University of Victoria, Department of Sociology, PO Box 3050 STN CSC, Victoria, BC, V8W 3P5, Canada.
Room 3306, FIMS & Nursing Building, Western University, London, Ontario, N6A 5B9, Canada.
Soc Sci Med. 2024 Aug;354:117067. doi: 10.1016/j.socscimed.2024.117067. Epub 2024 Jun 28.
Health scholars are becoming increasingly attuned to the intimate ties between a person's housing and their access to mental and physical health. However, existing models for understanding the link between housing and health equity do not adequately theorize why inequities arise and persist, who benefits from these social arrangements, and how they operate transnationally. How do domestic and global dynamics of political economy shape housing and health equity for migrant farmworkers? How can conceptual models of housing and health equity better account for political economy? To answer these conceptual questions, our study examines the empirical case of migrant agricultural workers in Canada. Migrant worker housing provides a pertinent case for better conceptualizing capitalist power dynamics in housing and health equity on a global scale. Specifically, we draw on in-depth interviews conducted between 2021 and 2022 with 151 migrant workers Ontario and British Columbia. Participants' housing and health concerns aligned with existing literature, including issues such as overcrowding and barriers to health care due to a remote rural location. Our analysis identified three empirical themes: Precarity, Paternalism, and a lack of Political Participation. Drawing from these insights, we recommend a refined model of housing and health equity that keeps an analytical lens trained on global racial capitalism.
健康学者越来越关注一个人的住房与他们的身心健康之间的密切关系。然而，现有的住房与健康公平之间联系的理解模式并没有充分地解释为什么不平等会出现和持续存在，谁从这些社会安排中受益，以及它们如何在跨国层面运作。国内和全球政治经济动态如何塑造移民农民工的住房和健康公平？住房和健康公平的概念模型如何更好地解释政治经济学？为了回答这些概念性问题，我们的研究考察了加拿大移民农业工人的实证案例。移民工人住房为更好地理解全球范围内住房和健康公平中的资本主义权力动态提供了一个恰当的案例。具体来说，我们借鉴了 2021 年至 2022 年间对安大略省和不列颠哥伦比亚省的 151 名移民工人进行的深入访谈。参与者的住房和健康问题与现有文献一致，包括因地处偏远农村而出现的过度拥挤和医疗保健障碍等问题。我们的分析确定了三个经验主题：脆弱性、家长式作风和缺乏政治参与。根据这些观点，我们建议对住房和健康公平的模式进行改进，始终以全球种族资本主义为分析视角。
