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dc.contributor.author Holmes, Seth M. en_US
dc.date.accessioned 2010-06-17T20:45:59Z en_US
dc.date.available 2010-06-17T20:45:59Z en_US
dc.date.issued 2006-10 en_US
dc.identifier.citation Holmes, Seth M. 2006. An Ethnographic Study of the Social Context of Migrant Health in the United States. PLoS Medicine 3(10): 1776-1793. en_US
dc.identifier.issn 1549-1676 en_US
dc.identifier.other Former Mana'o EPrint ID117 en_US
dc.identifier.uri http://hdl.handle.net/10524/1620 en_US
dc.description Refereed en_US
dc.description.abstract Migrant workers in the United States have extremely poor health. This paper aims to identify ways in which the social context of migrant farm workers affects their health and health care. This qualitative study employs participant observation and interviews on farms and in clinics throughout 15 months of migration with a group of indigenous Triqui Mexicans in the western US and Mexico. Study participants include more than 130 farm workers and 30 clinicians. Data are analyzed utilizing grounded theory, accompanied by theories of structural violence, symbolic violence, and the clinical gaze. The study reveals that farm working and housing conditions are organized according to ethnicity and citizenship. This hierarchy determines health disparities, with undocumented indigenous Mexicans having the worst health. Yet, each group is understood to deserve its place in the hierarchy, migrant farm workers often being blamed for their own sicknesses. Structural racism and anti-immigrant practices determine the poor working conditions, living conditions, and health of migrant workers. Subtle racism serves to reduce awareness of this social context for all involved, including clinicians. The paper concludes with strategies toward improving migrant health in four areas: health disparities research, clinical interactions with migrant laborers, medical education, and policy making. en_US
dc.description.sponsorship UCSF Medical Scientist Training Program en_US
dc.description.sponsorship University of California Institute for Mexico and the United States en_US
dc.description.sponsorship UCSF Center for Reproductive Health Research and Policy en_US
dc.description.sponsorship UCSF Graduate Division en_US
dc.description.sponsorship Mustard Seed Foundation en_US
dc.publisher Public Library of Science en_US
dc.relation http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1621098 en_US
dc.relation 10.1371/journal.pmed.0030448 en_US
dc.subject Triqui en_US
dc.subject United States en_US
dc.subject Mexico en_US
dc.subject migrant labor en_US
dc.subject medical anthropology en_US
dc.subject public health en_US
dc.subject racism en_US
dc.subject.lcsh Ethnology en_US
dc.subject.lcsh Mexico en_US
dc.subject.lcsh US en_US
dc.title An Ethnographic Study of the Social Context of Migrant Health in the United States en_US
dc.type Article en_US

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