2015, Number 6
<< Back Next >>
Salud Mental 2015; 38 (6)
Acculturative trajectories descriptions and implications for health among 12 Mexican deported women who inject drugs
Rodriguez-Montejano S, Ojeda VD, Valles-Medina AM, Vargas-Ojeda A
Language: English
References: 67
Page: 409-416
PDF size: 203.32 Kb.
ABSTRACT
Introduction
Between 1999-2007, the U.S. deported 4.8 million migrants to Mexico;
of these, 1.1 million migrants were deported to the border city of
Tijuana, Baja California. Deportees are often returned to unfamiliar
communities where they may experience emotional and socioeconomic
stressors that may raise their risk for engaging in unsafe behaviors.
Objective
This exploratory study describes adaptation to the post-deportation
environment among Mexican-born injection drug-using women.
Method
In 2008, we conducted qualitative interviews in Tijuana with 12 women
reporting U.S. deportation. Our analytic framework focused on
acculturation stress, adaptation and social capital in relation to HIV
risk, considering a gender perspective.
Results
We found that the stress caused by the deportation experience and
acclimating to the post-deportation community may have contributed
to the women’s participation in high-risk HIV behaviors (e.g., unprotected
sex, sex work). Female deportees reported limited access to
post-deportation social capital resources (e.g., social support, healthy
social networks). Social factors (e.g., discrimination, lack of a government
identification) challenged women’s resettlement and likely
contributed to economic and health vulnerabilities.
Discussion and conclusion
These preliminary findings suggest that deportees may benefit from
organized services at repatriation, including mental health screening.
Macro-level interventions that address stigma and facilitate deportees’
economic integration may help stem engagement in risk behaviors.
REFERENCES
Transactional Records Access Clearinghouse (TRAC). Immigration enforcement since 9/11: A reality check. Syracuse, New York: Syracuse University, 2011.
Cave D. Crossing over, and over. New York Times; October 3; 2011.
US Department of Homeland Security. 2009 Yearbook of immigration statistics. Washington: 2010.
Rangel MGM-D, Hovell MF, Santibanez J, Sipan CL et al. “Prevalence of risk factors for HIV infection among Mexican Migrants and Immigrants: Probability Survey in the north border of Mexico”, Salud Pública Mexicana 2006;48(1):3-12.
Secretaría de Gobernacion de México. Encuesta sobre migracion en la frontera norte de mexico EMIF. Ciudad de México. México: 2007.
Black RGS. Sustainable return in post-conflict contexts. International Migration 2006;44(3):15-38.
Ruben RV-H, Davids T. What determines the embeddedness of forced-return migrants? Rethinking the role of pre and post return assistance. International Migration Review 2009;43(4):908-937.
Olmedo E. Acculturation: a psychometric perspective. American Psychologist 1979;34(11):1061-1070.
Berry JWK, Minde T, Mok DC. Comparative studies of acculturative stress. Int Mig Rev 1987;21:491–511.
Berry JW. Conceptual approaches to acculturation. In: Chun KM, Marin G (eds.). Acculturation: Advances in theory, measurement and applied research. Washington, DC: American Psychological Association; 2003; pp.17–37.
Cohen SM. Social support, stress and the buffering hypothesis: A theoretical analysis. In: Baum A, TSEaSJE (ed.). Handbook of psychology and health. Hillsdale, NJ.: Erlbaum; 1984: pp.253-267.
Williams CB, Jonh W. Primary prevention of acculturative stress among refugees: Application of psychological theory and practice. American Psychologist 1991;46:632-641.
Crockett LJ, Iturbide MI, Torres Stone RA, McGinley M et al. Acculturative stress, social support, and coping: Relations to psychological adjustment among Mexican–American college students. Cultural Diversity and Ethnic Minority Psychology 2007;13(4):347- 355.
Hovey JDM. Acculturative stress, anxiety and depression among Mexican immigrant farmworkers in the Midwest United States. J Immigr Health 2000;2:119-131.
Walker RL, Wingate LR, Obasi EM, Joiner TE Jr. An empirical investigation of acculturative stress and ethnic identity as moderators for depression and suicidal ideation in college students. Cultural Diversity and Ethnic Minority Psychology 2008;14(1):75–82.
Wandersman A, Nation M. Urban neighborhoods and mental health: pychological contributions to understanding toxicity, resilience, and interventions. American Psychologist 1998;53(6):647-656.
Cuellar IAB, Maldonado R. Acculturation rating scale for Mexican Americans-II: a revision of the original ARMSA scale. Hispanic J Behavioral Sciences 1995;17(3):275-304.
Cuellar IHL, Jasso R. An acculturation scale for Mexican American normal and clinical populations. Hispanic J Behavioral Sciences 1980;2(3):199-217.
Lopez-Class MG-C, Ramirez A. Conceptions of acculturation: A review and statement of critical issues. Social Science Medicine 2011;72:1555-1562.
Castro FG, Marsiglia FF, Kulis S, Kellison JG. Lifetime segmented assimilation trajectories and health outcomes in Latino and other community residents. American J Public Health 2010;100(4):669-676.
McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Promotion Quarterly 1988;15(4):351-377.
Bhattacharya G. Global contexts, social capital, and acculturative stress: Experiences of Indian immigrant men in New York City. J Immigrant Minority Health 2011;13(4):756.
Coleman J. The foundations of social theory. Cambridge, MA: Harvard University Press; 1990.
Institute of Medicine. The future of public health in the 21st century. Washington, DC: National Academy Press; 2001.
Holtgrave DC, Social capital, poverty, and income inequality as predictors of gonorrhea, syphilis, chlamydia, and AIDS case rates in the United States Sex Trans Infect 2003;79:62-64.
Portes AL. The downside of social capital. The American Prospect 1996;26:18-21.
Campbell CJ. Health, community and development: Towards a social psychology of participation. J Community Applied Social Psychology 2000;10:255-270.
Strathdee SA, Lozada R, Pollini RA, Brouwer KC et al. Individual, social, and environmental influences associated with HIV infection among injection drug users in Tijuana, Mexico. J Acquir Immune Defic Syndr 2008;47(3):369-376.
Heckathorn D. Respondent-driven sampling: a new appraoch to the study of hidden populations. Soc Probl 1997;44(2):174-199.
Scott JW. Reflections on women and gender in twentieth-Century Mexico: Introduction. Gender History 2008;20(1):149-151.
Bach AM. El rescate del conocimiento. Temas Mujeres: Revista CEHIM 2010;6(6):6-31.
Harding S. Feminism & methodology. Bloomington, IN: Indiana University Press; 1987.
Apostolopoulos Y, Sonmez S, Kronenfeld J, Castillo E et al. STI/HIV risks for Mexican migrant laborers: exploratory ethnographies. J Immigr Minor Health 2006;8(3):291-302.
Chavez LR. Shadowed lives: Undocumented Immigrants in American Society. Third ed. Belmont, CA: Wadsworth Cengage Learning; 2013.
Strauss ACJ. Basics of qualitative research: grounded theory procedures and techniques. Newbury Park, CA: SAGE; 1990.
Denzin NLY. Handbook of qualitative research. Thousand Oaks, CA: Sage Publishers; 2000.
Haraway DJ. Leyendo a BuchiEmecheta: “Pugnas por la experiencia de las mujeres en los estudios de mujer”. Ciencia, cyborgs y mujeres. La reivención de la naturaleza. Madrid: Ediciones Cátedra. Universitat de Valencia. Instituto de la Mujer; 1995: pp.183-2012.
Marlatt AGG. Relapse prevention: maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press; 1985.
Kressin NS 3rd, Skinner KM. Negative affectivity and health-related quality of life. Med Care 2000;38(8):858-867.
Denner JO, Dupree JD, Thrush G. Predictors of HIV transmission among migrant and marginally housed Latinos. AIDS Behav 2005;9:201-210.
Kim-Goodwin VB. Stress among migrant and seasonal farmworkers in rural southeast North Carolina. J Rural Health 2004;20:271-278.
Beiser M, Hou F. Language acquisition, unemployment and depressive disorder among Southeast Asian refugees: 10-year study. Social Science Medicine 2001;53:1321-1334.
Chung RC, Kagawa-Singer M. Predictors of psychological distress among Southeast Asian refugee. Social Science Medicine 1993;36:631- 639.
Hinton WL, Tiet Q, Tran CG, Chesney M. Predictors of depression among refugees from Vietnam: A longitudinal study of new arrivals. J Nervous Mental Disease 1997;185:39-45.
Nicassio PM, Soloman G, Guest S, McCullough JE. Emigration stress and language proficiency as correlates of depression in a sample of Southeast Asian Refugees. International J Social Psychiatry 1986;32:22- 28.
Sondergaard HP, Theorell T. Language acquisition in relation to cumulative posttraumatic stress disorder symptom load over time in a sample of resettled refugees. Psychotherapy Psychosomatic 2004;73:320-323.
Westermeyer J, Neider J, Callies A. Psychosocial adjustment among refugees during their first decade in the United States. J Nervous Mental Disease 1989;177:132-139.
Ying Y, Akursu PD. Psychological adjustment of Southeast Asian refugees: The contribution of sense of coherence. J Community Psychology 1997;25:125-139.
Soskolne VSR. Migration and HIV prevention programmes: linking structural factors, culture, and individual behaviour-an Israeli experience. Soc Sci Med 2002;55:1297-1307.
McMichael A. Environmental and social influences on emerging infectious diseases: past, present and future. Philos Trans R Soc Lond B Biol Sci 2004;359:1049-1058.
Mayer J. Geography, ecology and emerging infectious diseases. Soc Sci Med 2000;50:937-952.
Hawkes SHG. Travel, migration and HIV. AIDS Care 1993;5:207-214.
Borges G, Wang PS, Medina-Mora ME, Lara C et al. Delay of first treatment of mental and substance use disorders in Mexico. Am J Public Health 2007;97(9):1638-1643.
Gomez Sevilla K. Tijuana no quiere repatriados: Alcide. El Sol Tijuana; 2011.
Link BS, Rahav M, Phelan JC, Nuttbrock L. On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. J Health Soc Behav 1997;38:177-190.
Luoma JT, Waltz T, Hayes SC, Roget N et al. An investigation of stigma in individuals receiving treatment for substance abuse. Addict Beh 2007;32:1331-1346.
O´Brien P. Making it in the free world: Women in transition from prison. Albany, NY: SUNY Press; 2001.
Haraway D. Situated knowledges: The science question in feminism and the priviledge of partial perspective. Feminist Studies 1988;14(3):575-599.
Link BPJ. Conceptualizing stigma. Annu Rev Sociol 2001;27:363-85.
Van-Olphen J, Eliason MJ, Freudenberg N, Barnes M. Nowhere to go: How stigma limits the options of female drug users after release from jail. Substance Abuse Treatment, Prevention and Policy 2009;4(10):1- 10.
Aidala AC, Stall R, Harre D, Sumartojo E. Housing status and HIV risk behaviors: Implications for prevention and policy. AIDS Behavior 2005;9(3):251-265.
Strathdee SA, Fraga WD, Case P, Firestone M et al. “Vivo para consumirla y la consumo para vivir” : high-risk injection behaviors in Tijuana, Mexico. J Urban Health 2005;82(3):58-73.
El Universal. Migrantes ‘engorsan’ problemas de ciudades. México: El Universal; 2011.
Millan O. In Tijuana, deported migrants struggle to survive. Associated Press. August, 5; 2011.
Strathdee SA, Magis-Rodriguez C. Mexico’s evolving HIV epidemic. JAMA 2008;300(5):571-573.
Augé M. Los no lugares: Espacios de anonimato. Una antropología de la sobremodernidad. Barcelona: Gedisa; 2000.
Cho S, Crenshaw KW, McCall L. Toward a field of intersectionality studies: Theory, applications, and praxis. Signs: J Women Culture Society 2013;38(4):785-810.