Yes, It Matters: Assessing Service-Related Cultural Competency of New York State Department of Health-Funded Providers From Multiple Angles.

Background: While cultural competency has been recognized as an important feature in health care delivery, evaluating intervention effectiveness is often overlooked.

Methods: This project used an explanatory sequential mixed methods study design within a community-based participatory research structure. A 29-item Organization cultural competency Checklist was created and distributed to a purposive sample of staff at 55 New York State (NYS) Department of Health AIDS Institute-funded health and human service providers.

We are complex beings: comparison of statistical methods to capture and account for intersectionality.

Objectives: Intersectionality conceptualises how different parts of our identity compound, creating unique and multifaceted experiences of oppression. Our objective was to explore and compare several quantitative analytical approaches to measure interactions among four sociodemographic variables and interpret the relative impact of axes of marginalisation on self-reported health, to visualise the potential elevated impact of intersectionality on health outcomes.

Design: Secondary analysis of National Epidemiologic Survey on Alcohol and Related Conditions-III, a nationally representative cross-sectional study of 36 309 non-institutionalised US citizens aged 18 years or older.