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Article

Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People

by
Fiona Robards
1,*,
Melissa Kang
1,2,
Georgina Luscombe
3,
Catherine Hawke
3,
Lena Sanci
4,
Katharine Steinbeck
5,
Karen Zwi
6,
Susan Towns
5,7 and
Tim Usherwood
1,8
1
Department of General Practice, Westmead Clinical School, The University of Sydney, Westmead 2145, Australia
2
Australian Centre for Public and Population Health Research, University of Technology Sydney, Ultimo 2007, Australia
3
School of Rural Health, The University of Sydney, Orange 2800, Australia
4
Department of General Practice, University of Melbourne, Carlton 2218, Australia
5
Discipline of Child and Adolescent Health, University of Sydney, Clinical School at The Children’s Hospital at Westmead NSW, Westmead 2145, Australia
6
School of Women’s and Children’s Health, The University of New South Wales, Sydney 2052, Australia
7
Department of Adolescent Medicine, Sydney Children’s Hospital Network, Westmead 2145, Australia
8
The George Institute for Global Health, University of New South Wales, Camperdown 2050, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(21), 8104; https://doi.org/10.3390/ijerph17218104
Submission received: 18 September 2020 / Revised: 22 October 2020 / Accepted: 2 November 2020 / Published: 3 November 2020
(This article belongs to the Special Issue Women, Patriarchy and Health Inequalities: An Unresolved Issue)
Review Reports Versions Notes

Abstract

Background: The aim of this study was to measure young people’s health status and explore associations between health status and belonging to one or more socio-culturally marginalised group. Methods: part of the Access 3 project, this cross-sectional survey of young people aged 12–24 years living in New South Wales, Australia, oversampled young people from one or more of the following groups: Aboriginal and or Torres Strait Islander; living in rural and remote areas; homeless; refugee; and/or, sexuality and/or gender diverse. This paper reports on findings pertaining to health status, presence of chronic health conditions, psychological distress, and wellbeing measures. Results: 1416 participants completed the survey; 897 (63.3%) belonged to at least one marginalised group; 574 (40.5%) to one, 281 (19.8%) to two and 42 (3.0%) to three or four groups. Belonging to more marginalised groups was significantly associated with having more chronic health conditions (p = 0.001), a greater likelihood of high psychological distress (p = 0.001) and of illness or injury related absence from school or work (p < 0.05). Conclusions: increasing marginalisation is associated with decreasing health status. Using an intersectional lens can to be a useful way to understand disadvantage for young people belonging to multiple marginalised groups.
Keywords: young people; adolescents; access to health care; marginalised youth; intersectionalities young people; adolescents; access to health care; marginalised youth; intersectionalities

Share and Cite

MDPI and ACS Style

Robards, F.; Kang, M.; Luscombe, G.; Hawke, C.; Sanci, L.; Steinbeck, K.; Zwi, K.; Towns, S.; Usherwood, T. Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People. Int. J. Environ. Res. Public Health 2020, 17, 8104. https://doi.org/10.3390/ijerph17218104

AMA Style

Robards F, Kang M, Luscombe G, Hawke C, Sanci L, Steinbeck K, Zwi K, Towns S, Usherwood T. Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People. International Journal of Environmental Research and Public Health. 2020; 17(21):8104. https://doi.org/10.3390/ijerph17218104

Chicago/Turabian Style

Robards, Fiona, Melissa Kang, Georgina Luscombe, Catherine Hawke, Lena Sanci, Katharine Steinbeck, Karen Zwi, Susan Towns, and Tim Usherwood. 2020. "Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People" International Journal of Environmental Research and Public Health 17, no. 21: 8104. https://doi.org/10.3390/ijerph17218104

APA Style

Robards, F., Kang, M., Luscombe, G., Hawke, C., Sanci, L., Steinbeck, K., Zwi, K., Towns, S., & Usherwood, T. (2020). Intersectionality: Social Marginalisation and Self-Reported Health Status in Young People. International Journal of Environmental Research and Public Health, 17(21), 8104. https://doi.org/10.3390/ijerph17218104

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