The journey of a living statue: Structural violence and a Honduran migrant woman's pathway toward asylum and wellbeing

Soc Sci Med. 2024 Oct 9:362:117410. doi: 10.1016/j.socscimed.2024.117410. Online ahead of print.

Abstract

Approximately half of the world's displaced migrant population are women, yet gender-specific analyses are often lacking. Such analyses are crucial for understanding migrant women's unique experiences and informing policies that address their health and broader needs. This paper integrates the concept of structural violence with person-centered ethnography to examine women's physical and mental health in contexts of displacement and migration. Using the triple trauma framework, we offer a holistic, temporal-spatial analysis of the health experiences and exposures faced by asylum-seeking women across three stages: places of origin, travel, and destination. Through the representative case of Anahi, a Honduran woman who fled to the US with her family in 2019, we identify four key themes: the persistence of structural violence and its constraints on health decisions and outcomes, the losses and suffering associated with women's triple roles, the harms of racism and xenophobia, and the health implications of inadequate information on asylum and immigration procedures. We conclude with policy recommendations to reduce health inequities among migrant women. This study advances understanding by providing a comprehensive, gendered analysis of the structural forces shaping health outcomes for migrant women, offering insights that extend beyond a narrow focus on reproductive issues to address their physical, mental, and social well-being.