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首页> 外文学位 >American Dreams Askew: Health-Related Adaptations of U.S. Transnational Immigrants from the Caribbean Analysis of Emotional, Social and Structural Factors Shaping Diet and Physical Activity Practices
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American Dreams Askew: Health-Related Adaptations of U.S. Transnational Immigrants from the Caribbean Analysis of Emotional, Social and Structural Factors Shaping Diet and Physical Activity Practices

机译：《美国梦歪斜》：来自加勒比海地区的美国跨国移民与健康相关的适应问题，分析影响饮食和体育锻炼的情感，社会和结构因素

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摘要

Migration represents a critical period during which individual behaviors, practices, social networks and circumstances are established anew. Moreover, as a persistent gradient between health and social position has been noted over centuries, immigrant health amidst sometimes poor or unstable economic and social conditions foregrounds lessons about optimizing health and well-being with limited resources. U.S. immigrants represent an increasing share of the U.S. population, have influence over growing numbers of U.S. citizens (as parents, grandparents and partners), and embody an unknown portion of the future's health related risks and burdens associated with chronic diseases. Using a sociological lens to analyze the lived experiences of US immigrants, this study seeks to identify the range of factors that contribute to immigrant adaptation in the areas of diet and physical activity, two risk factors for myriad health conditions and outcomes.;This dissertation extends migration and lifestyles scholarship through theorizing about relationships between migration, health, adaptation, and citizenship based on the analysis of the personal, social, and institutional processes that comprise immigrant adaptation to U.S. notions of health within a Caribbean diaspora population. Weaving together complementary research from sociology, psychology, social geography and epidemiology, this project theorizes a sociological concept of immigrant health adaptation or health acculturation---constellations of factors and processes associated with immigrant adaptation to dominant (US) notions of health and health care---a potentially productive lens through which social integration and wellbeing may be examined. Building on lessons about the complexity of immigrant adaptation as well as growing interest in social and environmental determinants of health, this study proposes two innovations to immigration and sociology of health and illness research: 1) breaking down the "black box" of acculturative processes into more specific steps or phases which may be targeted for future research; and 2) using everyday practices and norm re-formation related to diet and physical activity to illuminate health-relevant pathways of adjusting to new environments including meso-level (non-individual) contextual factors.;This research draws upon in-depth interviews, surveys, observation and archival review in order to shed light on acts and ideas that constitute immigrant adaptation in the U.S. More specifically, in-depth study of how specific elements of diet, physical activity, and sedentary behavior interact with contextual circumstances describes immigrant experiences of adaptation, health degradation and health maintenance. This study advances understanding of various contextual factors that shape to practices and routines when one's geographic or political environment changes. Peering beyond economic and political experiences of migration and adaptation, this study highlights emotional, sociocultural and structural factors influencing Caribbean immigrants' quotidian practices and examines how those practices relate to health and citizenship. Specific factors influencing immigrant health adaption as well as diet and activity practices and processes instigated by their migrations were identified.;Health is presented as effortful achievement rather than a general state of being to which everyone is entitled. Health was regarded as multifaceted and described as interacting with many systems including: medicine, media, economic, labor, social, political, housing and transportation. While participants were generally knowledgeable about the ways in which food and physical activity are considered risks across the health professions, participant identified risks to health were more complex. Diet and activity are embedded within social, cultural and environmental relationships and are not necessarily easily modified. Moreover, the low salience of health at individuals' point of decision about food and eating suggests moving beyond touting the health benefits of foods as a means of behavior change for this population.
机译：迁移是一个关键时期，在此期间，个人行为，习俗，社交网络和环境都将重新建立。此外，由于几个世纪以来人们一直注意到健康和社会地位之间的持续梯度，在有时贫穷或不稳定的经济和社会状况中，移民健康成为人们在有限的资源下优化健康和福祉的教训。美国移民在美国人口中所占比例不断增加，对越来越多的美国公民（作为父母，祖父母和伴侣）产生影响，并且在未来与健康有关的风险和与慢性病相关的负担中占未知部分。本研究试图从社会学角度分析美国移民的生活经验，以找出在饮食和身体活动方面影响移民适应的因素范围，无数健康状况和后果的两个风险因素。通过对移民，健康，适应和公民身份之间的关系进行理论化分析，得出移民和生活方式奖学金，该分析基于对个人，社会和体制过程的分析，这些过程包括移民对加勒比散居人口中美国健康概念的适应。该项目结合了来自社会学，心理学，社会地理学和流行病学的补充研究，从理论上提出了移民健康适应或健康适应的社会学概念-与移民适应健康和卫生保健的主要概念相关的因素和过程的星座---一个潜在的有生产力的镜头，可以通过它检查社会融合和福祉。基于关于移民适应的复杂性以及对健康的社会和环境决定因素日益增长的兴趣的经验教训，本研究为健康和疾病研究的移民和社会学提出了两项​​创新：1）将适应过程的“黑盒子”分解为可能用于未来研究的更具体的步骤或阶段；和2）利用与饮食和体育活动有关的日常实践和规范改革来阐明适应新环境的健康相关途径，包括中等水平（非个人）的背景因素。；本研究基于深入的访谈，调查，观察和档案审查，以阐明构成美国移民适应的行为和观念。更具体地说，深入研究饮食，身体活动和久坐行为的特定元素与背景环境的相互作用如何描述美国的移民经历。适应，健康退化和健康维护。这项研究提高了人们在地理或政治环境变化时会影响实践和惯例的各种背景因素的理解。这项研究着眼于移民和适应的经济和政治经验，重点研究了影响加勒比移民的日常习俗的情感，社会文化和结构因素，并研究了这些习俗与健康和公民身份之间的关系。确定了影响移民健康适应的特殊因素，以及移民迁徙引发的饮食和活动习惯及过程。健康被认为是努力的成就，而不是每个人都有资格获得的普遍状态。人们认为健康是多方面的，并被描述为与许多系统相互作用，包括：医学，媒体，经济，劳工，社会，政治，住房和交通。虽然参与者通常对食品和体育锻炼被认为是整个卫生专业风险的方式有所了解，但参与者确定的健康风险更为复杂。饮食和活动已融入社会，文化和环境的关系之中，并不一定易于修改。此外，从个人对食物和饮食的决策角度来看，人们对健康的重视程度不高，这表明他们已经不再吹捧食物的健康益处，而将其作为改变这一人群行为的手段。

著录项

  • 作者

    Suttiratana, Sakinah Carter.;

  • 作者单位

    University of California, San Francisco.;

  • 授予单位 University of California, San Francisco.;
  • 学科 Sociology.;Public health.;Ethnic studies.
  • 学位 Ph.D.
  • 年度 2017
  • 页码 281 p.
  • 总页数 281
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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