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This is because these fundamental axes of inequality in contemporary societies are considered to be intrinsically entwined they mutually constitute and reinforce one another and as such cannot be disentangled from one another. Intersectionality theory, an influential theoretical tradition inspired by the feminist and antiracist traditions, demands that inequalities by race, gender, and class (and sexuality as well) be considered in tandem rather than distinctly. When statistical interactions such as these have received analytical attention - for example, whether class influences health differently for Canadian men and women - they have not been adequately theorized. Whether class influences health differently for visible minority Canadians and White Canadians or race influences health differently for men and women, for example, has not yet been investigated. Consistent with traditional sociological understandings of social inequality, these axes of inequality have for the most part been considered individually, with researchers only considering potential interconnectedness when investigating whether class mediates associations between race and health or gender and health.
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Sizeable health inequalities by race, gender and class have been recorded in Canada. I conclude that an intersectionality theory well suited for explicating health inequalities in Canada should be capable of accommodating axis intersections of multiple kinds and qualities. ConclusionsĪlthough a variety of intersections between race, gender, class, and sexual orientation were associated with especially high risks of fair/poor self-rated health, they were not all consistent with the predictions of intersectionality theory. However, each axis of inequality interacted significantly with at least one other: multiple jeopardy pertained to poor homosexuals and to South Asian women who were at unexpectedly high risks of fair/poor self-rated health and mitigating effects were experienced by poor women and by poor Asian Canadians who were less likely than expected to report fair/poor health.
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Resultsįrom an additive perspective, poor self-rated health outcomes were reported by respondents claiming Aboriginal, Asian, or South Asian affiliations, lower class respondents, and bisexual respondents.
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The intersectional stage involved consideration of two-way and three-way interaction terms between the inequality variables added to the full additive model created in the previous stage. The additive stage involved regressing self-rated health on race, gender, class, and sexual orientation singly and then as a set. The Canadian Community Health Survey 2.1 (N = 90,310) provided nationally representative data that enabled binary logistic regression modeling on fair/poor self-rated health in two analytical stages. In this paper, the intersectionality principles of "directionality," "simultaneity," "multiplicativity," and "multiple jeopardy" are applied to inequalities in self-rated health by race, gender, class, and sexual orientation in a Canadian sample. Intersectionality theory, a way of understanding social inequalities by race, gender, class, and sexuality that emphasizes their mutually constitutive natures, possesses potential to uncover and explicate previously unknown health inequalities.