]) and among non-immigrant females with feminine practices for mental health (-2,51; 95% CI [-3,01; -2,01]).
conclusionsPatterns of physical and mental health vary along the intersectional axes of sex, gendered practices and immigration status. These findings highlight the relevance of intersections in describing population health statuses and emphasise the need to take them into account when designing public health policies aiming at effectively reducing health inequalities.
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