Doctoral Dissertation Research: Transnational Migration and Health Access

michael BellJulie C. keller威斯康星大学麦迪逊分校几十年来，移民研究一直集中在国外移民寄给国内家人的汇款上。较少讨论和了解的是卫生产品的跨国反向转移。这将通过明确考虑健康生产如何跨越国界来扩展跨国移徙研究。本研究聚焦于威斯康星州西部的奶牛场与墨西哥韦拉克鲁斯中部的工人原籍社区之间的工人迁移流，以回答以下问题：1)社会边缘化的各个维度——性别、语言、种族、公民身份、文件——如何相互作用塑造移民的健康实践？2)移民融入接受国社会的不同程度如何以及在多大程度上影响移民的跨国保健做法？3)移徙者的跨国保健做法在多大程度上是性别化的？用于回答这些问题的数据将通过一年的参与者观察方法和对威斯康辛州现有乳业工人和韦拉克鲁斯州前乳业工人的深入访谈来收集。这项调查的一个关键理论部分是确定移民在形成跨国保健做法方面的作用，从而有助于当前在移民领域的社会学辩论。其次，这项研究将通过追踪跨国卫生实践如何受到性别关系的影响，为性别与健康社会学做出贡献。鉴于最近的医疗改革和即将到来的移民改革很可能会影响移民在接收社区获得医疗保健的方式，这项研究是及时的。这项研究为了解处于社会边缘的移徙者的生活提供了一个窗口，因为他们谈判获得卫生服务的机会，并依靠跨国关系来管理卫生问题。这项研究的结果不仅为学者提供了重要的信息，也为州政府机构和移民倡导者提供了重要的信息。调查结果报告将与威斯康星州代表以及州和国家各级的各种移民倡导组织分享。此外，联合调查员将与韦拉克鲁斯州哈拉帕的学者保持联系，以鼓励美国和墨西哥学者就移民问题进行对话。这项研究的结果可以为未来的卫生政策提供信息，并促进国际学术联盟，因为它揭示了移民如何在获得卫生服务受到限制或限制的情况下满足其卫生需求。

SES-1103236Michael BellJulie C. KellerUniversity of Wisconsin-MadisonFor decades, migration research has focused on remittances sent from immigrants abroad to their families at home. Less discussed and understood is the transnational transfer of health goods in the reverse direction. This will extend transnational migration studies by explicitly considering how the production of health spans national boundaries. This study focuses on a migration stream of workers between the dairies of western Wisconsin and workers' communities of origin in central Veracruz, Mexico to answer the following questions: 1) How does the interaction of various dimensions of social marginalization-gender, language, ethnicity, citizenship, documentation-shape migrant health practices? 2) How, and to what extent, do different levels of incorporation into receiving societies shape the transnational health practices of migrants? 3) To what extent are the transnational health practices of migrants gendered? Data used to answer these questions will be collected through one year of participant-observation methods and in-depth interviews with current dairy workers in Wisconsin and former dairy workers in Veracruz. A key theoretical part of this investigation is identifying the role of immigrant incorporation in the formation of transnational health practices, thus contributing to current sociological debates in the area of migration. Secondly, this research will contribute to the sociology of gender and health by tracing how transnational health practices are shaped by gender relations. This study is timely given that recent health reform and impending immigration reform will very likely affect the way immigrants experience health care access and incorporation in receiving communities. This study offers a window into the lives of migrants at the margins of society as they negotiate access to health services and rely on transnational ties to manage health problems. The results of this research will provide important information not just for scholars, but for state agencies and immigrant advocates. Reports of findings will be shared with Wisconsin state representatives and various immigrant advocacy organizations at the state and national levels. Additionally, co-investigator will maintain connections with scholars in Xalapa, Veracruz to encourage dialogue between American and Mexican scholars on migration issues. The results of the study can inform future health policy and promote international academic alliances by shedding light on how immigrants get their health needs met in a context of constrained or restricted health access.