Intersectionality as a Theoretical Framework for Health Inequities in Pregnancy: Theory Analysis

Area of Science:

• Public Health
• Sociology
• Women's Health

Background:

• Maternal health inequities are exacerbated by overlapping identities (race, sex, disability) and structural oppression.
• Existing frameworks may not fully capture the complexity of these disparities.

Purpose of the Study:

• To evaluate the applicability of intersectionality theory to understanding pregnancy health inequities.
• To identify strengths and limitations of intersectionality theory in this context.

Main Methods:

• Utilized Walker and Avant's 7-step theory analysis framework.
• Examined origins, meaning, logical adequacy, usefulness, generalizability, parsimony, and testability of intersectionality theory.

Main Results:

• Intersectionality theory effectively captures the complex interplay of factors contributing to maternal health inequities.
• A critical gap identified was the lack of focus on reproductive autonomy within the theory.
• The theory's strengths lie in its ability to analyze multifaceted social determinants.

Conclusions:

• Progress in maternal health equity necessitates intersectional approaches that center reproductive autonomy.
• Research, policy, and practice must integrate an autonomy-centered framework.
• Empowering pregnant women with the resources for autonomous reproductive choices is crucial for achieving equity.