At the intersections: operationalizing intersectional thematic analysis in HIV prevention
DOI:
https://doi.org/10.11606/s1518-8787.2024058005728Keywords:
HIV, Intersectional Framework, Qualitative Research, MethodsAbstract
OBJECTIVE: This study aims to provide theoretical and methodological tools to assist in producing thematic analyses guided by an intersectional approach in empirically-based qualitative health studies. It argues that combining an intersectional perspective with thematic analysis can update the latter—which is quite popular in qualitative health investigations—regarding meaningful discussions about multiple and interconnected patterns of privilege and oppression that operate structurally and institutionally, producing experiences of relative disadvantage in individuals according to their gender, race/ethnicity, class, sexuality, generation, among other positions. METHODS: Based on an article that analyzed qualitative empirical data from a longitudinal demonstrative study on pre-exposure prophylaxis for HIV (PrEP) in adolescents and young people aged 15 to 19 years in two Brazilian capitals, this study discusses the limitations, challenges, and potentialities of the theoretical and methodological efforts undertaken by those authors. Additionally, this research that offers a proposal for operationalizing thematic analysis with intersectional sensitivity. RESULTS: It observed that triangulating techniques can enhance thematic analysis with intersectional sensitivity to produce qualitative data. Adopting an a priori intersectional proposal, starting from the research design phase, construction, and application of data production instruments with intersectional intentionality, enables the recognition of the relations between social markers in analytical categories. DISCUSSION: However, the absence of an intersectional theoretical-methodological perspective to conceive research and produce data fails to render intersectionality as a methodological tool unfeasible, although it may limit result analysis and discussion. Such limitations can be addressed by proposing intersectional assumptions and comparing the results with literature related to the theme and object of study.
References
Strauss A, Corbin J. Pesquisa qualitativa. Porto Alegre: Bookman; 2008.
Bradbury-Jones C, Breckenridge J, Clark MT, Herber OR, Wagstaff C, Taylor J. The state of qualitative research in health and social science literature: a focused mapping review and synthesis. Int J Soc Res Methodol. 2017 Nov 2;20(6):627-45. https://doi.org/10.1080/13645579.2016.1270583
Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013 Sep;15(3):398-405. https://doi.org/10.1111/nhs.12048
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101.
Humble N. Content analysis or thematic analysis: doctoral students’ perceptions of similarities and differences. Electron J Bus Res Methods. 2022 Nov 8;20(3):89-98. https://doi.org/10.34190/ejbrm.20.3.2920
Couto MT, Oliveira E, Separavich MAA, Oliveira E, Separavich MAA, Luiz OC. The feminist perspective of intersectionality in the field of public health: A narrative review of the theoreticalmethodological literature. Salud Colect. 2019 Mar;15(1):e1994.
Gkiouleka A, Huijts T, Beckfield J, Bambra C. Understanding the micro and macro politics of health: Inequalities, intersectionality & institutions – A research agenda. Soc Sci Med. 2018;200:92-8. https://doi.org/10.1016/j.socscimed.2018.01.025
Kelly C, Kasperavicius D, Duncan D, Etherington C, Giangregorio L, Presseau J, et al. “Doing’’ or “using’’ intersectionality? Opportunities and challenges in incorporating intersectionality into knowledge translation theory and practice.”’ Int J Equity Health. 2021;20(1):187.
Carbado DW, Crenshaw KW, Mays VM, Tomlinson B. Intersectionality: mapping the movements of a theory. Du Bois Rev Soc Sci Res Race. 2013 Jan 3;10(2):303-12. https://doi.org/10.1017/S1742058X13000349
Dhamoon RK. Considerations on Mainstreaming Intersectionality. Polit Res Q. 2011 Mar 22;64(1):230-43. https://doi.org/10.1177/1065912910379227
Prins B. Narrative Accounts of Origins. Eur J Women’s Stud. 2006 Aug 24;13(3):277-90. https://doi.org/10.1177/1350506806065757
Collins PH, Bilge S. Intersectionality. Cambridge: John Wiley & Sons; 2020.
Bauer GR. Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Soc Sci Med. 2014;110:10-7. https://doi.org/10.1016/j.socscimed.2014.03.022
Abrams JA, Tabaac A, Jung S, Else-Quest NM. Considerations for employing intersectionality in qualitative health research. Soc Sci Med. 2020 Aug 1;258:113138. https://doi.org/10.1016/j.socscimed.2020.113138
Bowleg L. Evolving intersectionality within public health: from analysis to action. Am J Public Health. 2021 Jan;111(1):88-90. https://doi.org/10.2105%2FAJPH.2020.306031
Marques ALM, Couto M. Políticas de drogas en el contexto brasileño: un análisis interseccional de “Cracolandia” en San Pablo, Brasil. Salud Colect. 2020 Aug 24;16. https://doi.org/10.18294/sc.2020.2517
Dutta M, Agarwal D, Sivakami M. The “invisible” among the marginalised: Do gender and intersectionality matter in the Covid-19 response? Indian J Med Ethics. 2020 Nov;5(4):302-8. https://doi.org/10.20529/IJME.2020.086
Corrêa MD, Moura L, Almeida LP, Zirbel I. As vivências interseccionais da violência em um território vulnerável e periférico. Saúde soc. 2021;30(2). https://doi.org/10.1590/S0104-12902021210001
Christensen AD, Jensen SQ. Doing Intersectional Analysis: Methodological Implications for Qualitative Research. NORA - Nord J Fem Gend Res [Internet]. 2012 Jun;20(2):109-25. https://doi.org/10.1080/08038740.2012.673505
Watkins-Hayes C. Intersectionality and the sociology of HIV/AIDS: Past, present, and future research directions. Annu Rev Sociol. 2014;40:431-57. https://doi.org/10.1146/annurev-soc-071312-145621
Dworkin SL. Who is epidemiologically fathomable in the HIV/AIDS epidemic? Gender, sexuality, and intersectionality in public health. Cult Health Sex. 2005 Nov;7(6):615-23. https://doi.org/10.1080/13691050500100385
Bredström A. Intersectionality: a challenge for feminist HIV/AIDS research?. Eur J Women’s Stud. 2006 Aug 24;13(3):229-43. https://doi.org/10.1177/1350506806065754
Olofsson A, Zinn JO, Griffin G, Nygren KG, Cebulla A, Hannah-Moffat K. The mutual constitution of risk and inequalities: intersectional risk theory. Health Risk Soc. 2014 Jul;16(5):417-30. https://doi.org/10.1080/13698575.2014.942258
Santos LAA, Unsain RAFAF, Brasil SAA, Silva LAVAV, Duarte FMM, Couto MTT. PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis. Cad Saúde Pública. 2023;39(Suppl 1):1-13. https://doi.org/10.1590/0102-311XEN134421
Dourado I, Magno L, Greco DB, Zucchi EM, Ferraz D, Westin MR, Grangeiro A. Interdisciplinarity in HIV prevention research: the experience of the PrEP1519 study protocol among adolescent MSM and TGW in Brazil. Cad Saude Publica. 2023;39(Suppl 1). https://doi.org/10.1590/0102-311XEN143221
Couto MT, Unsain RF, Zucchi EM, Ferraz DAS, Escorse M, Silveira RA, Grangeiro A. Territorialidades, desplazamientos, performatividades de géneros y sexualidades: juventudes LGBTQIA+ en las áreas suburbanas de la ciudad de São Paulo, Brasil. Sex Salud y Soc (Rio J.). 2021;(37). https://doi.org/10.1590/1984-6487.sess.2021.37.e21212a
Hancock AM. Intersectionality as a normative and empirical paradigm. Polit Gend. 2007;3(2):248-54. https://doi.org/10.1017/S1743923X07000062
Moradi B, Grzanka PR. Using intersectionality responsibly: Toward critical epistemology, structural analysis, and social justice activism. J Couns Psychol. 2017 Oct;64(5):500-13.
Wyatt TR, Johnson M, Zaidi Z. Intersectionality: a means for centering power and oppression in research. Adv Heal Sci Educ. 2022 Aug 2;27(3):863-75. https://doi.org/10.1007/s10459-022-10110-0
Gloria Holguín Cuádraz LU. Intersectionality and In-depth Interviews: methodological strategies for analyzing race, class, and gender. Race, Gend Cl. 1999;6(3):156-86.
Bourdieu P, Chamboredon J, Passeron J. Ofício de Sociólogo: Metodologia da pesquisa na sociologia. Petrópolis: Vozes; 2015.
Cho S, Crenshaw KW, McCall L. Toward a field of intersectionality studies: theory, applications, and praxis. Signs J Women Cult Soc. 2013;38:785-810.
Agamben G. Medios sin fin: notas sobre la política. Buenos Aires: Pre-Textos; 2001.
Bowleg L. When Black + lesbian + woman ≠ Black lesbian woman: The methodological challenges of qualitative and quantitative intersectionality research. Sex Roles. 2008 Sep;59(5-6):312-25.
Vigoya, MV. La interseccionalidad: una aproximación situada a la dominación. Debate feminista, 2016;52:1-17. https://doi.org/10.1016/j.df.2016.09.005
Bowleg L. Towards a critical health equity research stance: why epistemology and methodology matter more than qualitative methods. Heal Educ Behav. 2017 Oct 9;44(5):677-84. https://doi.org/10.1177/1090198117728760
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Copyright (c) 2024 Cristiane Spadacio, Lorruan Alves dos Santos, Ramiro Andres Fernandez Unsain, Isa da Silva Sorrentino, Marcia Thereza Couto
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