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At the intersections: operationalizing intersectional thematic analysis in HIV prevention.

Cristiane Spadacio1, Lorruan Alves Dos Santos1, Ramiro Andres Fernandez Unsain2

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This study enhances qualitative health research by integrating intersectional approaches with thematic analysis. This method better captures how social factors like gender and race create health disparities.

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Area of Science:

  • Qualitative Health Research
  • Social Determinants of Health
  • Health Disparities

Background:

  • Thematic analysis is popular in qualitative health research but often lacks depth in addressing intersecting social inequalities.
  • Existing methods may not fully capture how structural and institutional factors create relative disadvantage based on multiple social positions.

Purpose of the Study:

  • To provide theoretical and methodological tools for conducting intersectional thematic analysis in qualitative health studies.
  • To update thematic analysis for more meaningful discussions on interconnected patterns of privilege and oppression.

Main Methods:

  • Critically analyzes a prior study on pre-exposure prophylaxis (PrEP) for HIV in adolescents using qualitative empirical data.
  • Discusses limitations, challenges, and potentialities of applying an intersectional perspective to thematic analysis.
  • Proposes a method for operationalizing thematic analysis with intersectional sensitivity.

Main Results:

  • Triangulating techniques can enhance thematic analysis for intersectional sensitivity in qualitative data.
  • An a priori intersectional approach, integrated from the research design phase, aids in recognizing the interplay of social markers.

Conclusions:

  • While an absent intersectional perspective doesn't make intersectionality unfeasible as a tool, it can limit analysis and discussion.
  • Limitations can be mitigated by incorporating intersectional assumptions and comparing findings with relevant literature.