Inequality and health among foreign-born latinos in rural borderland communities
Inequality and health among foreign-born latinos in rural borderland communities
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DOI：
10.1016/j.socscimed.2018.09.011
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发表时间：
2018-10-01
影响因子：
5.4
通讯作者：
Montez, Anselmo
中科院分区：
文献类型：
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作者：
Cheney, Ann M.;Newkirk, Christine;Montez, Anselmo
数以千计的墨西哥人和中美洲人定居在墨西哥和美国之间的沿着社区。许多人生活和工作在农村社区，其特点是贫穷和获得基本资源的机会有限。利用定性研究，本文报告了在农村边境社区的外国出生的拉丁美洲人之间的不平等和健康。从2015年到2016年，该研究小组在内陆南加州的东科切拉山谷与墨西哥农场工人，农场工人倡导者，社区领袖，医疗服务提供者和当地政治领导人进行了研究。对实地记录和访谈的分析表明，情境和时间因素如何将这一外国出生的人口定位为容易受到多种社会制度不平等的影响，导致社会地位低下，缺乏就业和住房稳定性，以及获得医疗服务的机会有限。随着时间的推移，情境生活事件和持续的日常慢性压力的经历侵犯了自我概念，包括对生活和自我价值的掌握或控制，并导致压力和随后的不良心理健康结果（例如，抑郁症）。该研究呼吁当地社区采取行动，改变医疗保健政策，并进一步深入研究外国出生的拉丁美洲人在健康方面的结构性不平等。
Thousands of Mexicans and Central Americans settle in communities along the borderlands between Mexico and the United States. Many live and work in rural communities characterized by poverty and limited access to basic resources. Drawing on qualitative research, this article reports on inequalities and health among foreign-born Latinos in rural borderland communities. From 2015 to 2016, the study team conducted research in Inland Southern California's Eastern Coachella Valley with Mexican farmworkers, farmworker advocates, community leaders, healthcare service providers, and local political leaders. The analysis of field notes and interviews demonstrates how situational and temporal factors position this foreign-born population as vulnerable to inequalities across multiple social systems resulting in low social status, lack of employment and housing stability, and limited access to healthcare services. Over time, the experience of both situational life events and persistent and daily chronic strain infringes on self-concept, including mastery or control over life and self-worth, and contributes to stress and subsequent poor mental health outcomes (e.g., depression). The research calls for local community action, healthcare policy change, and further in-depth research on structural inequalities in health among foreign-born Latinos.