Migration and Health: Critical Perspectives offers a radical rethinking of the field by unsettling conventional ideas of mobility and borders to highlight the ways in which they produce health inequalities. Covering a wide range of topics, the text provides insight through a critical lens, and proposes areas for intervention along with an added emphasis on the need for future research to address the health inequities that affect migrants. It illustrates how a critical perspective can deepen our understanding of the relationship between migration and health, which remains a defining global issue of our century.
The text employs a critical approach to examine the structural conditions of inequality and larger historical and political processes, recognizing that exclusionary bordering practices increasingly occur away from physical points of entry. It posits the concept of migration as complex, tangled and multi-directional and underscores how migrant vulnerability can shape the lives of people in wider communities. Furthermore, it acknowledges diverse and intersectional standpoints, as well as shifting spatial and temporal influences. Chapters include coverage of health in transit; healthcare access and utilization; clinical encounters; communicable disease; labor and occupational health; gender and sexuality; immigration enforcement, detention, deportation; and the effects of forced displacement on refugee and asylum-seeker health.
The text is useful for students and scholars of migration or health disparities seeking to understand how the two issues can be approached in a more holistic and critical way. It is further aimed at practitioners and policymakers who are interested in gaining familiarity with the structural conditions of inequality along with the larger historical and political processes that influence contemporary migration patterns.
Author(s): Heide Castañeda
Series: Critical Approaches to Health
Publisher: Routledge
Year: 2022
Language: English
Pages: 180
City: London
Cover
Half Title
Series Information
Title Page
Copyright Page
Dedication
Table of Contents
Preface
1 Introduction
A Defining Global Issue
Critical Perspectives On Migrant Health
Empirical Challenges
Outline of the Book
2 Critical Perspectives On Migration and Health
Critical Border Studies
“Citizens” and “Migrants”: Questions of Sovereignty, Il/Legality, and Inequality
Who Is a Migrant? Conceptual Pitfalls
Critical Perspectives On Health
“Healthy Migrant Effects” and Immigrant Health Paradoxes
Integration, Incorporation, and Acculturation
Pathogenic Conditions: From Behavioral Explanations to Structural Approaches
Conclusion
3 Health in Transit
Critical Approaches to Understanding Health in Transit
Violence of Border Controls and Production of Illegality
Forced Immobility and Stuckness
Smuggling and Trafficking
Respatialization of Border Controls: Externalization and Internalization Practices
Family Shifts and Separation Through Migration
Cross-Border Ties: Implications for Health
Conclusion
4 Health Care Access and Utilization
Critical Approaches to Understanding Health Care Access and Utilization
Policy Frameworks Determining Access to Medical Care
Beyond Policy: Other Barriers to Access
Spillover Effects of Lack of Access
Health Providers as Gatekeepers, Street-Level Bureaucrats
Access Via Charity Clinics, NGOs, and Nonprofits
Alternative Strategies for Treatment
Conclusion
5 The Clinical Encounter
Critical Approaches to Understanding the Clinical Encounter
Language and Communication Barriers
Patient-Centeredness, Diversity Sensitivity, and Cultural Competency
Structural Competency in the Clinic
Health “Literacy,” Health Care Navigators, and Cultural Mediators
Diversity in the Clinical Workforce
“Migration Aware” Whole System Approaches
Conclusion
6 Communicable Disease
Critical Approaches to Understanding Communicable Disease
Legacies of Colonialism: The Diseased “Other,” Border Controls, and Stigma
Tuberculosis: “Penalty” for the Ruthless Exploitation of Labor
HIV/AIDS: From Stigma to Specific Vulnerabilities for Migrants
COVID-19: Management of Human Mobility at the Global Scale
Conclusion
7 Labor and Occupational Health
Critical Approaches to Understanding Labor and Occupational Health
Occupational Hazards
Labor Abuses: Trafficking and Wage Theft
Worker Injury and Injustices
Demonstrating Deservingness and Legitimacy in the Medical Encounter
Conclusion
8 Gender, Sexuality, and Migrant Health
Critical Approaches to Understanding Gender, Sexuality, and Migrant Health
Shifts in Family Structures, Conjugal Relationships, and Gender Roles
Gender and Reproduction
Transnational Parenting
Migration and Masculinities
Sexual and Queer Migrations
Sexual Health
Intimate Partner Violence
Conclusion
9 Health Impacts of Enforcement, Detention, and Deportation
Critical Approaches to Understanding Health Impacts of Enforcement, Detention, and Deportation
Fear of Deportation and Effects On Mental and Emotional Health
Physical Health Impacts of Deportability
Effects On Health Service Access and Health-Seeking Behavior
Immigration Raids
Health Issues During the Detention Or Deportation Process
Impacts of Deportation On Children
Impacts of Deportation On the Larger Family Unit
Impacts of Deportation On Communities
After Deportation: Return to Country of Origin
Conclusion
10 Forced Displacement: Refugee and Asylum Seeker Health
Critical Approaches to Understanding Forced Displacement: Refugee and Asylum Seeker Health
Protracted Displacement: Camps, Sustained Detention, and Reception Centers
Medical Examinations and “Proof” of Torture and Persecution
Health Care Access for Refugees and Asylum Seekers
Unique Health Needs of Refugees
Refugee Mental Health
Conclusion
11 Conclusion
Moving Forward With a Critical Agenda
The Search for Solutions
Future Research Imperatives
References
Index
