Cambodian migrant women's postpartum experiences in Victoria, Australia

Objective: to explore the postpartum experiences of Cambodian born migrant women who gave birth for the first time in Victoria, Australia between 2000 and 2010. Design: an ethnographic study with 35 women using semi-structured and unstructured interviews and participant observation; this paper draws on interviews with 20 women who fit the criteria of first time mothers who gave birth in an Australian public hospital. Setting: the City of Greater Dandenong, Victoria Australia. Participants: twenty Cambodian born migrant women aged 23-30 years who gave birth for the first time in a public hospital in Victoria, Australia. Findings: after one or two home visits by midwives in the first 10 day postpartum women did not see a health professional until 4-6 weeks postpartum when they presented to the MCH centre. Women were home alone, experienced loneliness and anxiety and struggled with breast feeding and infant care while they attempted to follow traditional Khmer postpartum practices. Implications for practice: results of this study indicate that Cambodian migrant women who are first time mothers in a new country with no female kin support in the postpartum period experience significant emotional stress, loneliness and social isolation and are at risk of developing postnatal depression. These women would benefit from the introduction of a midwife-led model of care, from antenatal through to postpartum, where midwives provide high-intensity home visits, supported by interpreters, and when required refer women to professionals and community services such as Healthy Mothers Healthy Babies (Victoria Department of Health, 2011) for up to 6 weeks postpartum

Unsafe abortion as a birth control method: maternal mortality risks among unmarried Cambodian migrant women on the Thai-Cambodia border

Reproductive health research and policies in Cambodia focus on safe motherhood programs particularly for married women, ignoring comprehensive fertility regulation programs for unmarried migrant women of reproductive age. Maternal mortality risks arising due to unsafe abortion methods practiced by unmarried Cambodian women, across the Thai-Cambodia border, can be considered as a public health emergency. Since Thailand has restrictive abortion laws, Cambodian migrant women who have irregular migration status in Thailand experimented with unsafe abortion methods that allowed them to terminate their pregnancies surreptitiously. Unmarried migrant women choose abortion as a preferred birth control method seeking repeat “unsafe” abortions instead of preventing conception. Drawing on the data collected through surveys, in-depth interviews, and document analysis in Chup Commune (pseudonym), Phnom Penh, and Bangkok, the authors describe the public health dimensions of maternal mortality risks faced by unmarried Cambodian migrant women due to various unsafe abortion methods employed as birth control methods.

Type 2 diabetes prevalence varies by socio-economic status within and between migrant groups: analysis and implications for Australia

Background:
Ethnic diversity is increasing through migration in many developed countries. Evidence indicates that type 2 diabetes mellitus (T2DM) prevalence varies by ethnicity and socio- economic status (SES), and that in many settings, migrants experience a disproportionate burden of disease compared with locally-born groups. Given Australia’s multicultural demography, we sought to identify groups at high risk of T2DM in Victoria, Australia.

Acculturation and obesity among migrant populations in high income countries - a systematic review

Background:
There is evidence to suggest that immigrant populations from low or medium-income countries to high income countries show a significant change in obesogenic behaviors in the host society, and that these changes are associated with acculturation. However, the results of studies vary depending on how acculturation is measured. The objective of this study is to systematically review the evidence on the relationship between acculturation - as measured with a standardized acculturation scale - and overweight/obesity among adult migrants from low/middle countries to high income countries.

Methods:

An Iranian migrant mother's production of selves through her family photograph collection

In researching migrant identities, visual methodology offers much promise and yet there is a marked lack of recent research that makes use of visual methods. Previous studies of migrant identities have privileged verbal representations of identities. Gillian Rose's (2010) work with mothers and their family photographs in the United Kingdom, in which she describes the role of family photographs in both producing social subject positions and in maintaining family togetherness across distances, is a useful model for research into the construction and negotiation of migrant identities.

The literature on family photography suggests that it is usually the woman/mother who takes on the role of making the family photograph album; of narrating the family's story (Rose, 2010; Holland, 2009; 1991; Chambers, 2003). The family photograph collection, together with the participant's interwoven verbal interpretation, is a particularly relevant data source for use in identity research as there is the potential for key themes of place, mobilities and space to be explored at new depth and from a feminist perspective.

This paper will report on an ethics approved study of one Iranian migrant mother and her family photograph collection, focusing on her representation of the identities and subjectivities of herself and her children through photographs taken following migration to Australia. The paper will consider the participant's family photographs as both visual objects and visual-verbal narratives produced within historically and culturally situated discourses. It will explore how photographs and oral interpretations cohere to enable migrant mothers to re/produce selves. The paper will examine the production of subject positions specifically in relation to place, mobilities and space.

The research is situated within critical visual ethnography and is informed by a reflexive feminist approach. The meaning making of the photographs under study will be explored at the sites of production, image, and audience. The combined visual-verbal methods used in this study aim to provide a new contribution to the literature on migrant identities and form the basis of a scaled up research design of a larger cohort of mothers.

Migrant mothers: family photographs and the intra-active fashioning of a visual-material ethics

Migrant mothers play crucial roles within the social landscape of schools, particularly in providing care, education and a transition between home and school for their children. My research considers the relevance of theories of space, place, temporality and mobility in Iranian migrant mothers’ production of subjectivity for themselves and their children in and through their family photograph collections. Gillian Rose’s anthropological approach to visual objects is put to use in an exploration of the co-constitution of migrant women and their photographs. In this paper, I trace the shaping of a visual-material ethics within the research context and appropriate to the sensibilities and needs of the participant women who each moved from Iran to Australia with their children. Karen Barad’s notion of a posthumanist ‘ethics of mattering’ is drawn upon in conceptualising a visual-material ethics as fashioned in the intra-actions of people and visual objects. Specific ethical issues considered include the collaborative process of producing a family photograph, and the shaping and reshaping of images from photograph to line drawing to hybridised photograph-line drawing. A research ethics committee’s application of a liberal individualist, utilitarian and positivist biomedical paradigm in considering the research project is discussed as not only inadequate but also incompatible with the fashioning of a visual-material ethics in concert with the participant women and their photographs.

Exploring subject positions and multiple temporalities through an Iranian migrant mother's family photograph albums

 In this article, I draw on a research study of one Iranian migrant mother's generation of selves through her material configuration of her personal photograph albums and through our verbal reading of her photographs. The research engages in a visual-material feminist ethnographic approach, and is informed by the work of Gillian Rose and the understanding that family photographs are a means by which women negotiate subject positions. In this article, I discuss an unexpected finding of my research, the significance of multiple temporalities in a migrant mother's production of selves. The photo album practices of the participant mother of this study, ‘Parvin’, depart from the common social convention of mothers arranging their photograph albums to chart family growth following the model of milestones occurring over linear developmental time. Parvin does not limit herself to linear developmental time, but rather she mixes up photographs in her post-migration family albums to generate multiple temporalities woven together by an enveloping ‘mixed’ time. Drawing on both Julia Kristeva and Homi Bhaba's theories of temporality and the subject, I suggest that Parvin produces subject positions for self and family through a continual interweaving of a multitude of pasts into the present and through a subsuming of milestones within cyclical family time. Further, I suggest that through her generation of multiple temporalities, Parvin produces the subject position of ‘accommodating mother’. Finally, I highlight the potential afforded by considering the temporal and the spatial together in studies of migrant identity.

Forgotten but not gone - Scrofuloderma in a migrant student from India

A 34-year-old Indian student who immigrated to Australia five years ago presented with a four-week history of neck pain. Physical examination revealed two firm fixed cervical lymph nodes in the anterior triangle and midline region which were tender on palpation and erythematous on inspection. Cording phenomenon was found on ZN staining of FNA sample and mycobacterium tuberculosis (M.tb) PCR confirmed the diagnosis with incomplete resistance to isoniazid. Patient was treated with other three first line antituberculosis medications for nine months with an excellent outcome. Prednisolone was also used as adjunctive therapy and tapered during the course of treatment.

Developing programs for African families, by African families: engaging African migrant families in Melbourne in health promotion interventions

Obesity is an emerging problem for African migrants in Australia, but few prevention programs incorporate their cultural beliefs and values. This study reports on the application of community capacity-building and empowerment principles in 4 workshops with Sudanese families in Australia. Workshop participants prioritized health behaviors, skill and knowledge gaps, and environments for change to identify culturally centered approaches to health promotion. The workshops highlighted a need for culturally and age-appropriate interventions that build whole-of-family skills and knowledge around the positive effects of physical activity and nutrition to improve health within communities while reducing intergenerational and gender role family conflicts.

Applying the theory of resource curse to disadvantaged migrant communities and criminal offending: Vietnamese Australians and the heroin trade as a case study

Australia has a substantial Vietnamese community, a consequence of the refugee exodus from Southeast Asia which followed the Communist victory in Vietnam in 1975. While Vietnamese Australians have contributed greatly to their host society, they are also stigmatised because of an association with the trade in illicit drugs, particularly heroin. Drug-related offending remains very high in Vietnamese Australian communities, with resultant high rates of incarceration and social exclusion. In its formative years the Vietnamese Australian community was faced with exclusion from economic and social opportunity, but was uniquely well-positioned as an ethnic enclave economy to take advantage of the growing demand for illicit drugs, especially heroin. I argue that the heroin trade had an effect analogous to ‘resource curse’, and has been a major source of continuing disadvantage and social harm to the Vietnamese Australian community.