Health Care Use Among Latinx Children After 2017 Executive Actions on Immigration

Cholera, Rushina; Ranapurwala, Shabbar I.; Linton, Julie M.; Shmuel, Shahar; Miller-Fitzwater, Anna; Best, Debra L.; Simha, Shruti; Flower, Kori B.

doi:10.1542/peds.2020-0272

Cited by 17 publications

(9 citation statements)

References 36 publications

(33 reference statements)

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“…3,4 In a study reported by the Urban Institute, researchers found that in 2019, 1 in 5 adults in immigrant families with children avoided public benefits and 31.5% did so in low-income families. 5 Although there was no chilling effect found in the use of services by insured Latino children in this study, Cholera et al 1 add to the many past and, likely, future studies that continue to reveal that policies of exclusion have negative impacts on the health of immigrant communities. 6,7 Cholera et al 1 remind us that such policies can further marginalize low-income undocumented immigrant communities and that the relationship between immigration status and health requires further investigation from a social determinants of health framework to truly appreciate inequities created by social structures, policies, and institutions.…”

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confidence: 56%

“…5 Although there was no chilling effect found in the use of services by insured Latino children in this study, Cholera et al 1 add to the many past and, likely, future studies that continue to reveal that policies of exclusion have negative impacts on the health of immigrant communities. 6,7 Cholera et al 1 remind us that such policies can further marginalize low-income undocumented immigrant communities and that the relationship between immigration status and health requires further investigation from a social determinants of health framework to truly appreciate inequities created by social structures, policies, and institutions. 8 Furthermore, that the Latino community was chosen to explore immigration policy effects on health speaks to institutional racism driving immigration reform and enforcement.…”

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confidence: 56%

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Healthy Communities: Shifting Toward Inclusive Immigration Policy

Gutierrez

2021

Pediatrics

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In this issue of Pediatrics, Cholera et a 1 used a controlled interrupted time series design to examine differences in health care use of Latinx children as it relates to federal immigration policy enacted in 2017. Electronic medical record data from four major health care systems in North Carolina were analyzed before and after restrictive immigration policy was enacted after the 2016 election. Among Latinx children in the outpatient setting, they found a sustained increase in visit cancellation for the uninsured subgroup, a proxy for undocumented immigrant children in North Carolina. 1

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confidence: 56%

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confidence: 56%

Healthy Communities: Shifting Toward Inclusive Immigration Policy

Gutierrez

2021

Pediatrics

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“…Across several studies, medical staff have also confirmed the decline of Latinx immigrant patients in health facilities compared to before the 2016 election [53][54][55], and one study found an increase in medical appointment cancellations for uninsured Latinx children after enaction of restrictive immigration policies by the Trump administration in early 2017 [56]. US-born children of undocumented immigrant mothers were also found to have a 17% higher rate of being uninsured compared to children with US-citizen mothers [57]. Although there are places where health services are provided to immigrants without lawful status, studies have shown that those localities are sometimes avoided due to a fear of presence of local police and ICE and fear of personal information being shared with ICE officers [10,58].…”

Section: Relationship Between Immigration Stress and Healthcare Utili...mentioning

confidence: 93%

Documentation Status and Self-Rated Physical Health Among Latinx Young Adult Immigrants: the Mediating Roles of Immigration and Healthcare Stress

Stafford

Tanna

Bueno

et al. 2022

J. Racial and Ethnic Health Disparities

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Previous research has demonstrated that undocumented Latinx immigrants in the USA report worse physical health outcomes than documented immigrants. Some studies suggest that immigration-related stress and healthcare related-stress may explain this relationship, but none have tested it empirically. The purpose of this study was to determine if immigration-related stress and healthcare-related stress in the USA explain the relationship between documentation status and physical health among Latinx immigrants in North Carolina. The conceptual model was tested utilizing baseline data from a longitudinal, observational, community-engaged research study of young adult (18-44 years) Latinx immigrants residing in North Carolina (N = 391). Structural equation modeling was used to determine relationships among documentation status, healthcare, and immigration stress in the past six months, and self-rated physical health. Goodness-of-fit measures indicated that data fit the model well (RMSEA = .008; CFI = 1.0; TLI = .999; SRMR = .02; CD = .157). Undocumented individuals were more likely to experience immigration stress than their documented counterparts ( = − 0.37, p < 0.001). Both immigration stress ( = − 0.22, p < 0.01) and healthcare stress ( = − 0.14, p < 0.05) were negatively related to physical health. Additionally, immigration stress was positively related to healthcare stress ( = 0.72, p < 0.001). Results demonstrate that documentation status is an important social determinant of health. Passage of inclusive immigration and healthcare policies may lessen the stress experienced by Latinx immigrants and subsequently improve physical health.

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“…Third, more attention is needed on the potential mechanisms that could explain the observed link between sociopolitical stress and adverse birth outcomes among Latina mothers, such as changes in the use of prenatal care. Existing literature finds that racist, anti-immigrant events can lead to "chilling effects," whereby feelings of fear, anxiety, and mistrust prevent immigrants from seeking needed healthcare services [31][32][33][34][35]. A recent study of patients in Houston, Texas found significant declines in prenatal care visits among expectant immigrant Latina mothers from Mexico and Central American following the launching of Trump's campaign in the summer of 2015 [21].…”

Section: Introductionmentioning

confidence: 99%

Birth and prenatal care outcomes of Latina mothers in the Trump era: Analysis by nativity and country/region of origin

Gutiérrez

Dollar

2023

PLoS ONE

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We examined whether and how birth outcomes and prenatal care utilization among Latina mothers changed over time across years associated with the Trump sociopolitical environment, using restricted-use birth records from the National Center for Health Statistics (NCHS). To assess potential variation among subpopulations, we disaggregated the analyses by maternal nativity and country/region of origin. Our results indicate that both US- and foreign-born Latina mothers experienced increasingly higher risks of delivering low birthweight (LBW) and preterm birth (PTB) infants over the years associated with Trump’s political career. Among foreign-born Latinas, adverse birth outcomes increased significantly among mothers from Mexico and Central America but not among mothers from Puerto Rico, Cuba, and South America. Levels of inadequate prenatal care utilization remained largely unchanged among groups who saw increases in LBW and PTB, suggesting that changes in prenatal care did not generally explain the observed worsening of birth outcomes among Latina mothers during the Trump era. Results from this study draw attention to the possibility that the Trump era may have represented a source of chronic stress among the Latinx population in the US and add to the growing body of literature linking racism and xenophobia in the sociopolitical environment to declines in health among Latinx people, especially among targeted groups from Mexico and Central America.

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Health Care Use Among Latinx Children After 2017 Executive Actions on Immigration

Cited by 17 publications

References 36 publications

Healthy Communities: Shifting Toward Inclusive Immigration Policy

Healthy Communities: Shifting Toward Inclusive Immigration Policy

Documentation Status and Self-Rated Physical Health Among Latinx Young Adult Immigrants: the Mediating Roles of Immigration and Healthcare Stress

Birth and prenatal care outcomes of Latina mothers in the Trump era: Analysis by nativity and country/region of origin

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