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The concept of intersectionality in bioethics: a systematic review
Lisa Brünig1, Hannes Kahrass2, Sabine Salloch2
1Institute for Ethics, History and Philosophy of Medicine, Hannover Medical School, Carl- Neuberg-Str.1, 30625, Hannover, Germany. Bruenig.Lisa@mh-hannover.de.
Intersectionality, a framework examining interconnected social identities, is increasingly used in bioethics to reveal inequities and promote social justice in healthcare. This review maps its diverse applications and impact across disciplines.
Area of Science:
- Bioethics
- Social Sciences
- Public Health
Background:
- Intersectionality, originating in Black feminist movements, analyzes how multiple social categorizations (race, gender, class, ability) intersect to create unique experiences of discrimination and privilege.
- The concept has become a 'traveling concept,' increasingly integrated into bioethical research to understand complex social dynamics in health.
Approach:
- A systematic review was conducted to identify and analyze the application of intersectionality within bioethical research.
- PubMed and Web of Science databases were searched, resulting in the inclusion of 192 articles relevant to bioethics and intersectionality.
Key Points:
- A qualitative analysis yielded five categories: purpose/function, social dimensions, levels of analysis, disciplines involved, and challenges/critiques.
- Intersectionality's functions in bioethics include making inequities visible, improving health data, fostering self-reflection, and informing policy development.
- Its application spans diverse fields, including psychology, gynecology, palliative care, and deaf studies, highlighting its broad relevance.
Conclusions:
- This systematic review offers a comprehensive overview of intersectionality in bioethical scholarship, serving as a foundation for future research.
- It underscores intersectionality's value as a theoretical and methodological tool for analyzing complex bioethical issues and advancing social justice in healthcare.
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