IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v390y2026ics0277953625011049.html

Seeking evidence of intersectional effects in emergency hospital readmissions of adults in England (2016–2019)

Author

Listed:
  • Spencer, Jonathan
  • Ward, Richard
  • Bortnowschi, Mara
  • Mulla, Abeda
  • Brake, Simon
  • Wyatt, Steven
  • Gill, Paramjit

Abstract

Using a large administrative dataset, we explore intersectional effects in the risk of unplanned readmission after hospital discharge in England. We test whether the size and direction of these effects aligns with societal power dynamics that underpin theories of intersectionality.

Suggested Citation

  • Spencer, Jonathan & Ward, Richard & Bortnowschi, Mara & Mulla, Abeda & Brake, Simon & Wyatt, Steven & Gill, Paramjit, 2026. "Seeking evidence of intersectional effects in emergency hospital readmissions of adults in England (2016–2019)," Social Science & Medicine, Elsevier, vol. 390(C).
    • Handle: RePEc:eee:socmed:v:390:y:2026:i:c:s0277953625011049
    DOI: 10.1016/j.socscimed.2025.118773
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953625011049
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2025.118773?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Alvarez, Camila H. & Evans, Clare Rosenfeld, 2021. "Intersectional environmental justice and population health inequalities: A novel approach," Social Science & Medicine, Elsevier, vol. 269(C).
    2. Evans, Clare R., 2019. "Adding interactions to models of intersectional health inequalities: Comparing multilevel and conventional methods," Social Science & Medicine, Elsevier, vol. 221(C), pages 95-105.
    3. Bell, Andrew & Evans, Clare & Holman, Dan & Leckie, George, 2024. "Extending intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) to study individual longitudinal trajectories, with application to mental health in the UK," Social Science & Medicine, Elsevier, vol. 351(C).
    4. Andrysiak, Nicholas K. & Chakraborty, Payal & Beccia, Ariel L. & Charlton, Brittany M. & Reynolds, Colleen A., 2025. "Inequities in eating disorder diagnoses in college students: An intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA)," Social Science & Medicine, Elsevier, vol. 384(C).
    5. Park, In Young & Speer, Rachel & Whitfield, Darren L. & Kattari, Leo & Walls, Eugene N. & Christensen, Candace, 2022. "Predictors of bullying, depression, and suicide attempts among youth: The intersection of race/ethnicity by gender identity," Children and Youth Services Review, Elsevier, vol. 139(C).
    6. Anna Persmark & Maria Wemrell & Sofia Zettermark & George Leckie & S V Subramanian & Juan Merlo, 2019. "Precision public health: Mapping socioeconomic disparities in opioid dispensations at Swedish pharmacies by Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA)," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-21, August.
    7. Daniel Holman & Alan Walker, 2021. "Understanding unequal ageing: towards a synthesis of intersectionality and life course analyses," European Journal of Ageing, Springer, vol. 18(2), pages 239-255, June.
    8. Zubizarreta, Dougie & Beccia, Ariel L. & Trinh, Mai-Han & Reynolds, Colleen A. & Reisner, Sari L. & Charlton, Brittany M., 2022. "Human papillomavirus vaccination disparities among U.S. college students: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA)," Social Science & Medicine, Elsevier, vol. 301(C).
    9. Harchand Ram & Srinivas Goli & M. Sripriya Reddy & Anu Rammohan, 2024. "Food Insecurity Among Older Adults in India: A Study of Disparities Across the Inter-sectional Axes of Caste, Poverty, and Gender," Journal of Economics, Race, and Policy, Springer, vol. 7(4), pages 331-351, December.
    10. Bright, Sophie & Buckley, Charlotte & Holman, Daniel & Leckie, George & Bell, Andrew & Mulia, Nina & Kilian, Carolin & Purshouse, Robin, 2024. "An analysis of intersectional disparities in alcohol consumption in the US," Social Science & Medicine, Elsevier, vol. 363(C).
    11. Aránzazu Hernández-Yumar & Maria Wemrell & Ignacio Abásolo-Alessón & Beatriz González López-Valcárcel & Juan Merlo, 2023. "Impact of the Economic Crisis on Body Mass Index in Spain: An Intersectional Multilevel Analysis Using a Socioeconomic and Regional Perspective," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-31, August.
    12. Evans, Clare & Leckie, George & Subramanian, SV & Bell, Andrew & Merlo, Juan, 2024. "A Tutorial for Conducting Intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA)," SocArXiv 635hx, Center for Open Science.
    13. Christoffer Hornborg & Rebecca Axrud & Raquel Pérez Vicente & Juan Merlo, 2023. "Socioeconomic disparities in attention deficit hyperactivity disorder (ADHD) in Sweden: An intersectional ecological niches analysis of individual heterogeneity and discriminatory accuracy (IEN-AIHDA)," PLOS ONE, Public Library of Science, vol. 18(11), pages 1-21, November.
    14. Fagrell Trygg, Nadja & Månsdotter, Anna & Gustafsson, Per E., 2021. "Intersectional inequalities in mental health across multiple dimensions of inequality in the Swedish adult population," Social Science & Medicine, Elsevier, vol. 283(C).
    15. Gustafsson, Jasmine & Konttinen, Hanna & Lyyra, Nelli & Simonsen, Nina & Eriksson, Charli & Fismen, Anne-Siri & Thorsteinsson, Einar & Jasinskaja-Lahti, Inga, 2026. "Multiple social positions and well-being among Nordic adolescents: An intersectional MAIHDA analysis of the interplay between gender, age, immigrant background, family structure, and perceived socioeconomic status," Social Science & Medicine, Elsevier, vol. 389(C).
    16. repec:osf:socarx:jq57s_v1 is not listed on IDEAS
    17. Stanton, Amelia M. & Chiu, Christopher & Dolotina, Brett & Kirakosian, Norik & King, Dana S. & Grasso, Chris & Potter, Jennifer & Mayer, Kenneth H. & O'Cleirigh, Conall & Batchelder, Abigail W., 2025. "Disparities in depression and anxiety at the intersection of race and gender identity in a large community health sample," Social Science & Medicine, Elsevier, vol. 365(C).
    18. Bell, Andrew & Evans, Clare & Holman, Daniel & Leckie, George, 2023. "Extending intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) for longitudinal data, with application to mental health trajectories in the UK," SocArXiv jq57s, Center for Open Science.
    19. Wilkes, Rima & Karimi, Aryan, 2024. "What does the MAIHDA method explain?," Social Science & Medicine, Elsevier, vol. 345(C).
    20. repec:osf:socarx:635hx_v1 is not listed on IDEAS
    21. Moreno-Agostino, Darío & Ploubidis, George B. & Das-Munshi, Jayati, 2026. "COVID-19, economic downturn, and long-term trajectories of population mental health: Evidence from two nationally representative British birth cohorts at the intersection of gender and socioeconomic position," Social Science & Medicine, Elsevier, vol. 389(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:390:y:2026:i:c:s0277953625011049. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.