Health Without Papers: Immigrants, Citizenship, and Health in the 21st Century

Tuohy, Brian

doi:10.1093/sf/soz048

Cited by 2 publications

(2 citation statements)

References 36 publications

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“…The (dis)advantages that come with TPS exist in comparison to non-TPS immigrants without similar benefits. In lacking the privileges that come with citizenship, noncitizens are very aware of their vulnerable structural DSC positions (Gonzales 2015;Menjívar 2006;Tuohy 2019).…”

Section: Relationality Between Categories and Shifts Over Timementioning

confidence: 99%

The Documentation Status Continuum: Citizenship and Increasing Stratification in American Life

Joseph¹

2020

Preprint

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Public discourse on immigration and benefits access has been contentious. Amid increasing anti-immigrant sentiment, scholars have examined immigrants’ marginalization as a form of civic stratification, where boundaries based on documentation status affect immigrants’ experiences and benefits granted by the state. This scholarship lacks a framework outlining existing documentation status categories, their alignment relative to each other, and how policy (re)configures those categories over time. This article argues that the documentation status continuum (DSC) framework fills these gaps. In the DSC, undocumented immigrants are at one end and citizens are at the other, with many documentation statuses in between. Public policy creates these statuses and generates stratification through allocating benefits based on one’s DSC position. Policy also shapes movement along the continuum, which shapes benefits eligibility. Using the 2010 Affordable Care Act (ACA) as a policy example and interviews conducted with 153 immigrants, healthcare professionals, and immigrant organization employees in Boston, this article demonstrates that life along the DSC reveals stratification between citizens and noncitizens. This has implications for various outcomes that sociologists examine.

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Section: Relationality Between Categories and Shifts Over Timementioning

confidence: 99%

The Documentation Status Continuum: Citizenship and Increasing Stratification in American Life

Joseph¹

2020

Preprint

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“…Immigration policies affect health policies and create micro-, meso-, and macro-level constraints for accessing health care. Latinx farmworkers are particularly vulnerable to the social, political, and economic structural barriers associated with an unauthorized immigration status, including lack of insurance coverage (Joseph & Marrow, 2017; Marrow, 2012; Tuohy, 2020; Viladrich, 2019), occupational hazards with little or no labor protections, benefits or rights, the stress of surveillance and fear of deportation (Asad & Clair, 2018; Castañeda et al, 2015), and lack of trust in health care providers and formal health institutions (Sewell, 2015; Smedley et al, 2002). These social inequities, imposed through oppressive immigration policies, exploitative labor experiences, and environmental injustice conditions in their occupational and residential communities (Aday, 1994; Pinheiro et al, 2020; Stokols, 1996) have profound repercussions on health outcomes and illness experiences, making immigrant farmworkers a vulnerable and underserved group (Asad & Clair, 2018; Castañeda et al, 2015; Dondero & Altman, 2020).…”

Section: Introductionmentioning

confidence: 99%

Harvesting Health Knowledge: Breast Cancer Perceptions in the South Florida Latinx Farmworker Community

2021

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South Florida agricultural regions, home to Latinx immigrant farmworkers, report higher rates of late-stage breast cancer diagnosis than national, state, and county-level averages. We conducted a community-based qualitative study on the needs, health knowledge gaps, barriers to breast cancer screening, and the role of community health workers (CHWs) in supporting the community’s access to early detection services. We conducted three CHW focus groups (FGs) ( n = 25) and in-depth interviews ( n = 15), two FGs ( n = 18) and in-depth interviews ( n = 3) with farmworker community members, and informal interviews with cancer clinicians ( n = 7). Using a grounded theory approach, five core themes regarding the community’s barriers to accessing health care services emerged: (a) lack of information; (b) social and economic barriers; (c) cultural factors; (d) fears and mistrust; and (e) psychosocial concerns. Findings yield implications for community health practice, the potential impact of CHWs, and the production of breast cancer education to improve health equity along with the care continuum.

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Health Without Papers: Immigrants, Citizenship, and Health in the 21st Century

Cited by 2 publications

References 36 publications

The Documentation Status Continuum: Citizenship and Increasing Stratification in American Life

The Documentation Status Continuum: Citizenship and Increasing Stratification in American Life

Harvesting Health Knowledge: Breast Cancer Perceptions in the South Florida Latinx Farmworker Community

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