Toward Critically Analyzing Whiteness in Immigrant Health

Abstract

Assimilation theories dominate immigration scholarship to examine differential life chances, opportunities, and health of immigrants across three waves of immigrants in the United States. Assimilation theories are widely used in public health to explain the health status of immigrants despite the embedded White supremacist ideology while ignoring the role of whiteness. This article reviews and critiques assimilation theories to propose a critical analysis of whiteness in immigrant health scholarship. Critically analyzing whiteness in immigrant health studies allows us to recognize (a) the problematic framing of assimilation theories because of the theories’ devotion to a White-European vision of upward mobility and a mainstream characterized as elite and White and (b) how a purportedly colorblind immigration law reinforces White supremacy through possessive investment in whiteness. To highlight whiteness in immigrant health, we examine the anti-immigration rhetoric and anti-immigrant policies and surveillance while providing implications for future research in the scholarship of immigrant health.

Keywords

immigrant health whiteness assimilation theory health disparities health equity

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References

Abraham

Williams

Bishay

A. E.

Farah

Tamayo-Murillo

Newton

I. G.

(2021). The roots of structural racism in the United States and their manifestations during the COVID-19 pandemic. Academic Radiology, 28(7), 893–902.

Alba

Nee

(1997). Rethinking assimilation theory for a new era of immigration. International Migration Review, 31(4), 826–874.

Alexander

West

(2011). The new Jim crow. The New Press.

Ansley

(1989). Stirring the ashes: Race class and the future of civil rights scholarship. Cornell Law Review, 74(6), 993–1077.

Asad

A. L.

Clair

(2018). Racialized legal status as a social determinant of health. Social Science & Medicine, 199, 19–28.

Bloch

K. R.

Taylor

Martinez

(2020). Playing the race card: White injury, White victimhood and the paradox of colour-blind ideology in anti-immigrant discourse. Ethnic and Racial Studies, 43(7), 1130–1148.

Bonilla-Silva

(2006). Racism without racists: Color-blind racism and the persistence of racial inequality in the United States. Rowman & Littlefield.

Bunyasi

T. L.

(2019). The role of whiteness in the 2016 presidential primaries. Perspectives on Politics, 17(3), 679–698. https://doi.org/10.1017/S1537592719001427

Castro

F. G.

Marsiglia

F. F.

Kulis

Kellison

J. G.

(2010). Lifetime segmented assimilation trajectories and health outcomes in Latino and other community residents. American Journal of Public Health, 100(4), 669–676. https://doi.org/10.2105/AJPH.2009.167999

10.

Cha

B. S.

Enriquez

L. E.

(2019). Beyond access: Psychosocial barriers to undocumented students’ use of mental health services. Social Science & Medicine, 233, 193–200.

11.

Delgado

Stefancic

(Eds.). (1997). Critical white studies: Looking behind the mirror. Temple University Press.

12.

Dunbar-Ortiz

(2021). Not “a nation of immigrants”: Settler colonialism, white supremacy, and a history of erasure and exclusion. Beacon Press.

13.

Finch

B. K.

Lim

Perez

D. P.

(2007). Toward a population health model of segmented assimilation: The case of low birth weight in Los Angeles. Sociological Perspectives, 50(3), 445–468. https://doi.org/10.1525/sop.2007.50.3.445

14.

Finley

Esposito

(2020). The immigrant as bogeyman: Examining Donald Trump and the right’s anti-immigrant, anti-PC rhetoric. Humanity & Society, 44(2), 178–197. https://doi.org/10.1177/0160597619832627

15.

Fleming

P. J.

Novak

N. L.

Lopez

W. D.

(2019). U.S. immigration law enforcement practices and health inequities. American Journal of Preventive Medicine, 57(6), 858–861. https://doi.org/10.1016/j.amepre.2019.07.019

16.

Frank

Akresh

I. R.

(2010). Latino immigrants and the U.S. racial order: How and where do they fit in? American Sociological Review, 75(3), 378–401. https://doi.org/10.1177/0003122410372216

17.

Gee

G. C.

Ford

C. L.

(2011). Structural racism and health inequities: Old issues, new directions. Du Bois Review: Social Science Research on Race, 8(1), 115.

18.

Glazer

(1993). Is assimilation dead? The Annals of the American Academy of Political and Social Science, 530(1), 122–136.

19.

Gonzales

R. G.

Brant

Roth

(2020). DACAmented in the age of deportation: Navigating spaces of belonging and vulnerability in social and personal lives. Ethnic and Racial Studies, 43(1), 60–79.

20.

Hannah-Jones

Elliott

M. N.

Hughes

(2019). The 1619 Project. New York Times.

21.

Harris

C. I.

(1993). Whiteness as property. Routledge.

22.

Hartmann

Gerteis

Croll

P. R.

(2009). An empirical assessment of whiteness theory: Hidden from how many? Social Problems, 56(3), 403–424.

23.

Hooghe

Dassonneville

(2018). Explaining the Trump vote: The effect of racist resentment and anti-immigrant sentiments. PS: Political Science & Politics, 51(3), 528–534. https://doi.org/10.1017/S1049096518000367

24.

Horton

(2004). Different subjects: The health care system’s participation in the differential construction of the cultural citizenship of Cuban refugees and Mexican Immigrants. Medical Anthropology Quarterly, 18(4), 472–489. https://doi.org/10.1525/maq.2004.18.4.472

25.

Johnson

M. A.

Marchi

K. S.

(2009). Segmented assimilation theory and perinatal health disparities among women of Mexican descent. Social Science & Medicine, 69(1), 101–109. https://doi.org/10.1016/j.socscimed.2009.04.008

26.

Jung

M. K.

(2009). The racial unconscious of assimilation theory. Du Bois Review: Social Science Research on Race, 6(2), 375.

27.

Kagawa-Singer

(2006). Population science is science only if you know the population. Journal of Cancer Education: The Official Journal of the American Association for Cancer Education, 21(1 Suppl.), S22–S31. https://doi.org/10.1207/s15430154jce2101s_6

28.

Kline

(2017). Pathogenic policy: Immigrant policing, fear, and parallel medical systems in the US south. Medical Anthropology, 36(4), 396–410. https://doi.org/10.1080/01459740.2016.1259621

29.

Krieger

Rowley

D. L.

Herman

A. A.

Avery

Phillips

M. T.

(1993). Racism, sexism, and social class: Implications for studies of health, disease, and well-being. American Journal of Preventive Medicine, 9(6 Suppl.), 82–122.

30.

LeBrón

A. M. W.

Schulz

A. J.

Gamboa

Reyes

Viruell-Fuentes

Israel

B. A.

(2022). “Mexican-origin women’s construction and navigation of racialized identities: Implications for health amid restrictive immigrant policies. Journal of Health Politics, Policy and Law, 47(2), 259–291.

31.

Link

B. G.

Phelan

(1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior, 3, 80–94.

32.

Lippard

C. D.

(2011). Racist nativism in the 21st century. Sociology Compass, 5(7), 591–606.

33.

Lipsitz

(1995). The possessive investment in whiteness: Racialized social democracy and the “white” problem in American studies. American Quarterly, 47(3), 369–387. https://doi.org/10.2307/2713291

34.

Lipsitz

(2018). The possessive investment in whiteness: How white people profit from identity politics. Temple University Press.

35.

Markides

K. S.

Rote

(2019). The healthy immigrant effect and aging in the United States and other Western countries. The Gerontologist, 59(2), 205–214. https://doi.org/10.1093/geront/gny136

36.

Matias

C. E.

(2016). Feeling white: Whiteness, emotionality, and education (Feeling White). Brill.

37.

Matias

C. E.

Viesca

K. M.

Garrison-Wade

D. F.

Tandon

Galindo

(2014). What is critical whiteness doing in our nice field like critical race theory?” Applying CRT and CWS to understand the white imaginations of white teacher candidates. Equity & Excellence in Education, 47(3), 289–304.

38.

Min Zhou. (2020, Spring). Sociology 285A special topics: Second generation immigrants.

39.

National Conference on State Legislation. (2023). Report: Voter ID laws. https://www.ncsl.org/elections-and-campaigns/voter-id

40.

Nichols

V. C.

LeBrón

A. M. W.

Pedraza

F. I.

(2018). Policing us sick: The health of Latinos in an era of heightened deportations and racialized policing. PS: Political Science & Politics, 51(2), 293–297. https://doi.org/10.1017/S1049096517002384

41.

Novak

N. L.

Geronimus

A. T.

Martinez-Cardoso

A. M.

(2017). Change in birth outcomes among infants born to Latina mothers after a major immigration raid. International Journal of Epidemiology, 46(3), 839–849. https://doi.org/10.1093/ije/dyw346

42.

Pedraza

F. I.

Nichols

V. C.

LeBrón

A. M. W.

(2017). Cautious citizenship: The deterring effect of immigration issue salience on health care use and bureaucratic interactions among Latino US citizens. Journal of Health Politics, Policy and Law, 42(5), 925–960. https://doi.org/10.1215/03616878-3940486

43.

Pew Research Center. (2015). Modern immigration wave brings 59 million to U.S., driving population growth and change through 2065. https://www.pewresearch.org/hispanic/2015/09/28/modern-immigration-wave-brings-59-million-to-u-s-driving-population-growth-and-change-through-2065/

44.

Pew Research Center. (2019). Statistical portrait of the foreign-born population in the United States. https://www.pewresearch.org/hispanic/2019/06/03/facts-on-u-s-immigrants-trend-data/

45.

Phelan

J. C.

Link

B. G.

(2015). Is racism a fundamental cause of inequalities in health? Annual Review of Sociology, 41(1), 311–330. https://doi.org/10.1146/annurev-soc-073014-112305

46.

Phelan

J. C.

Link

B. G.

Tehranifar

(2010). Social conditions as fundamental causes of health inequalities: Theory, evidence, and policy implications. Journal of Health and Social Behavior, 51, S28–S40. https://doi.org/10.1177/0022146510383498

47.

Portes

Rumbaut

R. G.

(2001). Legacies: The story of the immigrant second generation. University of California Press.

48.

Portes

Zhou

(1993). The new second generation: Segmented assimilation and its variants. The Annals of the American Academy of Political and Social Science, 530(1), 74–96.

49.

The Sentencing Project. (2010). Federal Crack Cocaine Sentencing. https://www.jstor.org/stable/resrep27326

50.

Stewart

Q. T.

Dixon

J. C.

(2010). Is it race, immigrant status, or both? An analysis of wage disparities among men in the United States. International Migration Review, 44(1), 173–201.

51.

Telles

Ortiz

(2016). Generations of exclusion: Mexican Americans, assimilation, and race ( Gutierrez

R. A.

Almaguer

, Eds.). University of California Press.

52.

Treitler

V. B.

(2015). Social agency and white supremacy in immigration studies. Sociology of Race and Ethnicity, 1(1), 153–165.

53.

Viruell-Fuentes

E. A.

(2011). It’s a lot of work. Racialization processes, ethnic identity formations, and their health implications. Du Bois Review: Social Science Research on Race, 8(1), 37–52.

54.

Viruell-Fuentes

E. A.

Miranda

P. Y.

Abdulrahim

(2012). More than culture: Structural racism, intersectionality theory, and immigrant health. Social Science & Medicine, 75(12), 2099–2106.

55.

Waters

M. C.

Pineau

M. G.

(2015). Summary and chapter 6 in the integration of immigrants into American Society. National Academies Press.

56.

Yellow Horse

A. J.

Kuo

Seaton

E. K.

Vargas

E. D

. (2021). Asian Americans’ indifference to black lives matter: The role of nativity, belonging and acknowledgment of anti-black racism. Social Sciences, 10(5), 168.

57.

Young

(2008). White ethnographers on the experiences of African American men: Then and now. In Zuberi

Bonilla-Silva

(Eds.), White logic, white methods: Racism and methodology (pp. 179–202). Rowman & Littlefield.

58.

Zhou

(1997a). Growing up American: The challenge confronting immigrant children and children of immigrants. Annual Review of Sociology, 1, 63–95.

59.

Zhou

(1997b). Segmented assimilation: Issues, controversies, and recent research on the new second generation. International Migration Review, 31(4), 975–1008.

60.

Zuberi

Bonilla-Silva

(Eds.). (2008). White logic, white methods: Racism and methodology. Rowman & Littlefield.