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More than culture: Structural racism, intersectionality theory, and immigrant health

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  • Viruell-Fuentes, Edna A.
  • Miranda, Patricia Y.
  • Abdulrahim, Sawsan

Abstract

Explanations for immigrant health outcomes often invoke culture through the use of the concept of acculturation. The over reliance on cultural explanations for immigrant health outcomes has been the topic of growing debate, with the critics’ main concern being that such explanations obscure the impact of structural factors on immigrant health disparities. In this paper, we highlight the shortcomings of cultural explanations as currently employed in the health literature, and argue for a shift from individual culture-based frameworks, to perspectives that address how multiple dimensions of inequality intersect to impact health outcomes. Based on our review of the literature, we suggest specific lines of inquiry regarding immigrants’ experiences with day-to-day discrimination, as well as on the roles that place and immigration policies play in shaping immigrant health outcomes. The paper concludes with suggestions for integrating intersectionality theory in future research on immigrant health.

Suggested Citation

  • Viruell-Fuentes, Edna A. & Miranda, Patricia Y. & Abdulrahim, Sawsan, 2012. "More than culture: Structural racism, intersectionality theory, and immigrant health," Social Science & Medicine, Elsevier, vol. 75(12), pages 2099-2106.
  • Handle: RePEc:eee:socmed:v:75:y:2012:i:12:p:2099-2106
    DOI: 10.1016/j.socscimed.2011.12.037
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    References listed on IDEAS

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    1. Hunt, L.M.Linda M. & Schneider, Suzanne & Comer, Brendon, 2004. "Should "acculturation" be a variable in health research? A critical review of research on US Hispanics," Social Science & Medicine, Elsevier, vol. 59(5), pages 973-986, September.
    2. Robert Kaestner & Jay A. Pearson & Danya Keene & Arline T. Geronimus, 2009. "Stress, Allostatic Load, and Health of Mexican Immigrants," Social Science Quarterly, Southwestern Social Science Association, vol. 90(5), pages 1089-1111, December.
    3. Williams, D.R. & Neighbors, H.W. & Jackson, J.S., 2003. "Racial/ethnic discrimination and health: Findings from community studies," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 200-208.
    4. Gee, G.C. & Ro, A. & Gavin, A. & Takeuchi, D.T., 2008. "Disentangling the effects of racial and weight discrimination on body mass index and obesity among Asian Americans," American Journal of Public Health, American Public Health Association, vol. 98(3), pages 493-500.
    5. Thomson, Maria D. & Hoffman-Goetz, Laurie, 2009. "Defining and measuring acculturation: A systematic review of public health studies with Hispanic populations in the United States," Social Science & Medicine, Elsevier, vol. 69(7), pages 983-991, October.
    6. Grove, Natalie J. & Zwi, Anthony B., 2006. "Our health and theirs: Forced migration, othering, and public health," Social Science & Medicine, Elsevier, vol. 62(8), pages 1931-1942, April.
    7. Osypuk, Theresa L. & Bates, Lisa M. & Acevedo-Garcia, Dolores, 2010. "Another Mexican birthweight paradox? The role of residential enclaves and neighborhood poverty in the birthweight of Mexican-origin infants," Social Science & Medicine, Elsevier, vol. 70(4), pages 550-560, February.
    8. Yoo, Hyung Chol & Gee, Gilbert C. & Takeuchi, David, 2009. "Discrimination and health among Asian American immigrants: Disentangling racial from language discrimination," Social Science & Medicine, Elsevier, vol. 68(4), pages 726-732, February.
    9. Ford, Chandra L. & Airhihenbuwa, Collins O., 2010. "The public health critical race methodology: Praxis for antiracism research," Social Science & Medicine, Elsevier, vol. 71(8), pages 1390-1398, October.
    10. Prentice, Julia C., 2006. "Neighborhood effects on primary care access in Los Angeles," Social Science & Medicine, Elsevier, vol. 62(5), pages 1291-1303, March.
    11. Viruell-Fuentes, Edna A., 2007. "Beyond acculturation: Immigration, discrimination, and health research among Mexicans in the United States," Social Science & Medicine, Elsevier, vol. 65(7), pages 1524-1535, October.
    12. Acevedo-Garcia, Dolores, 2000. "Residential segregation and the epidemiology of infectious diseases," Social Science & Medicine, Elsevier, vol. 51(8), pages 1143-1161, October.
    13. Diane Lauderdale, 2006. "Birth outcomes for Arabic-named women in California before and after September 11," Demography, Springer;Population Association of America (PAA), vol. 43(1), pages 185-201, February.
    14. Acevedo-Garcia, D. & Lochner, K.A. & Osypuk, T.L. & Subramanian, S.V., 2003. "Future directions in residential segregation and health research: A multilevel approach," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 215-221.
    15. Rosenthal, Lisa & Lobel, Marci, 2011. "Explaining racial disparities in adverse birth outcomes: Unique sources of stress for Black American women," Social Science & Medicine, Elsevier, vol. 72(6), pages 977-983, March.
    16. Gee, G.C. & Ryan, A. & Laflamme, D.J. & Holt, J., 2006. "Self reported discrimination and mental health status among African descendants, Mexican Americans, and other Latinos in the New Hampshire REACH 2010 Initiative: The added dimension of immigration," American Journal of Public Health, American Public Health Association, vol. 96(10), pages 1821-1828.
    17. Osypuk, Theresa L. & Diez Roux, Ana V. & Hadley, Craig & Kandula, Namratha R., 2009. "Are immigrant enclaves healthy places to live? The Multi-ethnic Study of Atherosclerosis," Social Science & Medicine, Elsevier, vol. 69(1), pages 110-120, July.
    18. Abdulrahim, Sawsan & Baker, Wayne, 2009. "Differences in self-rated health by immigrant status and language preference among Arab Americans in the Detroit Metropolitan Area," Social Science & Medicine, Elsevier, vol. 68(12), pages 2097-2103, June.
    19. Zambrana, R.E. & Carter-Pokras, O., 2010. "Role of acculturation research in advancing science and practice in reducing health care disparities among latinos," American Journal of Public Health, American Public Health Association, vol. 100(1), pages 18-23.
    20. Cook, B. & Alegría, M. & Lin, J.Y. & Guo, J., 2009. "Pathways and correlates connecting Latinos' mental health with exposure to the United States," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2247-2254.
    21. Lee, Min-Ah, 2009. "Neighborhood residential segregation and mental health: A multilevel analysis on Hispanic Americans in Chicago," Social Science & Medicine, Elsevier, vol. 68(11), pages 1975-1984, June.
    22. Carter-Pokras, Olivia & Bethune, Lisa, 2009. "Defining and measuring acculturation: A systematic review of public health studies with hispanic populations in the united states. A commentary on Thomson and Hoffman-Goetz," Social Science & Medicine, Elsevier, vol. 69(7), pages 992-995, October.
    23. Lopez-Class, Maria & Castro, Felipe González & Ramirez, Amelie G., 2011. "Conceptions of acculturation: A review and statement of critical issues," Social Science & Medicine, Elsevier, vol. 72(9), pages 1555-1562, May.
    24. Geronimus, A.T., 2000. "To mitigate, resist, or undo: Addressing structural influences on the health of urban populations," American Journal of Public Health, American Public Health Association, vol. 90(6), pages 867-872.
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