Webbläsaren som du använder stöds inte av denna webbplats. Alla versioner av Internet Explorer stöds inte längre, av oss eller Microsoft (läs mer här: * https://www.microsoft.com/en-us/microsoft-365/windows/end-of-ie-support).

Var god och använd en modern webbläsare för att ta del av denna webbplats, som t.ex. nyaste versioner av Edge, Chrome, Firefox eller Safari osv.

Bild på Shai Mulinari. Privat bild.

Shai Mulinari

Docent och Forskare

Bild på Shai Mulinari. Privat bild.

Categorical and anti-categorical approaches to US racial/ethnic groupings: revisiting the National 2009 H1N1 Flu Survey (NHFS)

Författare

  • Shai Mulinari
  • Maria Wemrell
  • Björn Rönnerstrand
  • SV Subramanian
  • Juan Merlo

Summary, in English

Intersectionality theory calls for the understanding of race/ethnicity, sex/gender and class as interlinked. Intersectional analysis can contribute to public health both through furthering understanding of power dynamics causing health disparities, and by pointing to heterogeneities within, and overlap between, social groups. The latter places the usefulness of social categories in public health under scrutiny. Drawing on McCall we relate the first approach to categorical and the second to anti-categorical intersectionality. Here, we juxtapose the categorical approach with traditional between-group risk calculations (e.g. odds ratios) and the anti-categorical approach with the statistical concept of discriminatory accuracy (DA), which is routinely used to evaluate disease markers in epidemiology. To demonstrate the salience of this distinction, we use the example of racial/ethnic identification and its value for predicting influenza vaccine uptake compared to other conceivable ways of organizing attention to social differentiation. We analyzed data on 56,434 adults who responded to the NHFS. We performed logistic regressions to estimate odds ratios and computed the area under the receiver operating characteristic curve (AU-ROC) to measure DA. Above age, the most informative variables were education and household poverty status, with race/ethnicity providing minor additional information. Our results show that the practical value of standard racial/ethnic categories for making inferences about vaccination status is questionable, because of the high degree of outcome variability within, and overlap between, categories. We argue that, reminiscent of potential tension between categorical and anti-categorical perspectives, between-group risk should be placed and understood in relationship to measures of DA, to avoid the lure of misguided individual-level interventions.

Avdelning/ar

  • Sociologi
  • Socialepidemiologi
  • EpiHealth: Epidemiology for Health

Publiceringsår

2018

Språk

Engelska

Sidor

177-189

Publikation/Tidskrift/Serie

Critical Public Health

Volym

28

Issue

2

Dokumenttyp

Artikel i tidskrift

Förlag

Taylor & Francis

Ämne

  • Public Health, Global Health, Social Medicine and Epidemiology
  • Sociology (excluding Social Work, Social Psychology and Social Anthropology)

Nyckelord

  • Epidemiology
  • Ethnicity
  • Race
  • Racism
  • Intersectionality
  • Vaccination
  • discriminatory accuracy

Status

Published

Projekt

  • Swedish genes?
  • The dilemma of the swine flu vaccine
  • Multilevel analysis of individual heterogeneity
  • Social Pharmacoepidemiology

Forskningsgrupp

  • Social Epidemiology

ISBN/ISSN/Övrigt

  • ISSN: 0958-1596