Navigating Queer Street: Researching the Intersections of Lesbian,Gay,Bisexual and Trans (LGBT) Identities in Health Research

Abstract

Health researchers engaged in the project of identifying lesbian, gay, bisexual and trans (LGBT) health as a distinct topic for study have often emphasised the differences in health and health care from heterosexuals and similarities among LGBT people. This work has sometimes rendered invisible the experiences of disabled, black and minority ethnic and other groups and has contributed towards the homogenisation of LGBT communities. In this paper, intersection theory is used to explore how diverse identities and systems of oppression interconnect. As a theory, intersectionality requires complex and nuanced thinking about multiple dimensions of inequality and difference. Drawing on the work of Crenshaw (1993), I use three types of intersectionality: methodological, structural and political to explore how the meanings of being lesbian may be permeated by class and gender and how racism and heterosexism intersect in the lives of black and minority ethnic gay men and women. Intersection theory offers possibilities for understanding multiple inequalities without abandoning the politics of social movements.

Keywords

Intersection Theory Homogeneity Diversity Lesbian Gay Bisexual and Transgender Research Inequality Health

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References

Adib

, & Guerrier

(2003). The Interlocking of Gender with Nationality, Race, Ethnicity and Class: the Narratives of Women in Hotel Work. Gender, Work and Organization, 10(4), 413–432.

Bhugra

(1997). Coming out by South Asian gay men in the United Kingdom. Archives of Sexual Behavior, 26(5), 547–557.

Bloomfield

(1993). A Comparison of Alcohol-Consumption between Lesbians and Heterosexual Women in an Urban-Population. Drug & Alcohol Dependence, 33(3), 257–269.

Browne

, & Misra

(2003). The intersection of gender and race in the labor market. Annual Review of Sociology, 29, 487–513.

Cant

(2005). Exploring the implications for health professionals of men coming out as gay in healthcare settings. Health and Social Care in the Community, 14(1), 9–16.

Cant

(2006). Out for the counting. Diversity in Health and Social Care, 3(3): 161–162.

Cass

V. C.

(1979). Homosexual Identity Formation: A Theoretical Model. Journal of Homosexuality, 4(3), 219–235.

Cole Wilson

, & Allen

(1994). The Black Perspective. In E. Healey & A. Mason (Eds.), Stonewall 25: The Making of the Lesbian and Gay Community in Britain (pp. 112–136). London: Virago Press.

Crenshaw

(1989). Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory and Antiracist Politics. University of Chicago Legal Forum, 139–168.

10.

Crenshaw

(1993). Mapping the Margins: Intersectionality, Identity Politics, and Violence against Women of Color. Stanford Law Review, 43(6), 1241–1279.

11.

Diaz

R. M.

, Ayala

, Bein

D. E.

, Henne

, & Marin

B. V.

(2001). The Impact of Homophobia, Poverty, and Racism on the Mental Health of Gay and Bisexual Latino Men: Findings from 3 US Cities. American Journal of Public Health, 91(6), 927–932.

12.

Donaghy

T. B.

(2004) Mainstreaming: Northern Ireland's Participative Democratic Approach. Policy & Politics, 32(1), 49–62.

13.

Ehrenreich

, and English

(1973). Complaints and Disorders: The sexual politics of sickness. New York: The Feminist Press.

14.

Fevre

(2005). Social Capital and the Participation of Marginalised Groups in Government. Cardiff: Cardiff University. ESRC (R000239410).

15.

Fish

(2006). Heterosexism in Health and Social Care. Basingstoke: Palgrave.

16.

Fish

(2000). Sampling Issues in Lesbian and Gay Psychology: Challenges in Achieving Diversity. Lesbian and Gay Psychology Review, 1(2), p. 32–38.

17.

Fuss

(1991). Inside out: lesbian theories, gay theories. New York: Routledge.

18.

GALOP. (2001). The Low Down, Black Lesbians, Gay Men and Bisexual people talk about their experiences and needs. London: Galop.

19.

Gamson

, & Moon

(2004). The Sociology of Sexualities: Queer and Beyond. Annual Review of Sociology, 30, 47–64.

20.

Greaves

, Fish

, Graham

, Broderick

, Evans

, & Moore

(2007). The health and social care needs of lesbian, gay and bisexual people in Leicester. Leicester: Unpublished report submitted to the Leicester Public Health Partnership.

21.

Greene

(2003). Beyond heterosexism and across the cultural divide - developing an inclusive lesbian, gay and bisexual psychology: A look to the future. In L. Garnets & D. C. Kimmel (Eds.), Psychological perspectives on lesbian, gay, and bisexual experiences. New York, NY: Columbia University Press.

22.

Harding

(1987). Feminism and Methodology. Bloomington: Indiana University Press.

23.

Hickson

, Reid

, Weatherburn

, Stephens

, Nutland

, & Boakye

(2004) HIV, sexual risk, and ethnicity among men in England who have sex with men. Sexually Transmitted Infections, 80(6), 443–450.

24.

Hughes

T. L.

, Johnson

, & Wilsnack

S. C.

(2001). Sexual assault and alcohol abuse: A comparison of lesbians and heterosexual women. Journal of Substance Abuse, 13(4), 515–532.

25.

Keogh

, Weatherburn

, Henderson

, Reid

, Dodds

, & Hickson

(2004). Doctoring Gay Men: Exploring the contribution of General Practice. Portsmouth: Sigma Research.

26.

Kessler

, & McKenna

(2000). Gender Construction in Everyday Life. Feminism & Psychology, 10(1), 11–29.

27.

King

, McKeown

, Warner

, Ramsay

, Johnson

, Cort

, Wright

(2003). Mental health and quality of life of gay men and lesbians in England and Wales: Controlled, cross-sectional study. British Journal of Psychiatry, 183(6), 552–558.

28.

Kitzinger

(1987) The Social Construction of Lesbianism. London: Sage.

29.

Martin

J. L.

, & Dean

(1993). Developing a Community Sample of Gay Men for an Epidemiological Study of AIDS. In C. Renzetti & R. Lee (Eds.), Researching Sensitive Topics (pp. 82–99). Newbury Park, CA: Sage Publications.

30.

Mccall

(2005). The Complexity of Intersectionality. Signs: Journal of Women in Culture and Society, 30, 1771–1800.

31.

Mcdermott

(2006). Surviving in dangerous places: Lesbian identity performances in the workplace, social class and psychological health. Feminism and Psychology, 16(2), 193–211.

32.

Mcintosh

(1993). Queer theory and the war of the sexes. In J. Bristow & A. R. Wilson (Eds.), Activating theory: lesbian, gay, bisexual politics (pp. 30–52). London: Lawrence & Wishart.

33.

Mcmanus

(2003). Sexual Orientation Research Phase 1: A Review of Methodological Approaches. Retrieved 21 June 2007 from: <http://www.scotland.gov.uk/Publications/2003/03/16650/19351>

34.

Morris

, & Rothblum

(1999). Who Fills Out a Lesbian Questionnaire? The Interrelationship of Sexual Orientation, Sexual Experience with Women and Participation in the Lesbian Community. Psychology of Women Quarterly, 23(3), 537–557.

35.

Mullings

, & Schulz

A. J.

(2006). Intersectionality and health: An introduction. In A. J. Schulz & L. Mullings (Eds.), Gender, race, class and health: Intersectional approaches. San Francisco: CA: Jossey-Bass.

36.

Pollinger Haas

(1994). Lesbian Health Issues: An Overview. In A. Dan (Ed.), Reframing Women's Health: Multidisciplinary Research and Practice (pp. 339–356). Thousand Oaks, CA: Sage Publications.

37.

Roberts

S. A.

, Dibble

S. L.

, Scanlon

J. L.

, Steven

P. M.

, & Davids

(1998). Differences in Risk Factors for Breast Cancer: Lesbian and Heterosexual Women. Journal of the Gay & Lesbian Medical Association, 2(3), 93–101.

38.

Remafedi

, French

, Story

, Resnick

M. D.

, & Blum

(1998). The Relationship Between Suicide Risk and Sexual Orientation: Results of a Population-based Study. American Journal of Public Health, 88(1), 57–60.

39.

Scott

S. D.

, Pringle

, & Lumsdaine

(2004). Sexual Exclusion: Homophobia and Health Inequalities: A Review of Health Inequalities and Social Exclusion Experienced by Lesbian, Gay and Bisexual People. London: UK Gay Men's Health Network.

40.

Spelman

(1990). Inessential woman: problems of exclusion in feminist thought. London: The Women's Press.

41.

Solarz

(Ed.). (1999). Lesbian Health: Current Assessment and Directions for the Future. Institute of Medicine. Washington, DC: National Academy Press.

42.

Steinbugler

A. C.

, Press

J. E.

, & Johnson Dias

(2006). Gender, Race, and Affirmative Action: Operationalizing Intersectionality in Survey Research. Gender and Society, 20, 805–825.

43.

Taylor

(2005). The gap and how to mind it: Intersections of class and sexuality (research note). Sociological Research Online, 10(3) <http://www.socresonline.org.uk/10/3/taylor.html>.

44.

Valentine

(2007). Theorizing and Researching Intersectionality: A Challenge for Feminist Geography. Professional Geographer, 59(1), 10–21.

45.

Verloo

(2006). Multiple Inequalities, Intersectionality and the European Union. European Journal of Women's Studies, 13(3), 211–228.

46.

Weber

(2006). Reconstructing the landscape of health disparities research: Promoting dialogue between feminist intersectional approaches and biomedical paradigms. In A. J. Schulz & L. Mullings (Eds.), Gender, race, class and health: Intersectional approaches. San Francisco, CA: Jossey-Bass.

47.

WOMEN & EQUALITY UNIT., (2006). Getting Equal: Proposals to Outlaw Sexual Orientation Discrimination in the Provision of Goods and Services. London: DTI.

48.

Yip

(2004). Negotiating space with family and kin in identity construction: the narratives of British non-heterosexual Muslims. The Sociological Review, 52(3), 336–349.

49.

Young

I. M.

(1990). Justice and the politics of difference. Princeton, N.J.: Princeton University Press.

50.

Young

R. M.

, & Meyer

I. H.

(2005). The Trouble With “MSM” and “WSW”: Erasure of the Sexual-Minority Person in Public Health Discourse. American Journal of Public Health, 95(7), 1144–1149.

51.

Yuval-Davis

(2006). Intersectionality and Feminist Politics. European Journal of Women's Studies, 13(3), 193–209.