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"Applying Intersectionality in designing and implementing health interventions: a scoping review".

Elham Ghasemi1, Reza Majdzadeh1,2,3, Fatemeh Rajabi4,5

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Intersectionality is increasingly used in health, but its application in designing interventions remains unclear. Few studies explicitly address all intersectionality principles, highlighting a need for clearer guidance and tools for health policymakers.

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Area of Science:

  • Public Health
  • Health Equity
  • Social Determinants of Health

Background:

  • Intersectionality offers a framework for understanding health inequalities.
  • Growing interest in applying intersectionality to health interventions.
  • Unclear extent of intersectionality's application in health intervention design and implementation.

Purpose of the Study:

  • To determine the extent of intersectionality application in health intervention design and implementation.
  • To analyze how intersectionality principles are used across intervention stages.
  • To identify gaps in the operationalization of intersectionality in health research.

Main Methods:

  • Systematic review of articles from multiple databases (PubMed, Web of Science, etc.).
  • Screening of titles and abstracts, followed by full-text review.
  • Data extraction using a 38-item checklist based on intersectionality principles and intervention stages.

Main Results:

  • Only 4 out of 2677 initially identified articles met the inclusion criteria.
  • "Intersecting categories" and "power" were the most frequently addressed principles.
  • "Multilevel analysis" and explicit discussion of "reflexivity" and "social justice/equity" were lacking.

Conclusions:

  • Insufficient empirical evidence on intersectionality's implication in health interventions.
  • Need to operationalize intersectionality principles across all intervention stages.
  • Development of user-friendly tools is recommended for researchers and policymakers.