Intersectionality and risk for ischemic heart disease in Sweden

Categorical and anti-categorical approaches

Dados Bibliográficos

ID4896692
AutoresMaria Wemrell (0000-0002-3186-9054, Lund University, autor correspondente), Shai Mulinari (0000-0001-8773-9796, Lund University), Juan Merlo (0000-0001-8379-9708, Lund University)
Ano2017
Volume177
Páginas213-222
Data de publicação2017-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSocial Science & Medicine (JOURNAL)
Identificadores do periódicoISSN: 0277-9536 • E-ISSN: 1873-5347
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2017.01.050
PMID28189024
OpenAlexW2581161767
IdiomaEN
Citações recebidas44
Referências citadas65

Intersectionality theory can contribute to epidemiology and public health by furthering understanding of power dynamics driving production of health disparities, and increasing knowledge about heterogeneities within, and overlap between, social categories. Drawing on McCall, we relate the first of these potential contributions to categorical intersectionality and the second to anti-categorical intersectionality. Both approaches are used in study of risk of ischemic heart disease (IHD), based on register data on 3.6 million adults residing in Sweden by 2010, followed for three years. Categorical intersectionality is here coupled with between-group differences in average risk calculation, as we use intersectional categorizations while estimating odds ratios through logistic regressions. The anti-categorical approach is operationalized through measurement of discriminatory accuracy (DA), i.e., capacity to accurately categorize individuals with or without a certain outcome, through computation of the area under the curve (AUC). Our results show substantial differences in average risk between intersectional groupings. The DA of social categorizations is found to be low, however, due to outcome variability within and overlap between categories. We argue that measures of DA should be used for proper interpretation of differences in average risk between social (or any other) categories. Tension between average between-group risk and the DA of categorizations, which can be related to categorical and anti-categorical intersectional analyses, should be made explicit and discussed to a larger degree in epidemiology and public health

Categorical variable · Categorization · Intersectionality · Logistic regression · Odds · Operationalization · Public health · Sociology · Statistics · Computer Science · Demography · Health disparities and outcomes · Mathematics · Medicine · Psychology · Racial and Ethnic Identity Research · Sex and Gender in Healthcare · Artificial Intelligence · Epidemiology