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Fernandez-Sanchez H, Rocha-Fernandez M, Salma J, Santa Maria DM, Benavides-Torres RA, Salami B. Sexual Health Implications of Return Migration for Women and Their Partners in Rural Mexico: A Critical Ethnography. J Assoc Nurses AIDS Care 2024:00001782-990000000-00111. [PMID: 39145669 DOI: 10.1097/jnc.0000000000000494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/16/2024]
Abstract
ABSTRACT The return of a migrant partner can negatively impact the sexual health of women who stayed in their communities. Understanding their sexual health needs is crucial for developing targeted interventions and support systems. Our study used a critical ethnographic approach in Agua Dulce, a rural community in Mexico, involving 50 key informants: women who stayed behind (n = 20), returnees (n = 12), community leaders (n = 12), and health care professionals (n = 6). We used participant observation, policy analysis, and interviews, using purposeful and snowball sampling methods. A gender-based thematic analysis revealed economic hardships and early separations affect the sexual well-being of women who stay behind. Infidelity, discovered through social media or calls, causes emotional distress and family disruptions. Male migrants spend an average of 8.85 years abroad, leading to fears of risky sexual behaviors. Our study highlights the urgent need for specialized support centers and comprehensive health interventions.
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Affiliation(s)
- Higinio Fernandez-Sanchez
- Higinio Fernandez-Sanchez, PhD, RN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Minerva Rocha-Fernandez, BA, is a Community Partner, Agua Dulce, Veracruz, Mexico
- Jordana Salma, PhD, RN, is an Associate Professor, Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada
- Diane M. Santa Maria, PhD, RN, is Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Raquel A Benavides-Torres, PhD, RN, is a Professor, Facultad de Enfermería, Universidad Autonoma de Nuevo Leon, Monterrer, Mexico
- Bukola Salami, PhD, RN, is a Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Minerva Rocha-Fernandez
- Higinio Fernandez-Sanchez, PhD, RN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Minerva Rocha-Fernandez, BA, is a Community Partner, Agua Dulce, Veracruz, Mexico
- Jordana Salma, PhD, RN, is an Associate Professor, Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada
- Diane M. Santa Maria, PhD, RN, is Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Raquel A Benavides-Torres, PhD, RN, is a Professor, Facultad de Enfermería, Universidad Autonoma de Nuevo Leon, Monterrer, Mexico
- Bukola Salami, PhD, RN, is a Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Jordana Salma
- Higinio Fernandez-Sanchez, PhD, RN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Minerva Rocha-Fernandez, BA, is a Community Partner, Agua Dulce, Veracruz, Mexico
- Jordana Salma, PhD, RN, is an Associate Professor, Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada
- Diane M. Santa Maria, PhD, RN, is Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Raquel A Benavides-Torres, PhD, RN, is a Professor, Facultad de Enfermería, Universidad Autonoma de Nuevo Leon, Monterrer, Mexico
- Bukola Salami, PhD, RN, is a Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Diane M Santa Maria
- Higinio Fernandez-Sanchez, PhD, RN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Minerva Rocha-Fernandez, BA, is a Community Partner, Agua Dulce, Veracruz, Mexico
- Jordana Salma, PhD, RN, is an Associate Professor, Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada
- Diane M. Santa Maria, PhD, RN, is Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Raquel A Benavides-Torres, PhD, RN, is a Professor, Facultad de Enfermería, Universidad Autonoma de Nuevo Leon, Monterrer, Mexico
- Bukola Salami, PhD, RN, is a Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Raquel A Benavides-Torres
- Higinio Fernandez-Sanchez, PhD, RN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Minerva Rocha-Fernandez, BA, is a Community Partner, Agua Dulce, Veracruz, Mexico
- Jordana Salma, PhD, RN, is an Associate Professor, Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada
- Diane M. Santa Maria, PhD, RN, is Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Raquel A Benavides-Torres, PhD, RN, is a Professor, Facultad de Enfermería, Universidad Autonoma de Nuevo Leon, Monterrer, Mexico
- Bukola Salami, PhD, RN, is a Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Bukola Salami
- Higinio Fernandez-Sanchez, PhD, RN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Minerva Rocha-Fernandez, BA, is a Community Partner, Agua Dulce, Veracruz, Mexico
- Jordana Salma, PhD, RN, is an Associate Professor, Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada
- Diane M. Santa Maria, PhD, RN, is Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center Houston, Houston, Texas, USA
- Raquel A Benavides-Torres, PhD, RN, is a Professor, Facultad de Enfermería, Universidad Autonoma de Nuevo Leon, Monterrer, Mexico
- Bukola Salami, PhD, RN, is a Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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