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Intersectionality matters for hispanic health: A replication study using the All of Us Research Program.

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Racial differences within the Hispanic population impact health outcomes. An intersectional approach reveals significant variations in conditions like hypertension, diabetes, and asthma across Hispanic subgroups and non-Hispanic Black individuals.

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Area of Science:

  • Health Disparities Research
  • Sociology of Health
  • Public Health

Background:

  • Existing research often homogenizes the Hispanic population, overlooking racial diversity.
  • An intersectional lens is crucial for understanding health differences within Hispanic subgroups.
  • Race plays a significant, yet often unaddressed, role in Hispanic health disparities.

Purpose of the Study:

  • To apply an intersectional framework to examine health differences and similarities among Hispanic subgroups.
  • To investigate the impact of race on health profiles and outcomes within the Hispanic population.
  • To identify specific health disparities by comparing Black Hispanic, white Hispanic, and non-Hispanic Black individuals.

Main Methods:

  • Utilized sociodemographic characteristics and health domain variables (status, services, behaviors) from a large participant cohort (N=11,192).
  • Employed bivariate Chi-squared tests to analyze relationships between sociodemographic factors and health variables.
  • Compared health outcomes across Black Hispanic, white Hispanic, and non-Hispanic Black individuals.

Main Results:

  • Non-Hispanic Black individuals reported higher rates of hypertension (49.09%) and diabetes (19.62%) than both Hispanic subgroups.
  • Black Hispanic individuals showed the highest proportion of asthma diagnoses (35.10%) and doctor visits (95.52%).
  • Significant variations in health status, behaviors, and service utilization were observed across racial/ethnic groups.

Conclusions:

  • Health behaviors and outcomes differ significantly across racial/ethnic groups within the Hispanic diaspora.
  • An intersectional approach is advantageous for uncovering nuanced health disparities.
  • Healthcare services should acknowledge the complexities of racial diversity within Hispanic communities.