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A Dimensional Analysis of the Migration and Health Experiences of Indigenous Oaxacan Women

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A Dimensional Analysis of the Migration and Health Experiences of Indigenous Oaxacan Women University of San Diego Digital USD Dissertations Theses and Dissertations 2001-03-01 Crossing Myriad Borders: A Dimensional Analysis of the Migration and Health Experiences of Indigenous Oaxacan Women Sharon McGuire PhD, OP, MSN, RN-C University of San Diego Follow this and additional works at: https://digital.sandiego.edu/dissertations Part of the Nursing Commons Digital USD Citation McGuire, Sharon PhD, OP, MSN, RN-C, "Crossing Myriad Borders: A Dimensional Analysis of the Migration and Health Experiences of Indigenous Oaxacan Women" (2001). Dissertations. 297. https://digital.sandiego.edu/dissertations/297 This Dissertation: Open Access is brought to you for free and open access by the Theses and Dissertations at Digital USD. It has been accepted for inclusion in Dissertations by an authorized administrator of Digital USD. For more information, please contact [email protected]. UNIVERSITY OF SAN DIEGO Hahn School of Nursing and Health Science DOCTOR OF PHILOSOPHY IN NURSING CROSSING MYRIAD BORDERS: A DIMENSIONAL ANALYSIS OF THE MIGRATION AND HEALTH EXPERIENCES OF INDIGENOUS OAXACAN WOMEN By Sharon McGuire, OP, MSN, RN-C A dissertation presented to the FACULTY OF THE HAHN SCHOOL OF NURSING AND HEALTH SCIENCE UNIVERSITY OF SAN DIEGO In partial fulfillment o f the requirements for the degree DOCTOR OF PHILOSOPHY IN NURSING March 2001 Dissertation Committee Mary Ann Hautman, PhD, RN, Chair Diane Hatton, DNSc, RN Kenneth Serbin, PhD Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Copyright by Sharon McGuire, OP ALL RIGHTS RESERVED Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. CROSSING MYRIAD BORDERS: A DIMENSIONAL ANALYSIS OF THE MIGRATION AND HEALTH EXPERIENCES OF INDIGENOUS OAXACAN WOMEN Abstract Sharon McGuire, OP, MSN, RN-C The growing feminization of the migration o f ethnic indigenous women, such as Mixtecs, Zapotecs and Triquis from the southern Mexican state of Oaxaca, are altering the dynamics and configuration o f traditional Mexican migration, making it especially significant for the health professions. Informed by a postcolonial ecofeminist paradigm, this bi-national grounded theory study explored the migration and health experiences of indigenous Oaxacan immigrant/migrant women. Data collection using participant observation and interviewing occurred in Oaxaca, Mexico, along the US-Mexico border, and the interior of California. Dimensional analysis was used as the method of data analysis to generate theoretical understandings o f these phenomena. The explanatory matrix of dimensional analysis creates a context of colonial legacies that thwart the aspirations of indigenous women to care for their families, achieve further education or avoid stagnation, thereby spawning the conditions for migration. As the central perspective focusing the analysis, crossing myriad borders describes the difficulties and barriers that indigenous women must surmount as migrants/immigrants in an alien place. Salient dimensions within these borders o f geography, culture, language, legality and new health experiences emerged as culture Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. shock in coping with fractured families, language differences and undocumentedness. Participants described having to learn many new things and braving hazardous living and working conditions inimical to health. They encountered new health risks, gained some new health assets, and evolved a sequence of health seeking characterized by attributes of relationality, efficacy, and affordability. Their resolve to keep going (salir adelante) in spite of many difficulties is motivated by their investment in their children’s future. Nursing practice responding to the health care needs of this population needs to be informed by knowledge o f indigenous health practices, of the health risks arising from postcolonial conditions in Oaxaca, of the safety profiles of medications and herbs from Mexico, the stresses and dangers of migration, and of patterns of health seeking and knowing. Nursing praxis should be directed at the structural conditions that induce migration, the human rights situation along the border, and at collaborating with immigrant rights groups on issues of amnesty and changing the devastating consequences of the latest 1996 immigration law. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. TABLE OF CONTENTS Dedication ....... Acknowledgements ...... List of Tables ...... List of Appendices ...... Chapter I PHENOMENON OF INTEREST . Nursing and Immigrant Health Purpose of the Study ..... Research Questions ..... Significance o f the Study .... Summary ...... Chapter II REVIEW OF LITERATURE Patterns and Trends of Contemporary Migration Anthropological Perspectives on Human Population Movements European Global Expansion .... The Spanish Invasion of Mexico Legacies o f Colonization .... Mexican Migration North .... Oaxaca ...... Perspectives of the Researcher Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Chapter in METHODOLOGY . Philosophical Underpinnings . Data Analysis Computer Assisted Technology The Researcher Participants and Entree Data Collection Ethical Considerations Chapter IV CROSSING MYRIAD BORDERS Dimensions and Properties (Matrix) . Colonial Legacies and Genesis of Migration Thwarted Aspirations Crossing the Geo-Physical Border Crossing Political-Legal Borders Crossing Language Borders . Crossing Cultural Borders Saliendo Adelante Summary .... Chapter V HEALTH TRANSITIONS . Appraising Childhood Health Status . Changing Health Practices Health Seeking Patterns Summary .... Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Chapter IV DISCUSSION .... 130 Nursing Practice . 131 Nursing Praxis ..... 138 Conclusion . - • 139 REFERENCES ................................................................. 141 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. DEDICATION This dissertation is dedicated to the Adrian Dominican Sisters o f Adrian, Michigan whose love and support made this work possible. It is also dedicated to those indigenous Oaxacan women whose lives instruct us all in the meaning o f love, courage and resilience. ii Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ACKNOWLEDGEMENTS Many people conspired, either wittingly or unwittingly, to make this dissertation possible. I would like to acknowledge them all, but will identify those most intimately involved because o f the limitations of space. First, I must thank my parents, Jean and Bob (RIP) McGuire, who allowed me, a girl child, full freedom in my childhood to explore my world and pursue my fascination with plants, animals and the world o f nature. Never did they ever attempt to squelch my curiosity and spirit o f adventure, thus laying the foundation for my adult life in its surprising unfolding. I also acknowledge with deep gratitude and love, the Adrian Dominican Sisters for the opportunity to prepare for mission, ministry, and the common visions we share in a rapidly changing and suffering world. The contributions of their moral, physical and spiritual support is inestimable, in addition to their faith in my abilities and gifts. I especially thank Virginia Kleckner, OP, with whom during her term as Chapter Prioress I first explored the possibility of doctoral studies. Molly Nicholson, OP, the director o f studies on the General Council with whom I consulted, has remained a constant source of support, affirmation and friendship from the beginning of our conversations. The initial and ongoing encouragement of these two women continues to evoke within me profound gratitude and deep affection. I cannot say enough for the members o f my dissertation committee. Dr. Mary Ann Hautman, the Chair of my committee, deftly guided me through the process. From our initial advisor-advisee meeting in May o f 1997 I knew she would be a good match for me. She almost magically intuited my needs, gently nudged me along the road, asked incisive questions, and made the timely suggestions to keep me on track. Dr. Hautman 111 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. also graciously offered her personal assistance and time in the technical matters of scanning the photo project and putting the images on CD-ROM. Dr. Diane Hatton, an expert in dimensional analysis, was always extraordinarily responsive and gave me so manyinvaluable suggestions. Our correspondence was largely electronic, but spanned the period from initial data collection in Oaxaca and Baja, California through completion of the dissertation. I also thank her for her encouragement in grant writing, especially for the American Nurses Foundation grant. I am deeply indebted to both Dr. Hautman and Dr. Hatton not only for serving on my committee, but for the exemplary models they are as faculty and committee members. I acknowledge the contribution from Dr. Kenneth Serbin from the History Department for agreeing to serve as a committee member during his sabbatical. His knowledge is wide ranging, networks of colleagues impressive, and suggestions on target. Other doctoral faculty at the University of San Diego Hahn School of Nursing and Health Science also
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