From: “Applying Intersectionality in designing and implementing health interventions: a scoping review”
Author (year) | Title | Country | Design | Social identities/conditions | Sample size | Sample Characteristics | Intervention/Service | Outcomes | Key findings |
---|---|---|---|---|---|---|---|---|---|
David et al. [19] | Safety, Trust, and Treatment: Mental Health Service Delivery for Women Who Are Homeless | USA | Non interventional | -Gender (Women) -Homelessness -Substance use or co-morbid substance use and mental illness | Over 300 | Race/ethnicity: white(36.2%), black (53.6%), Hispanic/Latina(12.2%), Native American(1.2%), and other(1.2%). Age: 18–34 (30%) 35–55 (64%), 56 ≤ (6%) | gender-specific and culturally informed services that were provided by peer mentors for example assisting clients with finding transportation, learning bus schedules, or practicing for a driver’s license test; making and attending medical and behavioral health appointments,.. | Psychosocial functioning -days of drug use - depression, anxiety, and hallucinations - the rate of employment, attendance at treatment related appointments | -significant reductions in days of drug use, depression, anxiety, and hallucinations -higher rates of employment, attendance at treatment-related appointments, and job training programs at follow-up - 55% of the program participants were placed in housing - Four principles that guide the effective provision of services to these women include: (1) the use of peer support, (2) provision of flexible resources in alow demand environment, (3) supportive program leadership, and (4) treatment delivered for and by women. |
Kelly & Pich [20] | Community-based PTSD Treatment for Ethnically Diverse Women Who Experienced Intimate Partner Violence: A Feasibility Study | USA | pretest/post-test intervention | -Gender (Women) -Immigrant -Race/ ethnicity -IPV -PTSD | 22 | Age: 36.7 (Range:19–58) Education (years): 10.7 (0–14) Years in USA: 17.9 (7–40) Time with abuser (years): 6.2 (1–17) Separated from abuser (months): 9.3 (2–24) Immigration status Group 1: Spanish-speaking immigrants: Legal resident: 3 Undocumented: 7 Groups 2–3: English proficiency: Spanish-speaking group US citizen: 12 None to minimal: 6 Moderate to fluent: 4 | -The initial intervention consisted of 6–10 sessions of weekly psychotherapy groups, using a synthesis of supportive psychotherapy,including psycho-education and self-care strategies. -The initial intervention was revised for the third group, with the addition of ACT. | -PTSD symptoms -Depression symptoms -HrQOL -Self rated health -Self efficacy -Social support | Compared to the baseline, PTSD symptoms had decreased at 6 months post-intervention (p = 0.003); depression symptoms decreased at all post-intervention time-points (2 weeks (p ≤ 0.002), 3 months (p ≤ 0.004), and 6 months post- intervention (p ≤ 0.000)); Self-reported mental health-related QoL improved at 3 months (p = 0.013) and 6 months post intervention (p = 0.003); and Self-efficacy significantly improved at 6-month follow-up (p = 0.020). Improvement of physical health-related QoL and perceived social support scores at each time-point compared with baseline were not statistically significant. |
Montgomery [21] | Adapting a Brief Evidence-Based Intervention for Text Message Delivery to Young Adult Black Women | USA | Phase 2: RCT | -Gender (women) -Age (young adult) -Ethnicity (black) | Baseline Surveys Submitted (n = 92); Randomized to the Intervention Group(n = 45) & control group(n = 47) | Age: 21.07 ± 1.73 (Range: 18–24) Ethnicity: Black Gender: Female Education: Some college, but no bachelor degree (59.1%) Employment: Employed, working 1–39 h per week (65.9%) | sending 24 text message (Intervention Group: regarding sexual health; Control group: regarding diet and exercise) | -Primary outcome: Condom use -Secondary Outcomes: • condom use self-efficacy • condom use intentions • sexual relationship power | -Between baseline and follow-up, condom use frequency increased among participants in both study groups. However, there was no significant time by group interaction. Furthermore, while condom use self-efficacy and intention significantly increased among participants in both groups, no time by group interaction was found. Intention was identified as a main predictor of condom use at baseline and follow-up. |
Kisler [22] | Minority Stress and HIV Risk Behavior among HIV-Positive Bisexual Black Men with Histories of Childhood Sexual Abuse | USA | RCT | -Gender(Men) -Disease (HIV-positive) -Ethnicity (Black) -Sexual Orientation (Men sex with men and women) | Baseline (n = 117); The ES-HIM intervention condition / the HP control condition sample included 88 (44 per condition) | Age: 45.77 ± 8.81 (Range:24–67) Ethnicity: Black Gender: male Education: High school diploma (35.9%) Employment: Unable to work or disabled (55.2%) Monthly Income: $833–$1042 (38.9%) Marital Status: Never married (75%) | Providing group discussions (intervention condition: topics related to reducing HIV risk behavior and symptoms of depression and posttraumatic stress; Control condition: topics related to general health and medication adherence) | - HIV risk behavior (Main outcome) -Perceived Internalized racism -Perceived internalized homophobia | -Internalized racism did not decrease over the four time points for either the group as a whole, or by intervention condition. -Internalized homophobia, significantly diminished over the four time points for the group as a whole, but no differences between the ES-HIM intervention and Health Promotion control condition were found. -Finally, frequency of HIV risk behavior (i.e., intercourse without a condom) also decreased from baseline to post-intervention assessment for the group as a whole, but no intervention effects were found. |