Burgess, Rochelle A;
Chobhthaigh, Sorcha Ní;
Biswal, Bijayalaxmi;
Ceccolini, Diana;
Fadipe, Babatunde;
Khan, Denaneer;
Aggarwal, Neena;
... Lund, Crick; + view all
(2024)
Intersectional discrimination, exclusion and the socio-political economy of global mental health: A Systematic Scoping Review of the Literature.
SSM - Mental Health
, Article 100382. 10.1016/j.ssmmh.2024.100382.
(In press).
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Abstract
Social determinants literature has reinforced the importance of social landscapes to poor mental health. However, such frameworks face critique linked to their limited acknowledgement of structural determinants and complex social processes which establish the patterns of disease. In this scoping review, we explore the extent to which the current mental health evidence base acknowledges the impact of structural determinants of mental health outcomes, via the mechanism of discrimination - linked to a range of commonly underexplored socio-political and economic factors (Protocol registrationDOI:10.17605/OSF.IO/CGJQH). We included nine social phenomena widely acknowledged in social theory as contributing to the patterning of social determinants : (1) Political Dynamics, (2) Racism, Caste & Xenophobia, (3) Gender & Sexuality, (4) Neighbourhood Dynamics, (5) Class & Working conditions, (6) Colonialism, (7) Indigeneity, (8) Religious & Spiritual Identities (9) Age & Disability. We explored these factors intersectionally, including studies with two or more factors in their analyses. Findings are reported using the PRISMA extension for Scoping Reviews Checklist. We screened 27,003 records with 118 papers meeting inclusion criteria. We found no papers exploring caste-based discrimination in relation to the factors in our framework and very few exploring discrimination linked to indigeneity, colonialism, religious institutions, and language. The majority of studies focused on racism and its intersections with sexuality, gender and working conditions. We found a near balance in qualitative and quantitative approaches to exploring intersectoral discrimination. Common mental disorders were the most explored across all studies. Based on our findings the field appears to still be in its infancy in terms of engaging with intersecting forms of discrimination as a key mechanism driving the mental health consequences of many social and structural determinants. We articulate critical implications for research noting the necessity of research that explicitly names structural factors and acknowledges their intersections in people's lives, and frameworks that support this.
| Type: | Article |
|---|---|
| Title: | Intersectional discrimination, exclusion and the socio-political economy of global mental health: A Systematic Scoping Review of the Literature |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.ssmmh.2024.100382 |
| Publisher version: | https://doi.org/10.1016/j.ssmmh.2024.100382 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Socio-political economy; global mental health; intersectionality; discrimination; social determinants of mental health |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10202877 |
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