Informality, Social Citizenship, and Wellbeing among Migrant Workers in Costa Rica in the Context of COVID-19.

COVID-19 Costa Rica Nicaragua documentation grounded theory informal work migrant health social citizenship social determinants of health welfare states

Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
20 05 2022
Historique:
received: 25 02 2022
revised: 13 05 2022
accepted: 15 05 2022
entrez: 28 5 2022
pubmed: 29 5 2022
medline: 1 6 2022
Statut: epublish

Résumé

Costa Rica is home to 557,000 migrants, whose disproportionate exposure to precarious, dangerous, and informal work has resulted in persistent inequities in health and wellbeing in the midst of the COVID-19 pandemic. We used a novel multimodal grounded approach synthesizing documentary film, experiential education, and academic research to explore socioecological wellbeing among Nicaraguan migrant workers in Costa Rica. Participants pointed to the COVID-19 pandemic as exacerbating the underlying conditions of vulnerability, such as precarity and informality, dangerous working conditions, social and systemic discrimination, and additional burdens faced by women. However, the narrative that emerged most consistently in shaping migrants' experience of marginalization were challenges in obtaining documentation-both in the form of legal residency and health insurance coverage. Our results demonstrate that, in spite of Costa Rica's acclaimed social welfare policies, migrant workers continue to face exclusion due to administrative, social, and financial barriers. These findings paint a rich picture of how multiple intersections of precarious, informal, and dangerous working conditions; social and systemic discrimination; gendered occupational challenges; and access to legal residency and health insurance coverage combine to prevent the full achievement of a shared minimum standard of social and economic security for migrant workers in Costa Rica.

Identifiants

pubmed: 35627759
pii: ijerph19106224
doi: 10.3390/ijerph19106224
pmc: PMC9141649
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Références

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Auteurs

Mathieu J P Poirier (MJP)

School of Global Health, Faculty of Health, York University, Toronto, ON M3J 1P3, Canada.
Global Strategy Lab, Dahdaleh Institute for Global Health Research, York University, Toronto, ON M3J 1P3, Canada.

Douglas Barraza (D)

Health Section, Central American Institute for Studies on Toxic Substances, Universidad Nacional, Heredia 41101, Costa Rica.
Coordinación de Docencia, Universidad Técnica Nacional, San Carlos 21001, Costa Rica.

C Susana Caxaj (CS)

School of Nursing, University of Western Ontario, London, ON N6A 5B9, Canada.

Ana María Martínez (AM)

York International & Faculty of Environmental and Urban Change, York University, Toronto, ON M3J 1P3, Canada.

Julie Hard (J)

Faculty of Health, York University, Toronto, ON M3J 1P3, Canada.

Felipe Montoya (F)

Faculty of Environmental and Urban Change, York University, Toronto, ON M3J 1P3, Canada.

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Classifications MeSH