Rethinking Intersectionality in Immigrant Mental Health Research Through Narrative, Reflexive, and Decolonial Frameworks
DOI:
https://doi.org/10.56508/mhgcj.v9i1.330Keywords:
intersectionality, immigrant mental health, South Asian immigrants, systemic oppression, decolonial theory, structural determinants of health, Qualitative Inquiry, Mental HealthAbstract
Introduction: Immigrant mental health research continues to rely heavily on Eurocentric biomedical frameworks that inadequately capture the complex social, historical, and political forces shaping immigrant wellbeing. These models often obscure how migration, racism, gendered expectations, and colonial legacies intersect to structure mental health vulnerabilities among diverse immigrant populations. Intersectionality theory offers a corrective, yet its application remains limited by conceptual and methodological challenges.
Purpose: This paper critically examines the applicability of intersectionality in immigrant mental health research, using South Asian immigrants in Canada as an illustrative example. The aim is to evaluate both the strengths and limitations of intersectionality and propose ways to strengthen its use in population health research.
Methodology: This is a conceptual and theoretical analysis grounded in Black feminist scholarship, critical public health literature, and decolonial epistemologies. An interpretive approach is applied to examine how intersectionality has been used in immigrant mental health research and where it requires expansion.
Results: Findings demonstrate that intersectionality illuminates layered forms of oppression but is often hindered by theoretical overload, methodological ambiguity, essentialism, and Western centric epistemic boundaries. These constraints risk flattening diversity within immigrant groups and overlooking colonial histories that shape mental health outcomes.
Conclusion: An expanded intersectional framework, integrating qualitative inquiry, reflexivity, and decolonial approaches can more effectively capture the lived realities of immigrants and support culturally responsive mental health research. Strengthening intersectionality in this way advances health equity and enriches global mental health scholarship
References
Abimbola, S., van de Kamp, J., Lariat, J., et al. (2024). Unfair knowledge practices in global health: A realist synthesis. Health Policy and Planning, 39(6), 636–650. https://doi.org/10.1093/heapol/czae030 DOI: https://doi.org/10.1093/heapol/czae030
Abrams, J. A., Tabaac, A., Jung, S., & Else-Quest, N. M. (2020). Considerations for employing intersectionality in qualitative health research. Social Science & Medicine, 258, 113138. https://doi.org/10.1016/j.socscimed.2020.113138 DOI: https://doi.org/10.1016/j.socscimed.2020.113138
Alegría, M., Álvarez, K., & DiMarzio, K. (2017). Immigration and mental health. Current Epidemiology Reports, 4(2), 145–155. https://doi.org/10.1007/s40471-017-0111-2 DOI: https://doi.org/10.1007/s40471-017-0111-2
Allan, B., & Smylie, J. (2015). First peoples, second class treatment. Policy Commons. https://policycommons.net/artifacts/1204263/first-peoples-second-class-treatment/1757369/
Anti?, A., Abarca-Brown, G., Moghnieh, L., & Rajpal, S. (2023). Toward a new relationship between history and global mental health. SSM – Mental Health, 4, 100265. https://doi.org/10.1016/j.ssmmh.2023.100265 DOI: https://doi.org/10.1016/j.ssmmh.2023.100265
Bauer, G. R., Churchill, S. M., Mahendran, M., Walwyn, C., Lizotte, D., & Villa-Rueda, A. A. (2021). Intersectionality in quantitative research: A systematic review of its emergence and applications of theory and methods. SSM – Population Health, 14, 100798. https://doi.org/10.1016/j.ssmph.2021.100798 DOI: https://doi.org/10.1016/j.ssmph.2021.100798
Bauer, G. R. (2014). Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science & Medicine, 110, 10–17. https://doi.org/10.1016/j.socscimed.2014.03.022 DOI: https://doi.org/10.1016/j.socscimed.2014.03.022
Beresford, P., & Rose, D. (2023). Decolonising global mental health: The role of Mad Studies. Global Mental Health, 10, e30. https://doi.org/10.1017/gmh.2023.21 DOI: https://doi.org/10.1017/gmh.2023.21
Bhakuni, H., & Abimbola, S. (2021). Epistemic injustice in academic global health. The Lancet Global Health, 9(10), e1465–e1470. https://doi.org/10.1016/S2214-109X(21)00301-6 DOI: https://doi.org/10.1016/S2214-109X(21)00301-6
Bhambra, G. K. (2014). Connected sociologies. Bloomsbury Academic. DOI: https://doi.org/10.5040/9781472544377
Bhugra, D., & Gupta, S. (2010). Migration and mental health. In Cambridge University Press eBooks. https://doi.org/10.1017/cbo9780511760990 DOI: https://doi.org/10.1017/CBO9780511760990
Bilge, S. (2013). INTERSECTIONALITY UNDONE. Du Bois Review Social Science Research on Race, 10(2), 405–424. https://doi.org/10.1017/s1742058x13000283 DOI: https://doi.org/10.1017/S1742058X13000283
Bowleg, L. (2012). The problem with the phrase women and minorities: Intersectionality—an important theoretical framework for public health. American Journal of Public Health, 102(7), 1267–1273. https://doi.org/10.2105/AJPH.2012.300750 DOI: https://doi.org/10.2105/AJPH.2012.300750
Bowleg, L. (2021). Evolving intersectionality within public health: From analysis to action. American Journal of Public Health, 111(1), 88–90. https://doi.org/10.2105/AJPH.2020.306031 DOI: https://doi.org/10.2105/AJPH.2020.306031
Braun, V., & Clarke, V. (2022). Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. International Journal of Transgender Health, 24(1), 1–6. https://doi.org/10.1080/26895269.2022.2129597 PMC DOI: https://doi.org/10.1080/26895269.2022.2129597
Braveman, P. A., Arkin, E., Proctor, D., Kauh, T., & Holm, N. (2022). Systemic and Structural racism: definitions, examples, health damages, and approaches to dismantling. Health Affairs, 41(2), 171–178. https://doi.org/10.1377/hlthaff.2021.01394 DOI: https://doi.org/10.1377/hlthaff.2021.01394
Carbado, D. W., Crenshaw, K. W., Mays, V. M., & Tomlinson, B. (2013). INTERSECTIONALITY. Du Bois Review Social Science Research on Race, 10(2), 303–312. https://doi.org/10.1017/s1742058x13000349 DOI: https://doi.org/10.1017/S1742058X13000349
Cho, S., Crenshaw, K. W., & McCall, L. (2013). Toward a field of intersectionality studies: Theory, applications, and praxis. Signs: Journal of Women in Culture and Society, 38(4), 785–810. https://doi.org/10.1086/669608 DOI: https://doi.org/10.1086/669608
Christoffersen, A., Hunting, G., & Hankivsky, O. (2025). Integrating intersectionality in policy: A review and analysis of guidance. Canadian Public Policy, 51(3), 363–383. https://doi.org/10.3138/cpp.2024-054 DOI: https://doi.org/10.3138/cpp.2024-054
Clandinin, D. J., & Connelly, F. M. (2000). Narrative inquiry: Experience and story in qualitative research. Jossey-Bass.
Collins, P. H., & Bilge, S. (2016). Intersectionality. Polity Press.
Collins, P. H. (1990). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. Routledge.
Côté-Olijnyk, M., Perry, J. C., Paré, M.-È., & Kronick, R. (2024). The mental health of migrants living in limbo: A mixed-methods systematic review with meta-analysis. Psychiatry Research, 337, 115931. https://doi.org/10.1016/j.psychres.2024.115931 DOI: https://doi.org/10.1016/j.psychres.2024.115931
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A Black Feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. https://philpapers.org/rec/CREDTI
Davis, K. (2008). Intersectionality as buzzword: A sociology of science perspective on what makes a feminist theory successful. Feminist Theory, 9(1), 67–85. https://doi.org/10.1177/1464700108086364 DOI: https://doi.org/10.1177/1464700108086364
De Sousa Santos, B. (2015). Epistemologies of the South. In Routledge eBooks. https://doi.org/10.4324/9781315634876 DOI: https://doi.org/10.4324/9781315634876
Escobar, A. (2018). Designs for the pluriverse. In Duke University Press eBooks. https://doi.org/10.1215/9780822371816 DOI: https://doi.org/10.1215/9780822371816
Esposito, E. (2023). Discourse, intersectionality, critique: theory, methods and practice. Critical Discourse Studies, 21(5), 505–521. https://doi.org/10.1080/17405904.2023.2230602 DOI: https://doi.org/10.1080/17405904.2023.2230602
Fernando, S. (2020). Mental health worldwide: Culture, globalization and development. Palgrave Macmillan.
Fine, M., Weis, L., Weseen, S., & Wong, L. (2004). For whom? Qualitative research, representations, and social responsibilities. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (2nd ed., pp. 107–132). SAGE Publications.
García-Ramírez, M., de la Mata, M., Paloma, V., & Hernández-Plaza, S. (2022). Fostering and sustaining transnational solidarities for transformative migration scholarship: Toward a pluriversal community psychology. American Journal of Community Psychology, 69(1–2), 155–168. https://doi.org/10.1002/ajcp.12602 Wiley Online Library DOI: https://doi.org/10.1002/ajcp.12602
Ghasemi, E., Majdzadeh, R., Rajabi, F., & Vedadhir, A. (2021). Applying intersectionality in designing and implementing health interventions: A scoping review. BMC Public Health, 21(1), 11449. https://doi.org/10.1186/s12889-021-11449-6 DOI: https://doi.org/10.1186/s12889-021-11449-6
Grosfoguel, R. (2011). Decolonizing Post-Colonial Studies and Paradigms of Political-Economy: transmodernity, decolonial thinking, and Global Coloniality. TRANSMODERNITY Journal of Peripheral Cultural Production of the Luso-Hispanic World, 1(1). https://doi.org/10.5070/t411000004 DOI: https://doi.org/10.5070/T411000004
Hancock, A. M. (2007). When multiplication doesn't equal quick addition: Examining intersectionality as a research paradigm. Perspectives on Politics, 5(1), 63–79. https://doi.org/10.1017/S1537592707070065 DOI: https://doi.org/10.1017/S1537592707070065
Hankivsky, O., & Cormier, R. (2010). Intersectionality and Public Policy: Some Lessons from Existing Models. Political Research Quarterly, 64(1), 217–229. https://doi.org/10.1177/1065912910376385 DOI: https://doi.org/10.1177/1065912910376385
Hankivsky, O. (2014). Rethinking Care Ethics: on the promise and potential of an intersectional analysis. American Political Science Review, 108(2), 252–264. https://doi.org/10.1017/s0003055414000094 DOI: https://doi.org/10.1017/S0003055414000094
Hanson, C. (2012). Indigenous research methodologies. International Journal of Critical Indigenous Studies, 5(1), 93–95. https://doi.org/10.5204/ijcis.v5i1.97 DOI: https://doi.org/10.5204/ijcis.v5i1.97
Harari, L., & Lee, C. (2021). Intersectionality in quantitative health disparities research: A systematic review of challenges and limitations in empirical studies. Social Science & Medicine, 277, 113876. https://doi.org/10.1016/j.socscimed.2021.113876 DOI: https://doi.org/10.1016/j.socscimed.2021.113876
Holman, D., Salway, S., Bell, A., Beach, B., Adebajo, A., Ali, N., & Butt, J. (2021). Can intersectionality help with understanding and tackling health inequalities? Perspectives of professional stakeholders. Health Research Policy and Systems, 19, Article 97. https://doi.org/10.1186/s12961-021-00742-w DOI: https://doi.org/10.1186/s12961-021-00742-w
Kipp, S. R., & Busolo, D. S. (2025). Indian women’s settlement experiences and the impact on their health: A narrative study in Brampton, Ontario. BMJ Public Health, 3(1), e001700. https://doi.org/10.1136/bmjph-2024-001700 DOI: https://doi.org/10.1136/bmjph-2024-001700
Kirmayer, L. J., & Jarvis, G. E. (2019). Culturally Responsive services as a path to equity in mental healthcare. A Nudge Too Far? A Nudge at All? On Paying People to Be Healthy, 18(2), 11–23. https://doi.org/10.12927/hcpap.2019.25925 DOI: https://doi.org/10.12927/hcpap.2019.25925
Kirmayer, L. J., Narasiah, L., Munoz, M., Rashid, M., Ryder, A. G., Guzder, J., ... & Pottie, K. (2011). Common mental health problems in immigrants and refugees: General approach in primary care. Canadian Medical Association Journal, 183(12), E959–E967. https://doi.org/10.1503/cmaj.090292 DOI: https://doi.org/10.1503/cmaj.090292
Koseoglu Ornek, O., Waibel, J., Wullinger, P., & Weinmann, T. (2022). Precarious employment and migrant workers’ mental health: A systematic review of quantitative and qualitative studies. Scandinavian Journal of Work, Environment & Health. https://doi.org/10.5271/sjweh.4019 DOI: https://doi.org/10.5271/sjweh.4019
Kovach, M. (2009). Indigenous methodologies: Characteristics, conversations, and contexts. University of Toronto Press
Krieger, N. (2014). Discrimination and health inequities. International Journal of Health Services, 44(4), 643–710. https://doi.org/10.2190/hs.44.4.b DOI: https://doi.org/10.2190/HS.44.4.b
Lentin, A. (2012). Post-race, post politics: the paradoxical rise of culture after multiculturalism. Ethnic and Racial Studies, 37(8), 1268–1285. https://doi.org/10.1080/01419870.2012.664278 DOI: https://doi.org/10.1080/01419870.2012.664278
Liu, R. T., Anglin, D. M., Dyar, C., & Alvarez, K. (2023). Intersectional approaches to risk, resilience, and mental health in marginalized populations: Introduction to the special section. Journal of Psychopathology and Clinical Science, 132(6), 527–530. https://doi.org/10.1037/abn0000840 DOI: https://doi.org/10.1037/abn0000840
Marmot, M. (2015). The health gap: the challenge of an unequal world. The Lancet, 386(10011), 2442–2444. https://doi.org/10.1016/s0140-6736(15)00150-6 DOI: https://doi.org/10.1016/S0140-6736(15)00150-6
McCall, L. (2005). The complexity of intersectionality. Signs: Journal of Women in Culture and Society, 30(3), 1771–1800. https://doi.org/10.1086/426800 DOI: https://doi.org/10.1086/426800
Mignolo, W. D. (2007). DELINKING. Cultural Studies, 21(2–3), 449–514. https://doi.org/10.1080/09502380601162647 DOI: https://doi.org/10.1080/09502380601162647
Millner, U. C., Maru, M., Ismail, A., & Chakrabarti, U. (2021). Decolonizing mental health practice: Reconstructing an Asian-centric framework through a social justice lens. Asian American Journal of Psychology, 12(4), 333–345. https://doi.org/10.1037/aap0000268 DOI: https://doi.org/10.1037/aap0000268
Montenegro, C., Abarca-Brown, G., Flores, E. C., et al. (2024). Researchers’ agency and the boundaries of global mental health: Perspectives from and about Latin America. BMJ Global Health, 9(12), e015923. https://doi.org/10.1136/bmjgh-2024-015923 DOI: https://doi.org/10.1136/bmjgh-2024-015923
Nash, J. C. (2020). Black feminism reimagined: After intersectionality. Duke University Press. DOI: https://doi.org/10.1515/9781478002253
Pillow, W. (2003). Confession, catharsis, or cure? Rethinking the uses of reflexivity as methodological power in qualitative research. International Journal of Qualitative Studies in Education, 16(2), 175–196. https://doi.org/10.1080/0951839032000060635 DOI: https://doi.org/10.1080/0951839032000060635
Riessman, C. K. (2008). Narrative methods for the human sciences. SAGE Publications.
Rocha-Jiménez, T., Torres, I., Cabieses, B., López-Cevallos, D. F., & Mercado-Órdenes, M. (2025). Intersectionality, racism, and mental health of migrants arriving at borders in Latin America: A qualitative study based on in-depth interviews with key informants of the cases of Ecuador and Chile. The Lancet Regional Health – Americas, 0, 101040. https://doi.org/10.1016/j.lana.2025.101040 DOI: https://doi.org/10.1016/j.lana.2025.101040
Santos, B. de S. (2014). Epistemologies of the South: Justice against epistemicide. Routledge.
Satia, P. (2019). Partition of 1947 continues to haunt India, Pakistan. Stanford Report. https://news.stanford.edu/stories/2019/03/partition-1947-continues-haunt-india-pakistan-stanford-scholar-says
Sava?, Ö., & Dutt, A. (2023). Decolonial and intersectional feminist psychology for the future of (forced) migration and refugee resettlement. Current Research in Ecological and Social Psychology, 4, 100124. https://doi.org/10.1016/j.cresp.2023.100124 DOI: https://doi.org/10.1016/j.cresp.2023.100124
Shankar, J., Chen, S.-P., Lai, D. W. L., Joseph, S., Narayanan, R., Suleman, Z., Ali, H. M. A., & Kharat, P. (2024). Mental health challenges of recent immigrants in precarious work environments: A qualitative study. Frontiers in Psychiatry, 15, 1428276. https://doi.org/10.3389/fpsyt.2024.1428276 DOI: https://doi.org/10.3389/fpsyt.2024.1428276
Smith, L. T. (2012). Decolonizing methodologies: Research and Indigenous peoples (2nd ed.). Zed Books.
Thomas, K. B. (2020). Intersectionality and epistemic erasure: A caution to decolonial feminism. Hypatia, 35(3), 509–523. https://doi.org/10.1017/hyp.2020.22 DOI: https://doi.org/10.1017/hyp.2020.22
Tinner, L., Holman, D., Ejegi-Memeh, S., & Laverty, A. A. (2023). Use of intersectionality theory in interventional health research in high-income countries: A scoping review. International Journal of Environmental Research and Public Health, 20(14), 6370. https://doi.org/10.3390/ijerph20146370 DOI: https://doi.org/10.3390/ijerph20146370
Tuyisenge, G., & Goldenberg, S. M. (2021). COVID-19, structural racism, and migrant health in Canada. The Lancet, 397(10275), 650–652. https://doi.org/10.1016/S0140-6736(21)00215-4 DOI: https://doi.org/10.1016/S0140-6736(21)00215-4
Viruell-Fuentes, E. A., Miranda, P. Y., & Abdulrahim, S. (2012). More than culture: Structural racism, intersectionality theory, and immigrant health. Social Science & Medicine, 75(12), 2099–2106. https://doi.org/10.1016/j.socscimed.2011.12.037 DOI: https://doi.org/10.1016/j.socscimed.2011.12.037
Watters, E. (2010, January 8). The Americanization of Mental Illness. The New York Times. https://www.nytimes.com/2010/01/10/magazine/10psyche-t.html
Willen, S. S., Knipper, M., Abadía-Barrero, C. E., & Davidovitch, N. (2017). Syndemic vulnerability and the right to health. The Lancet, 389(10072), 964–977. https://doi.org/10.1016/S0140-6736(17)30261-1 DOI: https://doi.org/10.1016/S0140-6736(17)30261-1
Wispelwey, B., Tanous, O., Asi, Y., Hammoudeh, W., & Mills, D. (2023). Because its power remains naturalized: Introducing the settler colonial determinants of health. Frontiers in Public Health, 11, 1137428. https://doi.org/10.3389/fpubh.2023.1137428 DOI: https://doi.org/10.3389/fpubh.2023.1137428
World Health Organization (WHO). (2022, July 20). World report on the health of refugees and migrants. https://www.who.int/publications/i/item/9789240054462
Zhang, B., Chang, B., & Du, W. (2021). Employing Intersectionality as a data generation tool: Suggestions for qualitative researchers on conducting interviews of intersectionality study. International Journal of Qualitative Methods, 20. https://doi.org/10.1177/16094069211064672 DOI: https://doi.org/10.1177/16094069211064672
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Supriya Middha

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Mental Health: Global Challenges Journal follows the Creative Commons Attribution License International CC-BY – 4.0 international License and author/s must agree on the terms under this license in order to have their manuscript published in the Mental Health: Global Challenges Journal.




E-mail us: viktor.vus@mhgcj.org