This medical anthropology dissertation is an intersectional study of the illness experiences of African-American women living with the chronic autoimmune syndrome systemic lupus erythematosus (SLE), commonly known as lupus. Research was conducted in Memphis, Tennessee from 2013 to 2015, with the aim of examining the healthcare resources available to working poor and working class women using public sector healthcare programs to meet their primary care needs. This project focuses on resources available through Tennessee’s privatized public sector healthcare system, TennCare, during the first phases of the Patient Protection and Affordable Care Act (ACA). A critical medical anthropological analysis is used to examine chronically ill women’s survival strategies regarding their daily health and well-being. The objectives of this research were to: 1) understand what factors contribute to poor women’s ability to access healthcare resources, 2) explore how shared illness experiences act as a form of community building, and 3) document how communities of color use illness narratives as a way to address institutionalized racism in the United States. The research areas included: the limits of biomedical objectivity; diagnostic timeline in relation to self-reported medical history; effects of the relationship between socio-economic circumstance and access to consistent healthcare resources, including primary and acute care, as well as access to pharmaceutical interventions; and the role of non-medical support networks, including personal support networks, illness specific support groups, and faith based organizations. Qualitative methods were used to collect data. Methods included: participant observation in support groups, personal homes, and faith based organizations, semi-structured group interviews, and open-ended individual interviews. Fifty-one women living with clinically diagnosed lupus or undiagnosed lupus-like symptoms participated in individual interviews. Additionally twenty-one healthcare workers, including social workers, Medicaid caseworkers, and clinic support staff were interviewed in order to contextualize current state and local health programs and proposed changes to federal and state healthcare policy.

This research explored the intersectionality of race, class, and gender within the sources of self-efficacy (Bandura, 1997) underlying the socialization messages influencing African American women’s doctoral attainment beliefs. Twenty African American female/woman doctoral achievers completed an online survey, consisting of open-ended and multiple-choice response items, designed to identify and explore the sources of self-efficacy influencing African American women’s doctoral attainment beliefs. Eleven participants participated in focus interviews to expand upon and clarify initial survey responses. Thematic analysis (Braun & Clarke, 2006) and tenets of critical race theory (Ladson-Billings & Tate, 1995; McCoy & Rodricks, 2015) were used to analyze the sources of self-efficacy and the intersectionality of race, class, and gender within the socialization messages identified by participants as influencing their doctoral attainment beliefs. Among the sources of self-efficacy, participants frequently described vicarious experiences (co-op and internship opportunities) and social persuasions from family, friends, and faculty as influencing doctoral attainment beliefs. The following themes were identified as salient in shaping African American women’s doctoral attainment beliefs: 1) a voice at the table; 2) faith; and 3) experiential knowledge and support. Findings from this study illuminate the salience of doctoral attainment beliefs to African American women’s doctoral pursuit and attainment. Recommendations and implications for African American women’s doctoral program retentionand completion are discussed.

There is a lack of equitable representation of women of color in upper-leadership roles on college campuses. The purpose of this dissertation was to explore how women of color who serve as Chief Student Affairs Officers (CSAO), navigated both their racial and gender identities in their professional role, how they were prepared for this identity navigation throughout their career, and how they mentor younger professional women of color. Women of color CSAOs only make up about 4% of the population, so it was important to learn from their experiences in order to improve as a field. A qualitative study using a phenomenological approach, and Intersectionality as the theoretical framework, was conducted amongst women of color who serve as CSAOs at predominantly white, four-year colleges or universities. The theoretical framework was applied to illuminate the structural, political, and representational aspects of intersectionality that were experienced by the participants. The findings from this study illuminated the practices in the higher education and student affairs workplace that impact the racial and gendered experiences of women of color who serve as CSAOs. The results can and should be utilized to create more equitable workplace practices and policies for institutions of higher education. Overall, this study sought to add to the small body of research on women of color Chief Student Affairs Officers by continuing the much-needed conversation about the intersection of navigating both race and gender in a white and male dominated workplace.

Race- and gender-related contextual factors influence Black women’s sexual behaviors, attitudes, and outcomes. Contextual factors of Black women’s sexual behaviors include stereotypes, microaggressions, ethnic identity, and self-concept. Little to no research has examined race- and gender-specific microaggressions (i.e., gendered racial microaggressions; GRM) impact on Black women's sexual health. Responsively, using an intersectional approach, this study hypothesized that ethnic identity’s influence on the relationship between GRM and sexual behavior (i.e., condom use, lifetime sexual partners) is conditional on self-conceptualization moderated effect on ethnic identity and sexual behavior. Participants included 124 unmarried Black women, recruited from mTurk, a southeastern university and community. Moderated moderation analyses revealed the relationship between GRM and number of lifetime sexual partners is conditionally based on one's level of ethnic identity and self-conceptualization. Findings could potentially enhance existing HIV interventions by increasing awareness of GRM and implementing coping strategies to combat GRM’s effect on sexual behaviors.

Working toward a personal definition of womanhood while progressing with my research in feminist discourse, I frame biographical events alongside the intricate use of language surrounding feminist theory. Experimenting with material specificities that speak to my personal narratives and cultural significance, my work seeks to address the interlacing operations of subjectivity expanding on the intersection of class, gender and race.

Puerto Rican women experience increased risk of bio-psychosocial challenges due to their ethnicity. This phenomenological study examined Puerto Rican HIV-positive women's perceptions of intimate partner violence (IPV), which consists of physical, sexual, verbal, and psychological abuse. Although HIV-positive status and IPV have been a focus of previous research, specific research examining the phenomenological experiences of HIV-positive Puerto Rican women who experienced IPV has not been studied. The basis of the study was feminist intersectionality theory, which supported the process used to explore and understand the essence of the participants' experiences. Feminist intersectionality theory examines intersecting social systems including gender, ethnicity, and cultural influences in assessing the lived experiences of the participants. Purposive sampling was used to recruit six participants. Data collection consisted of in-depth, audio-recorded interviews, and data were analyzed by transcribing interviews to explore common themes. Some of the themes that evolved from the research findings are traumatic experiences, feelings about the abuse, reaction to the abuse, trust issues, cultural influences, and positive life changes. The results of this research study provided valuable information of the participants' lived experiences. This research may provide domestic violence specialists, health care providers, law enforcement providers, public advocates, and government agencies with explanation and understanding of the unique challenges Puerto Rican women face. This research has the potential to impact social change in improving IPV screening, offering bi-lingual and bi-cultural service providers, and educating individuals in the helping profession of the impact of IPV.

In Los Angeles County, California, approximately 2,245 victims of child sex trafficking were identified between 1997 and 2012. Several authors believed that poverty was linked to child sex trafficking because it increased the vulnerability of victims. The purpose of this nonexperimental, correlational study was to explore the question of how poverty was related to child sex trafficking in Los Angeles County, California. Intersectionality from the third wave of feminist theory was used as the theoretical underpinning of this study. Using data from the United States Census Bureau and the Federal Bureau of Investigation, information was collected on 97 counties in the southwestern portion of the United States that had a minimum population of 100,000 people and at least 1 arrest of a minor for prostitution between the years of 1997 and 2012. Analysis of the nonnormal data through a Friedman test indicated that differences in the medians existed in the levels of the child sex trafficking variable, but follow up tests did not reveal the sources of the differences. Kendall's W test results indicated a lack of concordance, and Spearman's correlation did not indicate that a monotonic relationship existed between the variables when tested by year, except for 1998. These results failed to provide the evidence needed to reject the null hypothesis. The relationship between poverty and child sex trafficking at the county level could not be measured by income and through a portion of the victim population. Differing measurements of poverty, varying levels of analysis, and diverse applications of intersectionality may yield different results. Ultimately, this study was a first step, rather than a final step, in creating positive social change through increased knowledge and more effective policies against sex trafficking.

Racial justice activists in Tampa Bay comprise a community and culture structured as a movement of social transformation. Data from eleven interviews and more than 100 hours of participant observation show that activists consist of a diverse array of Tampa Bay residents of varying ages, genders, sexualities, racial/ethnic identities and livelihoods. This community is best described by their beliefs and practices of ideology steeped in intersectionality and anti-capitalism, and are motivated by or empathetic to racial injustices directly experienced by them or those around them. The intention of this paper is to describe activists as they are rather than as they are depicted in the popular imagination, as well as to share the insights of racial justice activists to the public for their own use in resisting injustices.

O presente trabalho tem como objetivo investigar a experiência vivida por mulheres idosas. Justifica-se na medida em que há fortes indícios de que o envelhecimento da população feminina seja subjetivamente vivenciado como condição na qual se articulam, interseccionalmente, opressões de gênero, idade e classe social. Organiza-se metodologicamente como pesquisa qualitativa empírica com o método psicanalítico e caracteriza-se como estudo psicossocial, procurando investigar os modos pelos quais processos emocionais e sociais implicam-se mutuamente. Centra-se no estudo de casos selecionados dentre aqueles atendidos durante doze anos de trabalho em instituição de saúde pública especializada na atenção à saúde de idosos. Considerado à luz do método psicanalítico, esse material possibilitou a produção interpretativa de quatro campos de sentido afetivo-emocional, denominados: Sofrendo a Decadência do Corpo, Sofrendo por Ser Mulher, Sofrendo pela Solidão e Sofrendo na Cidade Grande. O quadro geral permite a proposição de que, apresentando-se fortemente marcada por sentimentos de desamparo, humilhação e injustiça, a experiência vivida pelas participantes deve ser compreendida não apenas como intimamente associada às mudanças corporais, características do processo de envelhecimento, mas também como sofrimento subjetivo socialmente determinado, demandando uma clínica compreensiva, que seja sensível ao padecimento e atenta às condições concretas de vida / The present study aims to investigate the lived experience of elderly women. It is justified in that there is strong evidence that the aging of the female population is subjectively experienced as a condition in which gender, age and social class are intersectionally articulated. It is organized methodologically as an empirical qualitative research with the psychoanalytical method and is characterized as a psychosocial study, seeking to investigate the ways in which emotional and social processes demand to be understood as always implicated in each other. It focuses on the study of selected cases among those attended during twelve years of work in a public health institution specializing in the health care of the elderly. Considered in the light of the psychoanalytical method, this material permit the interpretative production of four affective-emotional meaning field named: \"Suffering the Decay of the Body\", \"Suffering for Being a Woman\", \"Suffering for Solitude\" and \"Suffering in the Big City\". The general framework allows the proposition that being strongly marked by feelings of helplessness, humiliation and injustice, the participants\' emotional experience must be understood not only as closely associated with the body changes that characterize the aging process, but also as socially determined subjective suffering, demanding a comprehensive clinic that is sensitive to suffering and attentive to the concrete conditions of life

This essay aims to analyze how The Long Way to a Small Angry Planet (2014) by Becky Chambers differs from a majority of science fiction novels regarding its depiction of gender and love. The theoretical approach used is gender studies and heteronormativity, with a focus on Judith Butler’s heterosexual matrix, and Dorthe Staunes’ definition of intersectionality. The findings of this essay show that this novel deviates from the status quo of having a white, heterosexual male as the protagonist and instead employs a primarily non-white, multi-species crew as its main characters. Characters with disabilities are given the right to exist in their own right, instead of existing as individuals who need to be cured through technology. The notion of love is also depicted in a nuanced way, where romance does not have to be an important factor in order to have a fulfilling relationship. In regard to gender, Lovey’s forming of her gender identity, with her being an AI, sets this novel apart from the majority of science fiction novels. There are aspects in this novel that still adhere to the heterosexual matrix but the aspects that veer away from this, such as the Aandrisks’ family structures, deviate in such a way that it sets The Long Way to a Small Angry Planet apart from a number of other contemporary science fiction works.