Tsai Jenny Hsin-Chun
School of Nursing, Seattle University, University of Washington, Seattle, Washington, USA.
J Cult Divers. 2003 Fall;10(3):76-83.
Immigration involves extensive changes in living environments. Nonetheless, the predominant approach in the health science literature has been to utilize individual characteristics (including ethnic background) to explain and predict immigrants' lived experiences and health outcomes. Contexts, particularly the larger societal contexts by which immigrants are constituted, are generally ignored. Data from a critical ethnography regarding immigrants' experiences with language, occupation, and economic survival in the United States are utilized to illustrate that immigrants' lives are inseparable from the larger societal contexts, such as immigration policy, Western imperialism, and structural discrimination. The implications for practice, education, and research are discussed.
移民涉及生活环境的广泛变化。尽管如此,健康科学文献中的主流方法一直是利用个体特征(包括种族背景)来解释和预测移民的生活经历和健康结果。背景,尤其是构成移民的更广泛社会背景,通常被忽视。本文利用一项关于移民在美国的语言、职业和经济生存经历的批判性人种志数据,来说明移民的生活与更广泛的社会背景(如移民政策、西方帝国主义和结构性歧视)密不可分。本文还讨论了对实践、教育和研究的启示。