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Intersectionality as a lens for achieving kidney health justice

Individuals who are members of multiple marginalized populations experience multiple axes of oppression and discrimination. Such intersectional discrimination can have interactive, negative effects on all aspects of life, including health. To achieve health equity, intersectional-discrimination-induced kidney harms must be examined, measured and mitigated.

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References

  1. Eckenrode, H. E., Gutierrez, O. M., Osis, G., Agarwal, A. & Curtis, L. M. Kidney disease prevalence in transgender individuals. Clin. J. Am. Soc. Nephrol. 17, 280–282 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  2. Collins, P. H. Black feminist thought in the matrix of domination. Black Fem. Thought Knowl. Conscious Polit. Empower. 138, 221–238 (1990).

    Google Scholar 

  3. Smothers, L., Patzer, R. E., Pastan, S. O., DuBay, D. & Harding, J. L. Gender disparities in kidney transplantation referral vary by age and race: a multiregional cohort study in the southeast United States. Kidney Int. Rep. 7, 1248 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  4. Barrett, T. M. et al. Disparities in discussions about kidney replacement therapy in CKD care. Kidney360 3, 158–163 (2022).

    Article  PubMed  Google Scholar 

  5. Wesson, P. et al. Intercategorical and intracategorical experiences of discrimination and HIV prevalence among transgender women in San Francisco, CA: a quantitative intersectionality analysis. Am. J. Public Health 111, 446–456 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Testa, R. J., Habarth, J., Peta, J., Balsam, K. & Bockting, W. Development of the gender minority stress and resilience measure. Psychol. Sex Orientat. Gend. Divers. 2, 65 (2015).

    Article  Google Scholar 

  7. Chodzen, G., Hidalgo, M. A., Chen, D. & Garofalo, R. Minority stress factors associated with depression and anxiety among transgender and gender-nonconforming youth. J. Adolesc. Health 64, 467–471 (2019).

    Article  PubMed  Google Scholar 

  8. Lett, E. et al. Sexual behaviors associated with HIV transmission among transgender and gender diverse young adults: the intersectional role of racism and transphobia. AIDS Behav. 26, 3713–3725 (2022).

    Article  PubMed  Google Scholar 

  9. Scheim, A. I. & Bauer, G. R. The intersectional discrimination index: development and validation of measures of self-reported enacted and anticipated discrimination for intercategorical analysis. Soc. Sci. Med. 226, 225–235 (2019).

    Article  PubMed  Google Scholar 

  10. Lunyera, J. et al. Life course socioeconomic status, allostatic load, and kidney health in Black Americans. Clin. J. Am. Soc. Nephrol. 15, 341–348 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Elle Lett or Dinushika Mohottige.

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Lett, E., Logie, C.H. & Mohottige, D. Intersectionality as a lens for achieving kidney health justice. Nat Rev Nephrol 19, 353–354 (2023). https://doi.org/10.1038/s41581-023-00715-y

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