An intersectional perspective to the health of women with lived experience of homelessness
More details
Hide details
1
Saúde Coletiva, Instituto René Rachou - Fiocruz Minas, Belo Horizonte, Brazil
Popul. Med. 2026;8(Supplement Supplement 1):A2698
ABSTRACT
INTRODUCTION:
In Brazil, more than 350000 people are experiencing homelessness1. In Belo Horizonte, Minas Gerais, approximately 15000 people are in this situation, with 11% being women and 84% being Black2. One of the characteristics of an unequal society is the extreme and persistent asymmetry that racially discriminated groups experience in fundamental areas of social dynamics, such as health, education, and work3. The objective was to analyze the health-disease-care process of women with a history of homelessness using intersectionality as an analytical key.
METHODS:
Qualitative research from a decolonial feminist perspective4-6. Five interviews were conducted between May and July 2024, with an average duration of 1 hour and 40 minutes. The interviews were audio-recorded, subsequently transcribed, and subjected to intersectional6,7 thematic analysis using Atlas.ti software.
RESULTS:
They are adult, cisgender women with at least four children; three were Black, one is White, and one is Indigenous, and one is illiterate. All experienced homelessness from childhood or adolescence for at least ten years. Their trajectories include gender-based violence, teenage pregnancy, lack of a support network for childcare, informal work in recycling, feelings of fear, insecurity, and inferiority, incarceration, restrictions on autonomy over their own bodies, limited access to health services restricted to pregnancy or emergencies, and absence of preventive care.
CONCLUSIONS:
Life trajectories are marked by multiple oppressions since childhood. During street life, housing and economic instability are intensified by gender and race, shaping experiences of health, illness, and care. This results in mental suffering, delayed access to health services, and difficulties in continuity of care. Understanding the intersectionality of this process can inform health policies and practices oriented toward equity and sensitive to the oppressions that shape the life trajectories of these women.