Thursday, May 15, 2025
Sara A. Smith – State University of New York, Old Westbury
Talk Summary:
In this talk, Dr. Sarah Smith situates public health and health care in the context of U.S. imperialism, benign neglect, gender inequality, and transnational migration, particularly in the US Affiliated Pacific Islands. After discussing how her training and research in both applied anthropology and public health led her to current research projects, Dr. Smith illustrates key issues and facets of her research with the situation of the women from Chuuk, Federated States of Micronesia who migrate to Guåhan (Guam), a US territory, and suffer from disproportionately poor reproductive health outcomes. Though their access to the US is uniquely easy, through a Compact of Free Association agreement, it keeps them in a perpetual liminal state as nonimmigrants, who never fully belong as part of the US. Chuukese families move to Guåhan in search of a better life: sometimes for jobs, to put their children in school, or to access safe health care. Yet, the imperial system of benign neglect creates underlying conditions that greatly and disproportionately impact Chuukese migrants’ ability to succeed, including inequities in education, health, and job skills. In this talk, she illuminates how imperial citizenship, migration, xenophobia, gender inequities, and poverty intersect, cohere and compound to shape the poor reproductive health outcomes of Chuukese women in Guåhan. To better understand why Chuukese women suffer these health inequities, she elucidates how Chuukese women’s reproduction is conceptualized by women, their families, and home and host communities, and how these meanings are mediated by US imperialism and transnational migration between Chuuk and Guam. Her work in Guam brought her to a better understanding of the intersection of the control and movement of bodies (structural violence), representations of bodies in society (symbolic violence), and individual experiences and agency in these transnational spaces.
Bio:
Sarah A. Smith is chair and associate professor of public health and director of the health equity research institute at the State University of New York (SUNY) Old Westbury. She earned a PhD in applied anthropology and a master of public health from the University of South Florida. She has published research on migration, identity, and exclusion; sexual violence and human trafficking; stratified reproduction; women’s organizations; and clinical environments. Smith is a feminist medical anthropologist; her work connects health and health care in contexts of imperialism, neglect, gender inequality, and migration, particularly in the US Affiliated Pacific Islands. Rutgers University Press recently published her book, Forgotten Bodies: Imperialism, Chuukese Migration and Stratified Reproduction in Guam (2023).