Beyond welfare reform: Reframing undocumented immigrants’ entitlement to health care in the United States, a critical review

Viladrich, Anahí

doi:10.1016/j.socscimed.2011.05.050

Cited by 76 publications

(48 citation statements)

References 59 publications

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“…They call for a focus on social inequalities through concepts such as fundamental social causes (73)(74)(75)103), social stratification (78), social determinants of health inequality (63,76,78,80,125), income inequality (63), webs of causation (65), higher-order causal-level structural factors (87), upstream factors (86), discrimination, and racial disparities in health outcomes (42,66,71,79,123,144). Drawing from the social sciences, frameworks have incorporated concepts related to the importance of social structures and social inequalities, such as political economy and political and economic determinants (94,95,121), structural violence (41), symbolic violence (19,21,54), structural vulnerability (29,54,111), conjugated oppression and hierarchies of embodied suffering (20,52), zones of abandonment (16), intersectionality (136,139), and discourses of deservingness (28,53,81,119,133,143). Here, we do not explore each of these concepts in depth because they overlap and together inform our understanding of the importance of the social determinants lens for understanding the health effects of immigration.…”

Section: Social Determinants Of Healthmentioning

confidence: 99%

“…Deservingness refers to how some groups, but not others, are considered worthy of attention, investment, and care, particularly against the backdrop of the retrenchment of the welfare state and increasing health care costs (28,53,81,90,109,119,133,143). Conceptions of deservingness are distinct from formalized entitlements as well as from pragmatic questions of access.…”

Section: Addressing the Knowledge Gaps Priorities For Future Researchmentioning

confidence: 99%

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Immigration as a Social Determinant of Health

Castañeda

Holmes

Madrigal³

et al. 2015

Annu. Rev. Public Health

767

631

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Although immigration and immigrant populations have become increasingly important foci in public health research and practice, a social determinants of health approach has seldom been applied in this area. Global patterns of morbidity and mortality follow inequities rooted in societal, political, and economic conditions produced and reproduced by social structures, policies, and institutions. The lack of dialogue between these two profoundly related phenomena-social determinants of health and immigration-has resulted in missed opportunities for public health research, practice, and policy work. In this article, we discuss primary frameworks used in recent public health literature on the health of immigrant populations, note gaps in this literature, and argue for a broader examination of immigration as both socially determined and a social determinant of health. We discuss priorities for future research and policy to understand more fully and respond appropriately to the health of the populations affected by this global phenomenon.

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Section: Social Determinants Of Healthmentioning

confidence: 99%

Section: Addressing the Knowledge Gaps Priorities For Future Researchmentioning

confidence: 99%

Immigration as a Social Determinant of Health

Castañeda

Holmes

Madrigal³

et al. 2015

Annu. Rev. Public Health

767

631

View full text Add to dashboard Cite

show abstract

“…Federally mandated restrictions on immigrants to access health care coverage have created a "chilling effect" or the voluntary withdrawal from seeking health benefits by immigrants (Fix & Passel, 1999;Viladrich, 2012). This chilling effect is fueled by rising anti-immigrant sentiment that personifies immigrants as "undeserving" of social benefits (Chavez, 2012;Fix & Laglagaron, 2002).…”

Section: The Paradox Of Exclusion and Inclusion In Us Health Policymentioning

confidence: 99%

Rethinking Research Ethics for Latinos: The Policy Paradox of Health Reform and the Role of Social Justice

Cacari-Stone

Avila

2012

Ethics & Behavior

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This article discusses the paradox of exclusion/inclusion: U.S. health policy prohibits Latinos who fall under certain classifications from accessing health services and insurance yet permits them to be "human subjects" in health research. We aim to advance the discussion of health research ethics post the Tuskegee syphilis experiment in Latinos by (a) tracing the impacts of policy exclusion and the social context of anti-Latino sentiment on Latinos' low participation rates in health research and inequitable access to treatment modalities; (b) challenging researchers to address social sources of vulnerabilities; and (c) offering recommendations on adapting a social justice ethical stance to address these challenges, which are part of the Tuskegee Study legacy.

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“…In addition to language barriers, research with immigrant groups in particular must consider the realities of legal documentation (or lack of it) that weigh heavily on many of the families most in need of services. As characterized by Viladrich (2012), undocumented immigrants may simultaneously feel undeserving of health care “benefits,” while at the same time experience complicated thoughts and feelings when they do seek services due to the realities of racism and discrimination. There are, however, other, more seemingly benign, yet equally threatening, aspects of mental health services and intervention research for those who are undocumented, including the prospect of signing consent forms, the limits of confidentiality, which may pose risks beyond calls to social services and/or hospitalization, and the collection of social security numbers required for participant payment.…”

Section: Disentangle Income Race and Ethnicity Within And Between Lmentioning

confidence: 99%

A review of the key considerations in mental health services research: A focus on low-income children and families.

Jones

Anton

Zachary

et al. 2016

Couple and Family Psychology: Research and Practice

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Children have been particularly vulnerable to the economic challenges of the past decade, with half (45 to 51%) of children under the age of 18 living in a low-income home and nearly 22% of those living in poverty. Low-income children are overrepresented in a range of statistics on psychosocial maladjustment issues, but their families are less likely than other socioeconomic groups to participate in mental health services and intervention research. Thus, this review asserts that substantive advances in mental health services and intervention research with low income families must move beyond a between-group, deficit-focused perspective to a more nuanced contemplation of how to: 1) Operationalize the “income” in low-income families; 2) Disentangle the interrelationship of low income, race, and ethnicity; and 3) Optimize recruitment, engagement and retention efforts via sensitivity to the culture of low-income status. Examples of mental health services and intervention research with low-income families will be discussed, and a summary, conclusions, and directions for future research are discussed in the context of these recommendations.

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Beyond welfare reform: Reframing undocumented immigrants’ entitlement to health care in the United States, a critical review

Cited by 76 publications

References 59 publications

Immigration as a Social Determinant of Health

Immigration as a Social Determinant of Health

Rethinking Research Ethics for Latinos: The Policy Paradox of Health Reform and the Role of Social Justice

A review of the key considerations in mental health services research: A focus on low-income children and families.

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