Intersectionality in Health Communication: How Health Communication Influences the Association Between Intersectional Discrimination and Health Information Seeking

J Health Commun. 2024 Dec;29(11-12):683-692. doi: 10.1080/10810730.2024.2426805. Epub 2024 Nov 10.

Abstract

With an intersectional orientation, we examine associations between discrimination, health communication, and information-seeking intention about HIV prevention in the context of pre-exposure prophylaxis (PrEP) among cisgender women through an online survey (N = 341). We elaborate on the idea that intersectional discrimination is a social determinant of health by considering the context with differing power relations-day-to-day life and the healthcare field-based on Bourdieu's field theory, and explore moderating roles of health communication in this relationship according to the structural influence model of communication (SIM). The relationships between intersectional discrimination and intention show different patterns by the context in which intersectional experiences are considered, and the relationships are moderated differently by the mode of health communication. We discuss how to conduct intersectionality-informed health communication research without sacrificing intersectionality's foundational foci.

Keywords: HIV prevention; Intersectionality; communication inequalities; discrimination; social determinants of health.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • HIV Infections* / prevention & control
  • Health Communication* / methods
  • Humans
  • Information Seeking Behavior*
  • Intention
  • Middle Aged
  • Pre-Exposure Prophylaxis
  • Social Determinants of Health
  • Surveys and Questionnaires
  • Young Adult