Outputs

Holman, D., Salway, S., Bell, A., Beach, B., Adebajo, A., Ali, N., and Butt, J. (2020) Can intersectionality help with understanding and tackling health inequalities? Perspectives of professional stakeholders. medRxiv preprint.

This paper seeks to understand the perspective of professional stakeholders in applying intersectionality to health inequalities research and practice. It draws upon a consultation survey with researchers and practitioners, as well as a face-to-face workshop. The aims of the workshop were to: share examples of applying intersectionality within health inequalities research and practice; understand the views of research and practice colleagues on potential contributions and challenges; and identify potential ways to promote intersectional approaches. Findings indicated a generally positive response to the concept and a cautiously optimistic assessment that intersectional approaches could be valuable. However, opinions were mixed and various challenges were raised, especially around whether intersectionality research is necessarily critical and transformative and, accordingly, how it should be operationalised methodologically.

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Holman, D. and Walker, A. (2020) Understanding unequal ageing: towards a synthesis of intersectionality and life course analyses. European Journal of Ageing.

This paper aims to illustrate how intersectionality might be synthesised with a life course perspective to deliver novel insights into unequal ageing, especially with respect to health. From the intersectionality literature, it focusses on the concepts of intersectional subgroups, discrimination, categorisation, and individual heterogeneity, and from the life course literature, roles, life stages, transitions, age/cohort, cumulative disadvantage/advantage, and trajectories. Synergies between these concepts hold exciting opportunities to bring new insights to unequal ageing.

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Holman, D., Bell, A. and Salway, S. (2020) Mapping intersectional inequalities in biomarkers of healthy ageing and chronic disease in older English adults. Nature Scientific Reports.

This paper analyses intersectional inequalities in biomarkers of healthy ageing and chronic disease, in older adults using data pooled from the English Longitudinal Study of Ageing and the UK Household Longitudinal Study. It finds granular inequalities that vary according to biomarker. These inequalities are additive rather than multiplicative in nature and have significant clinical implications.

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Bell, A., Holman, D. and Jones, K. (2019) Using multilevel models to understand intersectionality: a simulation study and guide for best practice. Methodology.

This paper uses simulations to test a novel multilevel approach (termed ‘MAIHDA’) to intersectionality, comparing it with conventional regression approaches which typically use interaction terms. It finds that although this new approach needs further work and development to improve its statistical properties, it is overall an improvement on conventional approaches.

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