Migration and Health: Critical Perspectives

Description

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. 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