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Home Health Care Management & Practice
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Borderlands: A Blurring of Two Worlds—Implications for International Home Health

Elaine Roberts, RN, CNM, MSN

Berea College, Berea, Kentucky

Carl A. Ross, PhD, RN

Duquesne University

The 2000-mile border between the United States and Mexico has been the subject of much discourse in relation to economics, immigration, and human rights issues. Home health care professionals who choose to practice in the 42 km border region are faced with a uniquely diverse practice setting. As persons of different cultures in the border area experience daily contact due to the ease of border crossing, challenges arise in providing culturally congruent care to the millions of people who live in this unique, multicultural area. Annually, an estimated 200 million persons cross the border to work, shop, visit relatives, and partake in other experiences on either side of the border, leading some to refer to the area as "Amexica." This cultural mix has implications for providers of health care in the border communities. Understanding the complexities of the border region will enable international health care professionals to provide culturally congruent care to the residents of this dynamic area. This article explores the implications of providing culturally congruent care to residents of the area along the border area between the United States and Mexico.

Key Words: borderland health • community health • colonias • cultural care • global health • maquiladores • NAFTA • transcultural nursing

Home Health Care Management & Practice, Vol. 14, No. 6, 461-465 (2002)
DOI: 10.1177/108482202236687
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