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Sizeable health inequalities by race [1, 2], gender [3, 4] and class [5] have been recorded in Canada. Consistent with traditional sociological understandings of social inequality, these axes of inequality have for the most part been considered individually, with researchers only considering potential interconnectedness when investigating whether class mediates associations between race and health or gender and health. Whether class influences health differently for visible minority Canadians and White Canadians or race influences health differently for men and women, for example, has not yet been investigated. When statistical interactions such as these have received analytical attention - for example, whether class influences health differently for Canadian men and women [3] - they have not been adequately theorized. Intersectionality theory, an influential theoretical tradition inspired by the feminist and antiracist traditions, demands that inequalities by race, gender, and class (and sexuality as well) be considered in tandem rather than distinctly. This is because these fundamental axes of inequality in contemporary societies are considered to be intrinsically entwined; they mutually constitute and reinforce one another and as such cannot be disentangled from one another. Intersectionality theory presents a new way of understanding social inequalities that possesses potential to uncover and explicate previously unknown health inequalities. This paper describes the results of an original empirical investigation of the degree to which the self-rated health of Canadians varies by race, gender, class, and/or sexual orientation in ways that are consistent with predictions of intersectionality theory. The remainder of this background section describes some of the central principles of this theoretical tradition followed by a description of the analytical strategy used to apply these principles in an empirical investigation of inequalities in self-rated health in Canada.
Printed in Canada by Marquis, with the following environmental statement: *Inside printed on Enviro 100% post-consumer EcoLogo certified paper, processed chlorine free and manufactured using biogas energy. *FSC certified paper (inside and cover).
A deeper examination of how trade treaties increase unhealthy dietary changes is provided in the Thow and Hawkes [16] contribution, which focuses on Central America. Similar to the earlier 2006 study, this paper examines three pathways by which diets have been negatively impacted by reductions in tariffs and non-tariff trade barriers under WTO trade rules and those of regional FTAs, such as the 2005 US-Central American Free Trade Agreement (CAFTA) since joined by the Dominican Republic (CAFTA-DR). The study employs trend data to link trade liberalization measures to changes in five categories of US food imports: staple grains and animal feed, meat, dairy, fruits and vegetables, and snacks. Their descriptive analysis finds that trade liberalization is associated with increased availability of most of these foods, and while some traded foods are healthy (e.g. temperate climate imports of grapes and apples), the worrying trend is the region-wide shift from a largely plant-based (and healthy) diet to one with greater quantities of energy-dense and highly processed (unhealthy) food items arising from increased trade with the USA. 2ff7e9595c
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