Dr Helena M Constante
Department of Sociological Studies
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Department of Sociological Studies
Helena’s research interest has been in mapping inequities in health and healthcare outcomes. She has been recently focusing her work on ways to dismantle structural oppressions by studying how intersecting forms of marginalisation affect intersectional groups.
She joined the Department as a Research Associate in 2023 to work on the project “Storying Life Courses for Intersectional Inclusion: Ethnicity and Wellbeing Across Time and Place” funded under the ESRC’s Inclusive Ageing programme (PI: Professor Majela Kilkey).
Helena holds a PhD in Epidemiology and Public Health from University College London (UCL, 2019) and an MSc in Public Health from the Federal University of Santa Catarina (UFSC/Brazil, 2014). After her PhD, she was granted two Fellowships (2019-2020, 2021-2022) funded by two main research funders in Brazil (CAPES and CNPq). The projects she wrote aimed to measure intersectional inequities in health services using a multilevel approach to understand injustices in the context of care.
She also worked for the Federal University of Rio de Janeiro (UFRJ/Brazil) as a Data Analyst (2020-2022) and in three UCL Departments (Research Department of Epidemiology and Public Health, Political Science Department, and Institute of Neurology) as a PGTA teaching statistics to undergraduate and postgraduate students (2017-18)
- Research interests
Inequities in health and healthcare
Helena is interested in understanding racial and ethnic inequities in health and healthcare outcomes. While Brazil, as a country, categorised its population according to racial groups, she wrote a project entitled ‘Racial inequalities in health and dental service utilisation: exploring the role of lifestyle and perceived discrimination among a sample of Brazilian population’ and was granted a Research Fellowship by the Ministry of Education in Brazil - CAPES (2019-2020).
Using an intersectionality approach to social and health outcomes
Helena has a particular interest in mapping injustices in social and health outcomes to drive policies to improve the lives of people lying at the intersection of multiple axes of inequality. Mainly focusing on interlocking systems of oppression that operate from macro- to micro-levels of contemporary societies. She wrote a project entitled ‘Inequity, intersectionality and utilisation of health services: mapping the margins in a representative sample of Brazil’ and was granted a Research Fellowship by one of the country’s biggest research funders - CNPq (2021-2022).
Mapping intersectional life course of inclusion/exclusion and wellbeing
Helena is also interested in understanding how inclusion and wellbeing are distributed across the intersections of social characteristics and how contextual and life course characteristics may play a role in this relationship. She is currently part of an interdisciplinary team working on a project funded under the ESRC’s Inclusive Ageing programme. The project`s PI is Professor Majella Kilkey, and Helena is part of the quantitative team working alongside Dr Daniel Holman, Professor Matthew Bennett, and Dr Mark Green (University of Liverpool).
- Tooth loss severity and core and non‐core food consumption among older Brazilian adults. Gerodontology, 40(1), 127-134.
- Correction: Where are race-based oral health inequities bound? Protocol for a systematic review on interventions to tackle racial injustice in dental outcomes. Systematic Reviews, 11(1).
- How do state‐level racism, sexism, and income inequality shape edentulism‐related racial inequities in contemporary United States? A structural intersectionality approach to population oral health. Journal of Public Health Dentistry, 82(S1), 16-27.
- Where are race-based oral health inequities bound? Protocol for a systematic review on interventions to tackle racial injustice in dental outcomes. Systematic Reviews, 11(1).
- Making science and doing justice: the need to reframe research on racial inequities in oral health. Community Dental Health, 38(2), 132-137.
- The ethical urgency of tackling racial inequities in health. EClinicalMedicine, 34, 100816-100816.
- Mapping the Margins in Health Services Research: How Does Race Intersect With Gender and Socioeconomic Status to Shape Difficulty Accessing HealthCare Among Unequal Brazilian States?. International Journal of Health Services, 51(2), 155-166.
- Orofacial trauma and mouthguard use in Brazilian rugby union players. Dental Traumatology, 37(1), 53-57.
- Advancing racial equity in oral health (research): more of the same is not enough. European Journal of Oral Sciences, 128(6), 459-466.
- Racial inequalities in public dental service utilization: Exploring individual and contextual determinants among middle‐aged Brazilian adults. Community Dentistry and Oral Epidemiology, 48(4), 302-308.
- 3.10-P11Racial inequalities in dental service utilisation amongst middle-aged Brazilian adults: a multilevel approach. European Journal of Public Health, 28(suppl_1).
- Trends in dental caries rates over 45 years (1971–2016) among schoolchildren in Florianópolis, southern Brazil. International Dental Journal, 68(1), 47-53.
- Mediators between education and dental pain: a cross-sectional study to assess the role of dental services utilization. European Journal of Oral Sciences, 124(1), 62-67.
- Dental Caries Trends and Inequalities in Brazilian Schoolchildren: 40 years of Study (1971–2011).. International Journal of Epidemiology, 44(suppl_1), i77-i77.
- Trends in dental caries among Brazilian schoolchildren: 40 years of monitoring (1971–2011). International Dental Journal, 64(4), 181-186.
- Socio-demographic and behavioural inequalities in the impact of dental pain among adults: a population-based study. Community Dentistry and Oral Epidemiology, 40(6), 498-506.
- Trends in dental caries in 12- and 13-year-old schoolchildren from Florianópolis between 1971 and 2009. Brazilian Journal of Oral Sciences, 9(3), 410-414.
- Explaining income inequities in tooth loss among Brazilian adults. Journal of Public Health Dentistry.
- The Mouth as a Site of Compound Injustices: A Structural Intersectionality Approach to the Oral Health of Working-Age US Adults. American Journal of Epidemiology.
- The more you need, the less you get: Intersectionality and the inverse care law in the Brazilian depression care cascade. Ethnicity & Health, 1-15.
- A Global Perspective of Racial–Ethnic Inequities in Dental Caries: Protocol of Systematic Review. International Journal of Environmental Research and Public Health, 19(3), 1390-1390.
- The door is open, but not everyone may enter: racial inequities in healthcare access across three Brazilian surveys. Ciência & Saúde Coletiva, 26(9), 3981-3990.
- To Extract or to Restore the Tooth? Color/Race and Clinical Decision Making among Undergraduate Dental Students from Southern Brazil. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 17(1), 1-12.
Conference proceedings papers
- Racial inequalities in dental service utilisation amongst middle-aged Brazilian adults: a multilevel approach. EUROPEAN JOURNAL OF PUBLIC HEALTH, Vol. 28 (pp 147-147)
- P29 Racial inequalities in dental service utilisation amongst middle-aged brazilian adults. SSM annual scientific meeting 2017