Integrating Intersectionality Into the Exposome Paradigm: A Novel Approach to Racial Inequities in Uterine Fibroids.

American Journal of Public Health
Ami R Zota, Brianna N VanNoy

Abstract

Intersectionality is a critical theoretical framework that emphasizes the influence of intersecting systems of oppression on the lived experiences of people marginalized by inequity. Although applications of intersectionality are increasing in public health, this framework is absent in environmental health, which has instead focused on the exposome, a paradigm that considers the totality of an individual's environmental exposures across the life course.Despite advancements in the biological complexity of exposome models, they continue to fall short in addressing health inequities. Therefore, we highlight the need for integrating intersectionality into the exposome. We introduce key concepts and tools for environmental health scientists interested in operationalizing intersectionality in exposome studies and discuss examples of this innovative approach from our work on racial inequities in uterine fibroids.Our case studies illustrate how interlocking systems of racism and sexism may affect Black women's exposure to environmental chemicals, their epigenetic regulation of uterine fibroids, and their clinical care. Because health relies on biological and social-structural determinants and varies across different intersectional posi...Continue Reading

References

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Jan 27, 2017·Annual Review of Public Health·Jeanette A StingoneSusan L Teitelbaum
Aug 20, 2017·American Journal of Obstetrics and Gynecology·Ami R Zota, Bhavna Shamasunder
Sep 26, 2017·Environmental Sociology·Laura SenierBridget Hanna
Aug 30, 2019·Environmental Health : a Global Access Science Source·Elizabeth A GibsonMarianthi-Anna Kioumourtzoglou
Mar 5, 2020·Epigenetics Insights·Ami R ZotaGaby N Moawad

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Citations

May 8, 2021·Journal of Exposure Science & Environmental Epidemiology·Robin E DodsonBhavna Shamasunder
May 21, 2021·Journal of Exposure Science & Environmental Epidemiology·Ami R Zota, Bhavna Shamasunder
Aug 20, 2021·Journal of Women's Health·Irene O Aninye, Melissa H Laitner

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