An intersectional approach in social epidemiology: Understanding health heterogeneity

Research output: ThesisDoctoral Thesis (compilation)

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An intersectional approach in social epidemiology: Understanding health heterogeneity. / Wemrell, Maria.

Lund : Lund University: Faculty of Medicine, 2017. 116 p.

Research output: ThesisDoctoral Thesis (compilation)

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Wemrell, M 2017, 'An intersectional approach in social epidemiology: Understanding health heterogeneity', Doctor, Department of Clinical Sciences, Malmö, Lund.

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TY - THES

T1 - An intersectional approach in social epidemiology: Understanding health heterogeneity

AU - Wemrell, Maria

N1 - Defence details Date: 2017-11-27 Time: 13:00 Place: Kvinnokliniken, Skånes Universitetssjukhus i Malmö External reviewer(s) Name: Stronks, Karien Title: professor Affiliation: University of Amsterdam, Netherlands --- ISSN: 1652-8220 Lund University, Faculty of Medicine Doctoral Dissertation Series 2017:126

PY - 2017

Y1 - 2017

N2 - Critical debates within the science of (social) epidemiology concern the relative lackof social theory in epidemiological research and the low discriminatory accuracy (DA)of much epidemiological knowledge on factors and markers of risk for disease.Against this background, this thesis integrates intersectionality theory intoepidemiological study. The purposes are to improve the understanding ofheterogeneities in population groups and thus increase DA, and to incorporate atheoretical framework that directs attention toward power dynamics driving theproduction of health disparities as well as toward their measurement. Anintersectionality perspective is incorporated into empirical study of risk for ischemicheart disease in Sweden, and of influenza vaccination uptake in the US. A categoricalintersectionality perspective is operationalized through assessment of difference inaverage risk between intersectional strata. The measurement of the DA of the socialand racial/ethnic categorizations used is aligned to an anti-categorical intersectionality perspective, as this DA is found to be low due to heterogeneities within and/or overlaps between groups.Despite the integration of intersectionality theory, the DA of the social andracial/ethnic categories under study remains low. Such measurements of low DApoint to a current limitation in knowledge about causation mechanisms andindividual heterogeneity in (social) epidemiology. This project has therefore beenpartially driven by an interest in other possible ontological ways of understandinghealth, risk and prevention of disease, found in complementary or alternative forms ofmedicine (CAM). The thesis includes a pilot study measuring the use of, andattitudes towards, CAM and conventional medicine in Skåne, the southernmostprovince of Sweden.

AB - Critical debates within the science of (social) epidemiology concern the relative lackof social theory in epidemiological research and the low discriminatory accuracy (DA)of much epidemiological knowledge on factors and markers of risk for disease.Against this background, this thesis integrates intersectionality theory intoepidemiological study. The purposes are to improve the understanding ofheterogeneities in population groups and thus increase DA, and to incorporate atheoretical framework that directs attention toward power dynamics driving theproduction of health disparities as well as toward their measurement. Anintersectionality perspective is incorporated into empirical study of risk for ischemicheart disease in Sweden, and of influenza vaccination uptake in the US. A categoricalintersectionality perspective is operationalized through assessment of difference inaverage risk between intersectional strata. The measurement of the DA of the socialand racial/ethnic categorizations used is aligned to an anti-categorical intersectionality perspective, as this DA is found to be low due to heterogeneities within and/or overlaps between groups.Despite the integration of intersectionality theory, the DA of the social andracial/ethnic categories under study remains low. Such measurements of low DApoint to a current limitation in knowledge about causation mechanisms andindividual heterogeneity in (social) epidemiology. This project has therefore beenpartially driven by an interest in other possible ontological ways of understandinghealth, risk and prevention of disease, found in complementary or alternative forms ofmedicine (CAM). The thesis includes a pilot study measuring the use of, andattitudes towards, CAM and conventional medicine in Skåne, the southernmostprovince of Sweden.

M3 - Doctoral Thesis (compilation)

SN - 978-91-7619-509-3

PB - Lund University: Faculty of Medicine

CY - Lund

ER -