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Regular Articles

School Employees as Health Care Brokers for Multiply-Marginalized Migrant Families

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Pages 733-746 | Published online: 08 Feb 2019
 

ABSTRACT

Structural vulnerability illuminates how social positionings shape outcomes for marginalized individuals, like migrant farmworkers, who are often Latino, indigenous, and/or undocumented. Furthering scholarship on negotiating constraints, we explore how school employees (here, Migrant Advocates) broker health care access for migrant farmworker families. Ethnographic research in central Florida showed that Advocates perform similar functions as community health workers while experiencing similar dilemmas. We propose combining medical anthropological insights with the CDC’s Whole School, Whole Community, Whole Child model, conceptualizing schools as an important site for families’ wellbeing, recognizing brokerage roles of staff, and offering new directions for migrant health scholars.

Acknowledgments

The authors would to thank the research participants in the Florida Heartland for their time and insight, as well as Antoinette Jackson, Yenny Saldaña and family, and the University of South Florida Anthropology Department for assistance and support for this project.

Notes

1. While the 2010 Census showed that 685,150 of the people who identified as Hispanic or Latino also identified as American Indian (Humes, Jones and Ramirez Citation2011), that number is an underestimation as indigenous Latinos do not always report their indigeneity (Gabbard et al. Citation2012) and may be less likely to return their census form.

2. For privacy and confidentiality, the names of all interviewees are pseudonyms.

Additional information

Funding

No funding support was provided for this research.

Notes on contributors

Rebecca Campbell-Montalvo

Rebecca Campbell-Montalvo is postdoctoral research associate of Education at the University of Connecticut.

Heide Castañeda

Heide Castañeda is associate professor of Anthropology at the University of South Florida, author of Borders of Belonging: Struggles and Solidarity of Mixed-Status Immigrant Families (2019), and co-editor of Unequal Coverage: The Experience of Health Care Reform in the United States (2018).

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