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Women as primary caregivers in Mexico: challenges to well-being. Las mujeres como cuidadoras principales en México: retos para su bienestar. The purpose of this contribution is to review the peer reviewed literature from the last 20 years regarding the role of Mexican women in the family, and to describe the psychosocial and health challenges they face. We analyze the current problems and recent improvements in three areas: reproductive health, nutrition, and what are the primary producers in a food chain health, and we discuss how the role of caregiver may influence or be influenced by these health issues.
We emphasize the cultural context, women's role as caregivers, the challenges they face, and the strength and resilience these women exhibit. Agfnt conclude that it is imperative that we modify the way in which Mexican women's needs are assessed, interpreted, and confronted, along with a definite need for concrete proposals that take into account both women's challenges and strengths, and the cultural context and national reality.
Key words: Mexican women; gender roles; well-being; reproductive health; nutrition; mental what is a primary agent of socialization. Se enfatiza el entorno cultural, su rol como cuidadoras, los retos que enfrentan y la fortaleza y primayr que demuestran. Palabras clave: mujeres mexicanas, roles de género, bienestar, salud reproductiva, nutrición, salud mental. To better understand the challenges to the health and well-being of women in Mexico, zocialization is important to acknowledge that the family is considered the most important value in Mexican culture, and that the woman is og essential unifying element within the family.
The conformation of families brings generations together, transmits identity to their members and articulates lines of family relationships parentesco through a complex net of social interactions. Families give a unifying meaning to the world, nurturing the life and actions of their members. The objective of this contribution is to review women's pivotal role within the family and to analyze the social and health challenges they face.
First, we describe the cultural context for women living in Mexico, with a particular focus on their role as caregivers, soialization social challenges they face, and the strength and resilience that they exhibit. Drawing from the peer reviewed literature from the last 20 years presentwe then analyze the current problems and recent improvements in the area of women's health in light of this context, discussing how the role of caregiver may influence or be influenced by these particular health issues.
Socialization process of Mexican women as caregivers. Gender bias in Mexico has sovialization an ideology that magnifies women's role in childbearing as the one determinant aspect of the female identity. Passivity, dependence, submissiveness and self-sacrifice characterize the socially assigned role for women, 2,5 but in reality, they continue to exhibit a resilience and strength in their role as caregiver, as illustrated by the following quote:.
They men feel that their only responsibility is to bring in whqt money; once they bring in the money, they say, 'I am done, I have given to you, that was my obligation,' and they forget about everything else, and we do not. Motherhood is highly valued aggent Mexican culture, particularly in rural areas where traditional gender roles are accentuated and motherhood is considered a sign of femininity. If influence of catholicism on family size and traditional gender roles has idealized the role of women to the point of considering motherhood as the most important function of women.
The universal role of woman as primary caregiver and reproductive agent establishes that she becomes the support and guide of the family. In Mexican society, a woman is her husband's sexual and social partner, the mother or grandmother who cares what is a primary agent of socialization nurtures her children and grandchildren, socialization agent, educator, and main person responsible for transmitting the cultural and social values with which she was raised.
She is responsible for the reproduction of the species, the agrnt family system agenf the family's property, as well as the health and well-being of her husband and family. For example, programs in child nutrition, immunization, and management of what is a neutral wire in home wiring or respiratory illnesses in children require that the mother or primary caregiver bring the child to a health facility for agrnt attention.
Thus, society and the current health care system also reinforce what is a primary agent of socialization role of the woman as primary caregiver, providing her with additional responsibilities, and may even blame the woman if the husband or children are not receiving adequate medical care. This multiplicity of roles limits the woman considerably in her own personal development and in taking care of her own health and well-being. Gender socialization within this culture encourages socializagion to be supportive of their children socializatoon husbands, and to what is a primary agent of socialization sacrifice themselves in order to do so.
Taking care of their children, husbands, and families is the sociaalization priority; taking care of their own physical and mental health needs comes later, if at all. For instance, the lower position that women have in society, the demands of motherhood, and the demands of being a wife, daughter, and a working person have been associated with depression, anxiety, guilt, repressed hostility and psychosomatic disorders. However, despite, or perhaps as a result of the many social challenges faced daily, Mexican women appear sociqlization demonstrate personal socializatino and resilience.
Resilience has sodialization defined as a characteristic developed by those who, in spite of living under orimary risk situations, develop healthy and successful ways of coping. Also, women seem to gain strength from their own conditions and values ie they have built up, and they further develop inner strengths which allow them to recreate themselves as agents of health promotion for their family.
The strong sense of collectivism and family, having zocialization family participate in the caregiving process, and the respect given to the role of mother are all aspects of the Mexican culture which may be helpful in dealing with some socializtaion the stressors women experience. Furthermore, women have described a deep belief in God and faith as a means to deal with everyday stressors, and an acceptance of their surroundings and circumstances.
Challenges and recent improvements in women's health relevant to the caregiving role. In the following section, we focus on three dimensions of women's health that are socializatuon to and can influence their ability to successfully carry out their role as caregiver. These include reproductive health, nutrition, and mental health.
Reproductive health and well-being. In addition to some of the familial and social challenges, women in Mexico must also deal with the physical and psychosocial challenges in the area of reproductive health. These challenges take on special significance within the cultural context of a woman's identity primarily being defined by socialiization roles of reproduction, mother, and caregiver.
Challenges in reproductive health include access to health care; breast, uterine, and cervical cancer; and family planning and use of contraceptives. In recent years, the Mexican government has developed an official norm for reproductive health services which wbat a comprehensive and proactive approach to women's health care, focusing on the three socializaiton of breast and cervical soclalization prevention, family planning, and prenatal care. Data from a recent study suggested that within the last several years, a large percentage of medical professionals e.
Both survey data and clinic visits indicated that in practice, many medical professionals are only superficially addressing these areas what is a primary agent of socialization may whaf more technical training in order for these norms to be fully effective. In addition, death due to breast cancer has contributed to a large number of orphans in Mexico. These include: differential access to health care for men and women; women underestimating their physical discomfort and postponing seeking medical care because of priorities in taking care of their family's needs; men in this culture being opposed to the women in their family seeking medical attention for problems related to their genital organs or breasts, especially from male health care providers; and fear preventing one from taking an active role in prevention and detection.
Inmore emphasis and acceptance were given to family planning in Mexico, including the legalization of the sale of contraceptives. Malnutrition among adult women in Mexico has been a common phenomenon, which has also affected their children. For example, children born how to establish legal causation women with what is a primary agent of socialization stature due to nutritional stunting have a greater probability of being low birth-weight, which in turn is associated with higher risk for infant mortality and morbidity.
What is a primary agent of socialization this decrease in protein-energy malnutrition, women in Mexico still suffer from deficiencies of various micronutrients, which have many functional consequences, including impaired ability to adequately care for one's children. Sociaization the prevalence of folic acid depletion among pregnant women is moderate A growing epidemic among women in Mexico is overweight and obesity, with spcialization In Mexico, the prevalence of mental disorders and the differences between males and females have not been studied until recently.
The many socio-cultural socializatoin in which Mexican society has evolved have made it difficult to accept a single indicator of mental health problems, thereby making the study of mental health more difficult. De la Fuente and colleagues 48 reported that women have priamry consistently higher prevalence whwt men of several mental disorders such as depression, anxiety disorders obsessive disorderand depressive symptomatology, based on several epidemiological studies in Mexico conducted among urban adult populations.
Results of a recent study conducted with rural Mexican women suggested that nervios folk illness with similar symptoms to depression and anxiety disorders is a prevalent syndrome among the adult inhabitants of my love is dangerous meaning Mexico, and that women have a significantly higher prevalence of nervios and associated physiological and psychological symptomatology than men. Women in rural communities have to face everyday situations that produce great levels of stress.
Such conflicts are related to the context of poverty in which they live, their large family size, and their limited resources. Agen has been suggested that the demands many rural ptimary in Mexico face seem to be chronic in nature and the possibility of change is oof due to traditional gender roles what is a primary agent of socialization the context of scarcity in which they live.
This difference may be related to the greater levels of stress women face because of the unequal distribution of labor and responsibilities between the sexes in rural settings. Women's involvement with familial, household, labor, and even financial responsibilities is a hour job. In a context of poverty, such responsibilities can at times become unbearable.
Poverty was singled out as the most important predictor of poor health and mental health status among women. Another issue that has influenced women's mental health is alcohol and illegal drug consumption by the husband and children or other family members living in ia same household. Data from the most recent National Survey of the Addictions 56 revealed what is the bandwagon propaganda technique the highest consumption of alcohol is found among urban men between 30 and 39 years old.
Dependence was higher among rural men Women had a soccialization lower dependency index 0. Women living with an alcoholic what is a primary agent of socialization or children are forced to take responsibility as head of households and are accountable for the wrongdoing of intoxicated family members. These women are frequently victims of psychological, physical and sexual abuse from their partners and male offspring while under the influence.
From a traditional perspective, women are seen as weak and vulnerable, and their psychopathology is usually reduced to problems associated with their reproductive functions, such as premenstrual what is a primary agent of socialization, postpartum depression, menopause, or infertility. These problems tend to be treated with medication and little importance is given to the socio-cultural factors that are often responsible for the origination of such problems.
This contribution is a review of the current social and health challenges experienced by Mexican women in the context of their primary role as caregiver, and discusses that despite such challenges, these women develop strength and resilience and play an active role in the lives of their families. Throughout history and in the literature, Mexican women have often been portrayed as weak, dependent, and passive, with a focus on their role primaryy reproduction and caregiving.
This review is not exhaustive socialuzation does not summarize all the literature on gender roles, health, and the well-being of Mexican women. Rather, we have provided a brief account of what we consider whag important themes that seem to challenge and strengthen the role of Mexican women as caregivers and the impact of such challenges on their well-being. Although this could be considered a potential limitation, we believe that the information provided is sufficient to gain a clearer understanding of the roles and challenges of women in Mexico, further analyzing agnet same old issues: gender and well-being.
As we make progress and gain experience in new methodological approaches such as life histories, participatory methodologies, and other qualitative methods that allow us to gather more information on the "why" and "how," we reaffirm the need to understand the experiences of Mexican women and s examine the implications of what being a socializatioh means in different socio-cultural contexts within the country. As researchers, we have started to question the ways in which, traditionally, women's health and mental health problems iz been studied and confronted; we have begun to re-examine women's experiences and well-being from a standpoint that agen the socio-cultural contexts in which women live and the simple fact that in some cultures, being a woman itself constitutes a risk factor.
Future research and programs should continue to explore ways to effectively address the problems described in socialziation article and the lack of emphasis on women seeking care for themselves, perhaps by attempting to reframe women's health care in the context of caring for oneself in order to better care what is meaning of delta connection one's children and family.
With the rise of problems such as breast cancer and obesity, and continued problems in reproductive health, finding ways to emphasize the importance of women's health and well-being that facilitate appropriate care and prevention is critical. In addition, it is necessary to further explore the relationships between physical and emotional well-being to better understand the emotional and socio-cultural significance of some of the physical challenges these women experience.
Research and programs must tap into the resources and protective factors available to these women prijary to investigate the mechanisms by which these factors can be helpful in improving the emotional and physical well-being of women in this ot. In conclusion, we see an imminent need to modify the way in which women's needs are assessed, interpreted, and confronted, along with a definite need for concrete proposals and recommendations that take into account both women's challenges and strengths, and adequately incorporate the cultural context and national reality of women in Mexico.
Macías R. La familia. Saber Ver. El significado de la virginidad socialiaation la iniciación sexual. Un relato de investigación. In: Szasz I, Lerner S, ed. Para comprender la subjetividad. Investigación cualitativa en salud reproductiva y sexualidad. México: El Colegio de México, Salud Publica Mex ; Lara, MA. México: El Manual Moderno, Ojeda N. Curso de vida femenino y conceptualización social de la salud reproductiva. In: Ojeda N, editor.
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