Intersectionality and diversity, equity, and inclusion in the healthcare and scientific workforces

Salt, Karen ORCID: https://orcid.org/0009-0008-2428-2563, Mosley, Trenell, Zajdel, Rachel, Alderete, Ethel, Clayton, Janine, Heidari, Shirin, Perez-Stable, Eliseo and Bernard, Marie (2025) Intersectionality and diversity, equity, and inclusion in the healthcare and scientific workforces. The Lancet Regional Health - Americas, 41. 100973. ISSN 2667-193X

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Abstract

Enhancing diversity, equity, and inclusion (DEI) in the scientific and healthcare workforces∗ promotes research innovation and equitable access to quality healthcare. Efforts to advance DEI within the global scientific and healthcare workforces have assumed a new urgency given the strain caused by the COVID-19 pandemic, the aging of the global population, and the persistent shortages in the healthcare workforce, particularly in low- and middle-income countries. Yet, these fields continue to struggle to promote DEI. Considering the impact of intersectionality—how multiple identities interact to create unique experiences of privilege and power—within these workforces will enhance efforts to promote DEI. This series explores the impact of intersectionality on scientific and healthcare workforce DEI and how prominent institutional and structural factors (e.g., sexism and racism), as well as their interpersonal manifestations, can create barriers for workers with multiple intersecting marginalised identities. This paper, the first in a three-part series, describes how intersecting identities interact with workplace inequities and suggests ways to incorporate intersectionality into DEI efforts within the scientific and healthcare workforces. ∗We use the phrase scientific and healthcare workforces throughout this article to broadly encompass individuals associated with the biomedical, clinical, behavioral, and population science workforce.