Quantitative Intersectionality Scoring System (QISS): Opportunities for Enhancing Predictive Modeling, Comparative Analysis, Health Needs Assessment, and Policy Evaluation.

Shervin Assari, Hossein Zare
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Abstract

Intersectionality has significantly enhanced our understanding of how overlapping social identities-such as race, ethnicity, gender, sex, class, and sexual orientation-interact to shape individual experiences. However, despite its theoretical importance, much of the existing literature has relied on qualitative approaches to define and study intersectionality, limiting its application in predictive modeling, comparative analysis, and policy development. This paper introduces the concept of Quantitative Intersectionality Scoring System (QISS), a novel approach that assigns numerical scores to intersecting identities, thereby enabling a more systematic and data-driven analysis of intersectional effects. We argue that QISS can substantially enhance the utility and predictive validity of quantitative models by capturing the complexities of multiple, overlapping social determinants. By presenting concrete examples, such as the varying impacts of socioeconomic mobility on life expectancy among different intersectional groups, we demonstrate how QISS can yield more precise and reliable forecasts. Such a shift would allow policymakers and service providers to dynamically assess economic and health needs, as well as the uncertainties around them, as individuals move through different social and economic contexts. QISS-based models could be more responsive to the complexities of intersecting identities, allowing for a more quantified and nuanced evaluation of policy interventions. We conclude by discussing the challenges of implementing QISS and emphasizing the need for further research to validate these quantifications using robust quantitative methods. Ultimately, adopting QISS has the potential to improve the accuracy of predictive models and the effectiveness of policies aimed at promoting social justice and health equity.

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定量交叉性评分系统(QISS):加强预测建模、比较分析、健康需求评估和政策评估的机会。
交叉性极大地增强了我们对重叠的社会身份--如种族、民族、性别、性、阶级和性取向--如何相互作用形成个人经历的理解。然而,尽管交叉性具有重要的理论意义,但现有文献大多依赖定性方法来定义和研究交叉性,从而限制了其在预测建模、比较分析和政策制定中的应用。本文介绍了 "交叉性定量评分系统"(QISS)的概念,这是一种新颖的方法,可为交叉身份分配数字分数,从而对交叉效应进行更系统、更数据化的分析。我们认为,QISS 能够捕捉多重、重叠的社会决定因素的复杂性,从而大大提高定量模型的实用性和预测有效性。通过列举具体实例,如社会经济流动性对不同交叉群体预期寿命的不同影响,我们展示了 QISS 如何产生更精确、更可靠的预测。这种转变将使政策制定者和服务提供者能够随着个人在不同社会和经济环境中的流动,动态评估经济和健康需求,以及围绕这些需求的不确定性。基于 QISS 的模型可以更好地应对身份交叉的复杂性,从而对政策干预措施进行更加量化和细致的评估。最后,我们讨论了实施 QISS 所面临的挑战,并强调需要进一步开展研究,使用可靠的定量方法验证这些量化结果。最终,采用 QISS 有可能提高预测模型的准确性以及旨在促进社会正义和健康公平的政策的有效性。
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Paradoxical Effects of Income and Income Inequality on Racial Health Disparities. Walking the Divide: A Public Health Journey from Manhattan to Harlem. Extreme Heat Exposure Is Associated with Higher Socioeconomic Disadvantage and Elevated Youth Delinquency. Higher Neighborhood Crime Rates Don't Always Predict Early Initiation of Tobacco, Marijuana, and Alcohol. Quantitative Intersectionality Scoring System (QISS): Opportunities for Enhancing Predictive Modeling, Comparative Analysis, Health Needs Assessment, and Policy Evaluation.
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