Structural Vulnerability and Health: Latino Migrant Laborers in the United States

• Published in: Medical anthropology Vol. 30; no. 4; pp. 339 - 362
• Main Authors: Quesada, James, Hart, Laurie Kain, Bourgois, Philippe
• Format: Journal Article
• Language: English
• Published: United States Taylor & Francis Group 01-07-2011; Taylor & Francis Ltd
• Subjects: Anthropology, Physical; Citizenship; Discrimination; Ethnographic research; Health inequality; Health Services Accessibility; Hispanic Americans; Hispanic health outcomes; Hispanics; Humans; Illness; Immigrants; Inequality; Manual workers; Medical anthropology; Noncitizens; Public Health; Risk; Social inequality; Social medicine; Social Problems - ethnology; Social structure; Socioeconomic status; structural violence; Transients and Migrants; U.S.A; United States; Violence; Vulnerable Populations; United States; United States > US
• ISSN: 0145-9740; 1545-5882
• DOI: 10.1080/01459740.2011.576725

Latino immigrants in the United States constitute a paradigmatic case of a population group subject to structural violence. Their subordinated location in the global economy and their culturally depreciated status in the United States are exacerbated by legal persecution. Medical Anthropology, Volume 30, Numbers 4 and 5, include a series of ethnographic analyses of the processes that render undocumented Latino immigrants structurally vulnerable to ill health. We hope to extend the social science concept of "structural vulnerability" to make it a useful concept for health care. Defined as a positionality that imposes physical/emotional suffering on specific population groups and individuals in patterned ways, structural vulnerability is a product of class-based economic exploitation and cultural, gender/sexual, and racialized discrimination, as well as complementary processes of depreciated subjectivity formation. A good-enough medicalized recognition of the condition of structural vulnerability offers a tool for developing practical therapeutic resources. It also facilitates political alternatives to the punitive neoliberal policies and discourses of individual unworthiness that have become increasingly dominant in the United States since the 1980s.