The journey of a living statue: Structural violence and a Honduran migrant woman's pathway toward asylum and wellbeing

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2024-10-09 DOI:10.1016/j.socscimed.2024.117410
Brenda K. Wilson, Cristina Calderon, Ash Cornejo, Thomas J. Csordas
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Abstract

Approximately half of the world's displaced migrant population are women, yet gender-specific analyses are often lacking. Such analyses are crucial for understanding migrant women's unique experiences and informing policies that address their health and broader needs. This paper integrates the concept of structural violence with person-centered ethnography to examine women's physical and mental health in contexts of displacement and migration. Using the triple trauma framework, we offer a holistic, temporal-spatial analysis of the health experiences and exposures faced by asylum-seeking women across three stages: places of origin, travel, and destination. Through the representative case of Anahi, a Honduran woman who fled to the US with her family in 2019, we identify four key themes: the persistence of structural violence and its constraints on health decisions and outcomes, the losses and suffering associated with women's triple roles, the harms of racism and xenophobia, and the health implications of inadequate information on asylum and immigration procedures. We conclude with policy recommendations to reduce health inequities among migrant women. This study advances understanding by providing a comprehensive, gendered analysis of the structural forces shaping health outcomes for migrant women, offering insights that extend beyond a narrow focus on reproductive issues to address their physical, mental, and social well-being.
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活雕像的旅程:结构性暴力与一名洪都拉斯移民妇女的庇护和幸福之路
全世界流离失所的移民人口中约有一半是女性,但却往往缺乏针对不同性别的分析。此类分析对于了解移民妇女的独特经历以及制定满足其健康和更广泛需求的政策至关重要。本文将结构性暴力的概念与以人为中心的人种学相结合,研究流离失所和移民背景下妇女的身心健康。利用三重创伤框架,我们对寻求庇护的妇女在原籍地、旅行地和目的地这三个阶段所面临的健康经历和风险进行了全面的时空分析。通过 2019 年与家人逃往美国的洪都拉斯妇女 Anahi 的代表性案例,我们确定了四个关键主题:结构性暴力的持续存在及其对健康决策和结果的制约、与妇女的三重角色相关的损失和痛苦、种族主义和仇外心理的危害,以及庇护和移民程序信息不足对健康的影响。最后,我们提出了减少移民妇女健康不平等的政策建议。本研究对影响移民妇女健康结果的结构性力量进行了全面的性别分析,提供了超越狭隘地关注生殖问题的见解,以解决她们的身体、精神和社会福祉问题,从而增进了人们对这一问题的理解。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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