Abstract Background Health-related stigma is a complex phenomenon, the experience of which intersects with those of other adversities arising from a diversity of social inequalities and oppressive identities like gender, sexuality, and poverty – a concept called “intersectionality”. Understanding this intersectionality between health-related stigma and other forms of social marginalization can provide a fuller and more comprehensive picture of stigma associated with health conditions. The main objective ...

The concept of intersectionality is reviewed and further developed for more effective use. Six dilemmas in the debates on the concept are disentangled, addressed and resolved: the distinction between structural and political intersectionality; the tension between ‘categories’ and ‘inequalities’; the significance of class; the balance between a fluidity and stability; the varyingly competitive, cooperative, hierarchical and hegemonic relations between inequalities and between projects; and the conundrum of ‘visibility’ in the tension between the...

Intersectionality has emerged as an important framework for understanding and responding to health inequities by making visible the fluid and interconnected structures of power that create them. It promotes an understanding of the dynamic nature of the privileges and disadvantages that permeate health systems and affect health. It considers the interaction of different social stratifiers (e.g. ‘race’/ ethnicity, indigeneity, gender, class, sexuality, geography, age, disability/ability, migration status, religion) and the power structures that und...

Interest in and applications of intersectionality have grown exponentially in popularity over the last 15 years. Scholars across the globe from a variety of disciplines, including sociology, political science, health sciences, geography, philosophy and anthropology, as well as in feminist studies, ethnic studies, queer studies and legal studies, have drawn on intersectionality to challenge inequities and promote social justice. This practice has also extended to policy makers, human rights activists and community organizers search - ing ...

Th e Equity Action Framework1 is designed to support individuals and groups that want to advance racial equity in early childhood systems. Th e goal of a racial equity approach is to develop policies, practices, and programs that provide opportunities, promote fairness and access, and remediate racial inequities. Whether working at national, state, county, or municipal levels of government, in private-public partnerships, community organizations, foundations or other entities, the Equity Action Framework provides an intentional process for...

This report from the Robert Wood Johnson Foundation aims to stimulate discussion and promote greater consensus about the meaning of health equity and the implications of acting on it. The goal of the report is to identify essential elements to guide effective action rather than to encourage all practitioners to use the same words to define health equity. The report notes that definitions can matter and that, in the case of health equity, clarity is important, especially given that working towards equity is a struggle that must engage diverse st...

Despite large gains in health over the past few decades, the distribution of health risks worldwide remains extremely and unacceptably uneven. Although the health sector has a crucial role in addressing health inequalities, its efforts often come into conflict with powerful global actors in pursuit of other interests such as protection of national security, safeguarding of sovereignty, or economic goals. This is the starting point of The Lancet–University of Oslo Commission on Global Governance for Health. With globalisation, health inequity i...

This paper develops the idea of health justice as a plural conception. It draws on the literature on justice from philosophy and economics, and investigates its application and reach in the space of health. Several distinctions are invoked in identifying and contrasting different facets of health justice and injustice. These include active versus passive injustice; process fairness versus substantive justice; comparative versus noncomparative justice; compensatory and distributive justice. Within distributive justice, the health implications of...

This special issue of the Journal of Human Development and Capabilities focuses on two areas of substantial and growing importance to the human development and capability approach: disability and health. The research on disability, health and the capability approach has been diverse in the topics it covers, and the conceptual frameworks and methodologies it uses, beginning over a decade and a half ago in health (Ruger 1998) and more than a decade ago in disability (Baylies 2002).1 We are pleased to share a set of articles in these two are...

The health of individuals and populations is influenced by many variables. These include genetics and biology, but perhaps more important than these are the social determinants of health. The social, political and economic circumstances in which people live their lives are critical in determining how long they live and with what burden of ill health. These differences are very marked between countries, for example a 15-year-old boy in Lesotho has about a 10% chance of living until the age of 60, compared with a 15-year-old boy in Swede...

Recently we argued that social justice is concerned with human well-being, which is best understood as involving plural, irreducible dimensions, each of which represents something of independent moral significance. Health is one of these distinct dimensions of well-being, as is personal security, the development and exercise of cognitive capacities for reasoning, living under conditions of social respect, developing and sustaining deep personal attachments, and being able to lead self-determining lives. In this paper, we address why considerati...

I argue for a conception of health as a person’s ability to achieve or exercise a cluster of basic human activities. These basic activities are in turn specified through free-standing ethical reasoning about what constitutes a minimal conception of a human life with equal human dignity in the modern world. I arrive at this conception of health by closely following and modifying Lennart Nordenfelt’s theory of health which presents health as the ability to achieve vital goals. Despite its strengths I transform Nordenfelt’s argument in order to ove...