Health Inequities in Canada
Intersectional Frameworks and Practices
Unequal access to health care is a problem in Canada much studied by journalists, academics, and policy makers. There is a growing recognition that existing theories on, and approaches to, health inequities are limited in their ability to capture how these inequities are produced through changing, co-constituted, and intersecting effects of multiple forms of oppression.
Intersectionality offers itself as a research paradigm capturing the complexities of illness and care, and this volume brings together Canadian activists, community-based researchers, and scholars from a range of disciplines to apply interpretations of intersectionality to cases in Indigenous health, mental health, migration health, community health, and organizational governance. By addressing specific health issues including cardiovascular disease, dementia, post-traumatic stress disorder, diabetes, and violence, this book advances methodological applications of intersectionality in health research, policy, and practice. The authors ultimately reveal how multiple variables are influencing health and healing in Canada – not simply race, class, and gender but also age, religion, geography and place, and the state of the economy.
Most importantly, it demonstrates that health inequities cannot be understood or addressed without the interrogation of power and diverse social locations and structures that shape lives and experiences of health.
Health Inequities in Canada will appeal not only to students, community-based researchers, and scholars in multiple disciplines who are interested in health and healing in Canada but also to those in the international community who are examining intersectionality in their own research and practice.
This volume identifies research and policy that effectively address the stubborn persistence of health inequalities in Canada, the United States, and across the globe. In their overview and critique of intersectionality and in the quality and focus of the essays in the volume, the authors offer the best compilation to date of the potential, practice, and theory of intersectionality and health. This book is a first – and will become a foundational text as the field grows.
Olena Hankivsky is an associate professor of public policy at Simon Fraser University and co-director of the Institute for Critical Studies in Gender and Health.
Contributors: Annette Bailey, Jennifer Black, Annette J. Browne, Natalie Clark, Rita Kaur Dhamoon, Parin Dossa, Isabel Dyck, Alycia Fridkin, Marilyn Ford Gilboe, Tahira Gonsalves, Margo Greenwood, Olena Hankivsky, Jill Hanley, Louise Hara, Wendy Hulko, Sarah Hunt, Ilene Hyman, Connie Kaweesi, Nazilla Khanlou, Sheryl Reimer Kirkham, Karen M. Kobayashi, Shari Laliberté, Robin LeDrew, Jo-Anne Lee, Sarah de Leeuw, Marina Morrow, Jacqueline Oxman-Martinez, Bernie Pauly, Pamela Ponic, Steven G. Prus, Colleen Reid, Katherine R. Rossiter, Joan Samuels-Dennis, Sonya Sharma, Alison Sum, Colleen Varcoe, Gerry Veenstra, and Bilkis Vissandjée
Introduction: Purpose, Overview, and Contribution / Olena Hankivsky, Sarah de Leeuw, Jo-Anne Lee, Bilkis Vissandjée, and Nazilla Khanlou
1 Why the Theory and Practice of Intersectionality Matter to Health Research and Policy / Rita Kaur Dhamoon and Olena Hankivsky
Part 1: Theoretical and Methodological Innovations / Edited by Sarah de Leeuw and Olena Hankivsky
2 Beyond Borders and Boundaries: Addressing Indigenous Health Inequities in Canada through Theories of Social Determinants of Health and Intersectionality / Sarah de Leeuw and Margo Greenwood
3 A Cross-Cultural Quantitative Approach to Intersectionality and Health: Using Interactions between Gender, Race, Class, and Neighbourhood to Predict Self-Rated Health in Toronto and New York City / Jennifer Black and Gerry Veenstra
4 Performing Intersectionality: The Mutuality of Intersectional Analysis and Feminist Participatory Action Health Research / Colleen Reid, Pamela Ponic, Louise Hara, Connie Kaweesi, and Robin LeDrew
5 Adding Religion to Gender, Race, and Class: Seeking New Insights on Intersectionality in Health Care Contexts / Sheryl Reimer-Kirkham and Sonya Sharma
Part 2: Intersectionality Research across the Life Course / Edited by Nazilla Khanlou and Olena Hankivsky
6 Navigating the Crossroads: Exploring Young Women’s Experiences of Health Using an Intersectional Framework / Natalie Clark and Sarah Hunt
7 Exploring Health and Identity through Photovoice, Intersectionality, and Transnational Feminisms: Voices of Racialized Young Women / Jo-Anne Lee and Alison Sum
8 An Intersectional Understanding of Youth Cultural Identities and Psychosocial Integration: Why It Matters to Mental Health Promotion in Immigrant-Receiving Pluralistic Societies / Nazilla Khanlou and Tahira Gonsalves
9 Adopting an Intersectionality Perspective in the Study of the Healthy Immigrant Effect in Mid- to Later Life / Karen M. Kobayashi and Steven G. Prus
10 Intersectionality in the Context of Later Life Experiences of Dementia / Wendy Hulko
Part 3: Social Context, Policy, and Health / Edited by Bilkis Vissandjée and Olena Hankivsky
11 An Intersectional Lens on Various Facets of Violence: Access to Health and Social Services for Women with Precarious Immigration Status / Jacqueline Oxman-Martinez and Jill Hanley
12 Place, Health, and Home: Gender and Migration in the Constitution of Healthy Space / Parin Dossa and Isabel Dyck
13 Preventing and Managing Diabetes: At the Intersection of Gender, Ethnicity, and Migration / Bilkis Vissandjée and Ilene Hyman
14 Intersectionality Model of Trauma and Post-Traumatic Stress Disorder / Joan Samuels-Dennis, Annette Bailey, and Marilyn Ford-Gilboe
Part 4: Disrupting Power and Health Inequities / Edited by Jo-Anne Lee and Olena Hankivsky
15 Addressing Trauma, Violence, and Pain: Research on Health Services for Women at the Intersections of History and Economics / Annette J. Browne, Colleen Varcoe, and Alycia Fridkin
16 Intersectional Frameworks in Mental Health: Moving from Theory to Practice / Katherine R. Rossiter and Marina Morrow
17 Intersectionality, Justice, and Influencing Policy / Colleen Varcoe, Bernadette Pauly, and Shari Laliberté
18 Intersectional Feminist Frameworks in Practice: CRIAW’s Journey toward Intersectional Feminist Frameworks, Implications for Equity in Health / Jo-Anne Lee
Afterword / Olena Hankivsky
List of Contributors
Community Mental Health in Canada, Revised and Expanded Edition
Theory, Policy, and Practice
By Simon Davis
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