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AJPH First Look, published online ahead of print Oct 15, 2009
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December 2009, Vol 99, No. 12 | American Journal of Public Health 2167-2175
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.158956

FRAMING HEALTH MATTERS

Toward a Dynamic Conceptualization of Social Ties and Context: Implications for Understanding Immigrant and Latino Health

Edna A. Viruell-Fuentes, PhD, MPH and Amy J. Schulz, PhD, MPH

Edna A. Viruell-Fuentes is with the Latina/Latino Studies Program at the University of Illinois at Urbana–Champaign. Amy J. Schulz is with the Department of Health Behavior and Health Education, School of Public Health at the University of Michigan, Ann Arbor.

Correspondence: Correspondence should be sent to Edna A. Viruell-Fuentes, PhD, MPH, Latina/Latino Studies Program, University of Illinois at Urbana–Champaign, 510 E Chalmers St MC-495, Champaign, IL 61820 (e-mail: eviruell{at}illinois.edu). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.

Researchers have posited that social ties and social support may contribute to better-than-expected health outcomes among Mexican immigrants vis-à-vis their US-born counterparts. However, in our review of studies examining social ties and health by immigration-related variables among this group, we found little support for this hypothesis. To better understand the social factors that contribute to the health of Mexicans in the United States, we conducted a qualitative analysis of social relationships and social context among first- and second-generation Mexican women. Our results highlight the interplay between immigration processes and social ties, draw attention to the importance of identity support and transnational social relationships, and suggest ways to reconceptualize the relationship between social contexts, social ties, and immigrant and Latino health.






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