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“IT'S A LOT OF WORK”: Racialization Processes, Ethnic Identity Formations, and Their Health Implications1

  • Edna A. Viruell-Fuentes (a1)
  • DOI:
  • Published online: 15 April 2011

Explanations for immigrant and Latino health outcomes often invoke culture through the use of the concept of acculturation. The use of acculturation models in health research has been, however, the topic of growing debate. Critics of acculturation-based explanations point out that despite the growing psychometric sophistication in measuring acculturation, the concept and its underlying assumptions remain flawed. Specifically, questions regarding how Mexicans experience and make sense of the ethnoracial structure of the United States and how racialization processes impact health and well-being remain largely ignored within acculturation-based models. By examining the processes Mexican women engage in as they construct ethnic identities within a stigmatizing social environment in the United States, this paper contributes answers to these questions. Based on a qualitative analysis of forty in-depth interviews conducted with first-generation Mexican immigrant women and second-generation Mexican American women in Detroit, this paper describes how Mexican women work through the tensions and complexities embedded in the process of constructing a sense of ethnic belonging while, at the same time, confronting and resisting racial stereotypes of Mexicans in the United States. Women's narratives suggest that the stress involved in negotiating ethnic identities under stigmatizing environments might be one of the ways in which living in a racialized society affects health outcomes. The paper concludes with a discussion of the implications of these findings for Latino and immigrant health.

Corresponding author
Edna A. Viruell-Fuentes, Department of Latina/Latino Studies, University of Illinois at Urbana-Champaign, 510 E. Chalmers Street, Champaign, IL 61820. E-mail:
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I wish to express my gratitude to Maria Rendon, Sawsan Abdulrahim, and three anonymous reviewers for their comments on earlier drafts of this paper. This research would not have been possible without the generous support of the Center on Democracy in a Multiracial Society and the Research Board at the University of Illinois at Urbana-Champaign; as well as from the Network for Multicultural Research on Health and Healthcare (funded by the Robert Wood Johnson Foundation), Dept. of Family Medicine, at the University of California at Los Angeles. Short excerpts from Viruell-Fuentes (2006, 2007) and from Viruell-Fuentes and Schulz (2009) are republished here with permission from Taylor and Francis, Ltd., Elsevier, Ltd., and the American Public Health Association/Sheridan Press, respectively. Most importantly, I am deeply indebted to the women who opened their homes and shared their lives through the course of this project; I hope this work is worthy of their trust. I am also thankful to the Southwest Detroit community and its many formal and informal leaders whose knowledge about and commitment to the community inspired this work.

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Sunil Bhatia and Anjali Ram (2001). Rethinking “Acculturation” in Relation to Diasporic Cultures and Postcolonial Identities. Human Development, 44(1): 118.

Cleopatra H. Caldwell , Marc A. Zimmerman , Debra H. Bernat , Robert M. Sellers , and Paul C. Notaro (2002). Racial Identity, Maternal Support, and Psychological Distress among African American Adolescents. Child Development, 73(4): 13221336.

Olivia Carter-Pokras and Lisa Bethune (2009). Defining and Measuring Acculturation: A Systematic Review of Public Health Studies with Hispanic Populations in the United States: A Commentary on Thompson and Hoffman-Goetz. Social Science & Medicine, 69(7): 992995.

Nicholas De Genova (2004). The Legal Production of Mexican/Migrant “Illegality.” Latino Studies, 2(2): 160185.

Nicholas De Genova (2007). The Production of Culprits: From Deportability to Detainability in the Aftermath of “Homeland Security.” Citizenship Studies, 11(5): 421448.

Chandra L. Ford and Nina T. Harawa (2010). A New Conceptualization of Ethnicity for Social Epidemiologic and health Equity Research. Social Science & Medicine, 71: 251258.

N. J. Grove and A. B. Zwi (2006). Our Health and Theirs: Forced Migration, Othering, and Public Health. Social Science & Medicine, 62(8): 19311942.

Linda M. Hunt , Suzanne Schneider , and Brendon Comer (2004). Should “Acculturation” Be a Variable in Health Research?: A Critical Review of Research on U.S. Hispanics. Social Science & Medicine, 59: 973986.

Aida Hurtado , Patricia Gurin , and Timothy Peng (1994). Social Identities—A Framework for Studying the Adaptations of Immigrants and Ethnics: The Adaptations of Mexicans in the United States. Social Problems, 41(1): 129151.

Sherman A. James (1994). John Henryism and the Health of African Americans. Culture, Medicine and Psychiatry, 18: 163182.

Hsues-Fen S. Kao , Min Tao Hsu , and Lauren Clark (2004). Conceptualizing and Critiquing Culture in Health Research. Journal of Transcultural Nursing, 15(4): 269277.

Diane S. Lauderdale (2006). Birth Outcomes for Arabic-Named Women in California before and after September 11. Demography, 43(1): 185201.

Rawaswami Mahalingam , Sundari Balan , and Jana Haritatos (2008). Engendering Immigrant Psychology: An Intersectionality Perspective. Sex Roles, 59: 326336.

Sunaina Maira (2009). Missing: Youth, Citizenship, and Empire after 9/11. Durham, NC: Duke University Press.

Krysia N. Mossakowski (2003). Coping with Perceived Discrimination: Does Ethnic Identity Protect Mental Health? Journal of Health and Social Behavior, 44(3): 318331.

Maria B. Munford (1994). Relationship of Gender, Self-esteem, Social Class, and Racial Identity to Depression in Blacks. Journal of Black Psychology, 20: 157174.

Joane Nagel (1994). Constructing Ethnicity: Creating and Recreating Ethnic Identity and Culture. Social Problems, 41(1): 152176.

Jean S. Phinney (1992). The Multigroup Ethnic Identity Measure: A New Scale for Use with Diverse Groups. Journal of Adolescent Research, 7: 156176.

Jean S. Phinney and Anthony D. Ong (2007). Conceptualization and Measurement of Ethnic Identity: Current Status and Future Directions. Journal of Counseling Psychology, 54(3): 271281.

George J. Sanchez (1997). Face the Nation: Race, Immigration, and the Rise of Nativism in Late Twentieth Century America. International Migration Review, 31(4): 10091030.

Vilma Santiago-Irizarry (1996). Culture as Cure. Cultural Anthropology, 11(1): 324.

M. Schwalbe , S. Godwin , D. Holden , D. Schrock , S. Thompson , and M. Wolkomir (2000). Generic Processes in the Reproduction of Inequality: An Intersection Analysis. Social Forces, 79(2): 419452.

Robert M. Sellers , Cleopatra H. Caldwell , K. H. Schmeelk-Cone , and Marc A. Zimmerman (2003). Racial Identity, Racial Discrimination, Perceived Stress, and Psychological Distress among African American Young Adults. Journal of Health and Social Behavior, 44(3): 302317.

Ann Swidler (1986). Culture in Action: Symbols and Strategies. American Sociological Review, 51: 273286.

Peggy A. Thoits (2010). Stress and Health: Major Findings and Policy Implications. Journal of Health and Social Behavior, 51(Special): 4153.

Adriana Umaña-Taylor , Ruchi Bhanot , and Nana Shin (2006). Ethnic Identity Formation during Adolescence: The Critical Role of Families. Journal of Family Issues, 27(3): 390414.

Adriana J. Umaña-Taylor and Mark A. Fine (2004). Examining Ethnic Identity Among Mexican-Origin Adolescents Living in the United States. Hispanic Journal of Behavioral Sciences, 26(1): 3659.

Adriana J. Umaña-Taylor and Kimberly A. Updegraff (2007). Latino Adolescents' Mental Health: Exploring the Interrelations among Discrimination, Ethnic Identity, Cultural Orientation, Self-esteem, and Depressive Symptoms. Journal of Adolescence, 30: 549567.

Edna A. Viruell-Fuentes (2006). “My heart is always there”: The Transnational Practices of First-generation Mexican Immigrant and Second-generation Mexican American Women. Identities: Global Studies in Culture and Power, 13(3): 335362.

Edna A. Viruell-Fuentes (2007). Beyond Acculturation: Immigration, Discrimination, and Health Research among Mexicans in the United States. Social Science & Medicine, 65: 15241535.

E. A. Viruell-Fuentes and Amy J. Schulz (2009). Toward a Dynamic Conceptualization of Social Ties and Context: Implications for Understanding Immigrant and Latino Health. American Journal of Public Health, 99: 21672175.

David R. Williams and Selina A. Mohammed (2009). Discrimination and Racial Disparities in Health: Evidence and Needed Research. Journal of Behavioral Medicine, 32(1): 2047.

David R. Williams and Michelle Sternthal (2010). Understanding Racial-ethnic Disparities in Health: Sociological Contributions. Journal of Health and Social Behavior, 51(Special): 1527.

Gareth H. Williams (2003). The Determinants of Health: Structure, Context, and Agency. Sociology of Health and Illness, 25: 131154.

Ruth Zambrana and Olivia Carter-Pokras (2010). Role of Acculturation Research in Advancing Science and Practice in Reducing Health Care Disparities among Latinos. American Journal of Public Health, 100(1): 1823.

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