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Health by mail: mail order medication practices of Latinx dairy worker households on the northern US border

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Listed:
  • Naomi Wolcott-MacCausland

    (University of Vermont Extension)

  • Teresa Mares

    (University of Vermont)

  • Daniel Baker

    (University of Vermont)

Abstract

Latinx migrant farmworkers face numerous barriers in accessing health care which are linked in part to self-medication practices using health products manufactured and sold abroad. This study explores the use of mail-ordered medication among the understudied population of Latinx migrant dairy workers in Vermont, a northeastern international border state. Thirty-four Latinx migrant dairy workers or their domestic partners were interviewed. Data analysis found that myriad health access barriers compounded by increased fear of law enforcement as a result of international border proximity results in unequal knowledge about and local access to desired health care products and services. This unequal access experienced by those living closest to the border in addition to a familiarity and trust in Latin American pharmaceutical drugs, and varied experiences accessing health care services, are significant factors influencing the decision to request health products by mail.

Suggested Citation

  • Naomi Wolcott-MacCausland & Teresa Mares & Daniel Baker, 2020. "Health by mail: mail order medication practices of Latinx dairy worker households on the northern US border," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 37(1), pages 225-236, March.
    • Handle: RePEc:spr:agrhuv:v:37:y:2020:i:1:d:10.1007_s10460-019-09962-x
    DOI: 10.1007/s10460-019-09962-x
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    References listed on IDEAS

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    1. Kandel, William, 2008. "Profile of Hired Farmworkers, A 2008 Update," Economic Research Report 56461, United States Department of Agriculture, Economic Research Service.
    2. Hoerster, K.D. & Mayer, J.A. & Gabbard, S. & Kronick, R.G. & Roesch, S.C. & Malcarne, V.L. & Zuniga, M.L., 2011. "Impact of individual-, environmental-, and policy-level factors on health care utilization among US farmworkers," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 685-692.
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    Cited by:

    1. Erwin, Anna & Ma, Zhao & Popovici, Ruxandra & Salas O’Brien, Emma Patricia & Zanotti, Laura & Silva, Chelsea A. & Zeballos, Eliseo Zeballos & Bauchet, Jonathan & Calderón, Nelly Ramírez & Arce Larrea,, 2022. "Linking migration to community resilience in the receiving basin of a large-scale water transfer project," Land Use Policy, Elsevier, vol. 114(C).
    2. Kathleen Sexsmith, 2022. "The embodied precarity of year-round agricultural work: health and safety risks among Latino/a immigrant dairy farmworkers in New York," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 39(1), pages 357-370, March.
    3. Keller, Julie C. & Alishio-Caballero, Nuria, 2021. "Transnational health protection strategies and other health-seeking behavior among undocumented and indigenous dairy workers in a rural new immigrant destination," Social Science & Medicine, Elsevier, vol. 284(C).

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