The socio-political context of migration and reproductive health disparities: The case of early sexual initiation among Mexican-origin immigrant young women
The socio-political context of migration and reproductive health disparities: The case of early sexual initiation among Mexican-origin immigrant young women
复制标题
DOI：
10.1016/j.socscimed.2017.03.011
复制
发表时间：
2017-05-01
影响因子：
5.4
通讯作者：
Coleman-Minahan, Kate
中科院分区：
文献类型：
--
作者：
Coleman-Minahan, Kate
先前的研究通常解释说，由于父权制和性保守的“传统拉丁文化”，外国出生的墨西哥裔年轻女性过早性行为的风险较低。这一定义忽视了对移民工人的剥削等结构性因素，并将性别不平等和性期望混为一谈。我使用交叉框架以及性别与权力理论来探讨性别不平等和性期望如何受到结构性因素的影响并影响生殖健康结果。我将 2013 年至 2014 年对 21 名第一代和第二代墨西哥裔女性的定性访谈数据与国家青少年至成人健康纵向研究中 798 名墨西哥裔年轻女性的离散时间风险模型数据进行了整合。定性结果表明，墨西哥裔移民家庭的性别不平等和性期望与结构性因素有关。性别不平等更常见于家庭不稳定、贫困程度较高的家庭以及单独外出务工的父母中。定性数据还表明，父母的性别期望有时与父母在家庭中的实际行为不一致。最后，与父权制“传统拉丁文化”防止过早性行为的假设相反，定性和多元定量数据表明，家庭性别不平等增加了过早性行为的风险。这些发现挑战了文化主义方法的实用性，该方法将文化视为决定移民健康行为的因素，并表明需要纳入包含结构性因素的交叉框架。这种方法可以减少刻板印象并确定有意义的干预措施以减少生殖健康差异。 (C) 2017 Elsevier Ltd. 保留所有权利。
Prior research often explains the lower risk of early sexual initiation among foreign-born Mexican-origin young women by a patriarchal and sexually conservative "traditional Latino culture." This definition overlooks structural factors such as exploitation of migrant workers, and conflates gender inequality and sexual expectations. I use an intersectional framework and the theory of gender and power to explore how gender inequality and sexual expectations are both influenced by structural factors and affect reproductive health outcomes. I integrate data from qualitative interviews with 21 first and second generation Mexican-origin women in 2013-2014 with data from discrete time hazard models with 798 Mexican-origin young women in the National Longitudinal Study of Adolescent to Adult Health. Qualitative results demonstrate that gender inequality and sexual expectations in Mexican-origin immigrant households are associated with structural factors. Gender inequality occurs more often in households with family instability, greater poverty, and among parents who migrated independently. Qualitative data also demonstrate that parental gendered expectations are sometimes at odds to what parents are actually doing in the household. Finally, contrary to assumptions that a patriarchal "traditional Latino culture" protects against early sexual initiation, qualitative and multivariate quantitative data suggest that household gender inequality increases risk of early sexual initiation. These findings challenge the utility of a culturalist approach that views culture as determining health behavior among immigrants and demonstrate the need to incorporate an intersectional framework that includes structural factors. This approach may reduce stereotypes and identify meaningful interventions to reduce reproductive health disparities. (C) 2017 Elsevier Ltd. All rights reserved.