Meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden
BACKGROUND: Intersectionality has received increased interest within population health research in recent years, as a concept and framework to understand entangled dimensions of health inequalities, such as gender and socioeconomic inequalities in health. However, little attention has been paid to t...
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Umeå universitet, Epidemiologi och global hälsa
2016
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128399 https://doi.org/10.3402/gha.v9.32819 |
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ftumeauniv:oai:DiVA.org:umu-128399 2023-10-09T21:54:37+02:00 Meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden Gustafsson, Per E. Sebastián, Miguel San Mosquera, Paola A. 2016 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128399 https://doi.org/10.3402/gha.v9.32819 eng eng Umeå universitet, Epidemiologi och global hälsa Global Health Action, 1654-9716, 2016, 9, orcid:0000-0001-7134-8256 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128399 doi:10.3402/gha.v9.32819 PMID 27887668 ISI:000395820800001 Scopus 2-s2.0-85051069943 info:eu-repo/semantics/openAccess intersectionality socioeconomic factors health inequality mental health gender Sweden decomposition analysis Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2016 ftumeauniv https://doi.org/10.3402/gha.v9.32819 2023-09-22T13:58:42Z BACKGROUND: Intersectionality has received increased interest within population health research in recent years, as a concept and framework to understand entangled dimensions of health inequalities, such as gender and socioeconomic inequalities in health. However, little attention has been paid to the intersectional middle groups, referring to those occupying positions of mixed advantage and disadvantage. OBJECTIVE: This article aimed to 1) examine mental health inequalities between intersectional groups reflecting structural positions of gender and economic affluence and 2) decompose any observed health inequalities, among middle groups, into contributions from experiences and conditions representing processes of privilege and oppression. DESIGN: Participants (N=25,585) came from the cross-sectional 'Health on Equal Terms' survey covering 16- to 84-year-olds in the four northernmost counties of Sweden. Six intersectional positions were constructed from gender (woman vs. men) and tertiles (low vs. medium vs. high) of disposable income. Mental health was measured through the General Health Questionnaire-12. Explanatory variables covered areas of material conditions, job relations, violence, domestic burden, and healthcare contacts. Analysis of variance (Aim 1) and Blinder-Oaxaca decomposition analysis (Aim 2) were used. RESULTS: Significant mental health inequalities were found between dominant (high-income women and middle-income men) and subordinate (middle-income women and low-income men) middle groups. The health inequalities between adjacent middle groups were mostly explained by violence (mid-income women vs. men comparison); material conditions (mid- vs. low-income men comparison); and material needs, job relations, and unmet medical needs (high- vs. mid-income women comparison). CONCLUSIONS: The study suggests complex processes whereby dominant middle groups in the intersectional space of economic affluence and gender can leverage strategic resources to gain mental health advantage relative to subordinate ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Global Health Action 9 1 32819 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
intersectionality socioeconomic factors health inequality mental health gender Sweden decomposition analysis Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
intersectionality socioeconomic factors health inequality mental health gender Sweden decomposition analysis Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Gustafsson, Per E. Sebastián, Miguel San Mosquera, Paola A. Meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden |
topic_facet |
intersectionality socioeconomic factors health inequality mental health gender Sweden decomposition analysis Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
BACKGROUND: Intersectionality has received increased interest within population health research in recent years, as a concept and framework to understand entangled dimensions of health inequalities, such as gender and socioeconomic inequalities in health. However, little attention has been paid to the intersectional middle groups, referring to those occupying positions of mixed advantage and disadvantage. OBJECTIVE: This article aimed to 1) examine mental health inequalities between intersectional groups reflecting structural positions of gender and economic affluence and 2) decompose any observed health inequalities, among middle groups, into contributions from experiences and conditions representing processes of privilege and oppression. DESIGN: Participants (N=25,585) came from the cross-sectional 'Health on Equal Terms' survey covering 16- to 84-year-olds in the four northernmost counties of Sweden. Six intersectional positions were constructed from gender (woman vs. men) and tertiles (low vs. medium vs. high) of disposable income. Mental health was measured through the General Health Questionnaire-12. Explanatory variables covered areas of material conditions, job relations, violence, domestic burden, and healthcare contacts. Analysis of variance (Aim 1) and Blinder-Oaxaca decomposition analysis (Aim 2) were used. RESULTS: Significant mental health inequalities were found between dominant (high-income women and middle-income men) and subordinate (middle-income women and low-income men) middle groups. The health inequalities between adjacent middle groups were mostly explained by violence (mid-income women vs. men comparison); material conditions (mid- vs. low-income men comparison); and material needs, job relations, and unmet medical needs (high- vs. mid-income women comparison). CONCLUSIONS: The study suggests complex processes whereby dominant middle groups in the intersectional space of economic affluence and gender can leverage strategic resources to gain mental health advantage relative to subordinate ... |
format |
Article in Journal/Newspaper |
author |
Gustafsson, Per E. Sebastián, Miguel San Mosquera, Paola A. |
author_facet |
Gustafsson, Per E. Sebastián, Miguel San Mosquera, Paola A. |
author_sort |
Gustafsson, Per E. |
title |
Meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden |
title_short |
Meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden |
title_full |
Meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden |
title_fullStr |
Meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden |
title_full_unstemmed |
Meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden |
title_sort |
meddling with middle modalities : a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern sweden |
publisher |
Umeå universitet, Epidemiologi och global hälsa |
publishDate |
2016 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128399 https://doi.org/10.3402/gha.v9.32819 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Global Health Action, 1654-9716, 2016, 9, orcid:0000-0001-7134-8256 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128399 doi:10.3402/gha.v9.32819 PMID 27887668 ISI:000395820800001 Scopus 2-s2.0-85051069943 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.3402/gha.v9.32819 |
container_title |
Global Health Action |
container_volume |
9 |
container_issue |
1 |
container_start_page |
32819 |
_version_ |
1779318259209732096 |