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

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Robards, F; Kang, M; Luscombe, G; Hawke, C; Sanci, L; Steinbeck, K; Zwi, K; Towns, S; Usherwood, TDate
2020-11-01Source Title
International Journal of Environmental Research and Public HealthPublisher
MDPIUniversity of Melbourne Author/s
Sanci, LenaAffiliation
General PracticeMetadata
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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), https://doi.org/10.3390/ijerph17218104.Access Status
Open AccessAbstract
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.
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