Inequality and health among foreign-born latinos in rural borderland communities. (October 2018)

• Record Type: Journal Article
• Authors: Cheney, Ann M.; Newkirk, Christine; Rodriguez, Katheryn; Montez, Anselmo
• Is Part Of: Social science & medicine. Volume 215(2018)
• Page Start: 115
• Page End: 122
• Publication Date: 2018-10
• Subjects: Borderlands -- Community based participatory research -- Latino health -- Mental health -- Rural health; Social medicine -- Periodicals; Medical anthropology -- Periodicals; Public health -- Periodicals; Psychology -- Periodicals; Medicine -- Periodicals; Medicine -- Periodicals; Médecine sociale -- Périodiques; Anthropologie médicale -- Périodiques; Santé publique -- Périodiques; Psychologie -- Périodiques; Médecine -- Périodiques; Electronic journals; 362.105
• DOI: 10.1016/j.socscimed.2018.09.011
• Languages: English
• ISSNs: 0277-9536

Abstract

Abstract: 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. Highlights: Characterizes inequality in health among Latino immigrants in the borderland. Argues the stress of structural vulnerability and chronic strain shape health. Provides an evidence base to influence public health and health care policy change.