Pediatricians Awakened: Addressing Family Immigration Status as a Critical and Intersectional Social Determinant of Health

Linton, Julie M.; Ameenuddin, Nusheen; Falusi, Olanrewaju

doi:10.1080/15265161.2019.1577643

Cited by 8 publications

(7 citation statements)

References 4 publications

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“…Immigration status impacts health and access to care at least as significantly as other social determinants. [1,2] However, none of the publicly-available evidence-based screening tools include questions about immigration status. [3][4][5][6][7] The Supreme Court has recently upheld proposed changes in the public charge rule -receipt of public benefits, including public insurance and food benefits, can make people ineligible for obtaining or renewing legal permanent resident status.…”

Section: Introductionmentioning

confidence: 99%

Screening for Immigration-Related Health Concerns in a Federally Qualified Health Center Serving a Diverse Latinx Community: A Mixed Methods Study

Byhoff

Marchis

Gottlieb

et al. 2020

J Immigrant Minority Health

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Background: Immigration-related concerns can impact health and are an important consideration while caring for a multinational Latinx immigrant community.Methods: Patients and caregivers waiting for a non-urgent clinic appointment were randomly screened with one of two social risk screening tools. One tool included a question about "any health or stability concerns related to immigration status." The other tool did not include an immigration health question. Immediately following, respondents were invited to participate in a semi-structured interview regarding their social risk screening experience.Results: 201 screens were completed, and 20 patients agreed to an interview. There were no significant sociodemographic differences between groups. Of those screened for immigration, 11% reported a concern. In both arms, interviewees felt that social risk screening was acceptable in a clinic setting.Terms of use and reuse: academic research for non-commercial purposes, see here for full terms. https://www.springer.com/aamterms-v1

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Section: Introductionmentioning

confidence: 99%

Screening for Immigration-Related Health Concerns in a Federally Qualified Health Center Serving a Diverse Latinx Community: A Mixed Methods Study

Byhoff

Marchis

Gottlieb

et al. 2020

J Immigrant Minority Health

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“…Bannink Mbazzi and Kawesa [ 8 ], for example, underline the importance of the intersectionality of family-centred care, poverty, and neo-colonialism when working with children with neurodevelopmental disabilities in the Global South and aiming for improvements in the provision of health care. Another topic occurring in this field is the consideration of family immigration status as an intersectional social determinant of health interacting with other determinants such as race, religion and language [ 72 ].…”

Section: Resultsmentioning

confidence: 99%

“…Although intersectionality has occasionally been referred to in bioethics e.g. in the context of mental health care or certain social determinants of health such as migration background [ 72 ], a systematic overview of its function and use in ethical debates around health and health care is still missing. This systematic review (SR) is, to the best of our knowledge, the first to provide such an overview of the reference to intersectionality in bioethical scholarship.…”

Section: Introductionmentioning

confidence: 99%

The concept of intersectionality in bioethics: a systematic review

Brünig,

Kahrass,

Salloch

2024

BMC Med Ethics

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Background Intersectionality is a concept that originated in Black feminist movements in the US-American context of the 1970s and 1980s, particularly in the work of feminist scholar and lawyer Kimberlé W. Crenshaw. Intersectional approaches aim to highlight the interconnectedness of gender and sexuality with other social categories, such as race, class, age, and ability to look at how individuals are discriminated against and privileged in institutions and societal power structures. Intersectionality is a “traveling concept”, which also made its way into bioethical research. Methods We conducted a systematic review to answer the question of where and how the concept of intersectionality is applied in bioethical research. The PubMed and Web of Science databases were systematically searched and 192 articles addressing bioethical topics and intersectionality were finally included. Results The qualitative analysis resulted in a category system with five main categories: (1) application purpose and function, (2) social dimensions, (3) levels, (4) health-care disciplines and academic fields, and (5) challenges, limitations, and critique. The variety of academic fields and health-care disciplines working with the concept ranges from psychology, through gynaecology to palliative care and deaf studies. Important functions that the concept of intersectionality fulfils in bioethical research are making inequities visible, creating better health data collections and embracing self-reflection. Intersectionality is also a critical praxis and fits neatly into the overarching goal of bioethics to work toward social justice in health care. Intersectionality aims at making research results relevant for respective communities and patients, and informs the development of policies. Conclusions This systematic review is, to the best of our knowledge, the first one to provide a full overview of the reference to intersectionality in bioethical scholarship. It creates a basis for future research that applies intersectionality as a theoretical and methodical tool for analysing bioethical questions.

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“…There is evidence to support that immigration status is an important component of SDH given the multiple barriers to accessing and utilizing medical, legal, and social services experienced by immigrant families [ 1 , 26 ]. Therefore, a streamlined screening process and referral model from primary care to legal services could be crucial to improving overall health outcomes for children in immigrant families.…”

Section: Discussionmentioning

confidence: 99%

“…Immigration status is a social driver of health (SDH) that impacts the physical and psychosocial wellbeing and self-actualization of children and families [ 1 , 2 , 3 ]. An undocumented immigrant is defined as a foreign-born person residing in the United States (US) without legal permission [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Legal Relief for Children in Immigrant Families: A Mixed-Methods Study

Wichelt

Torres

Vega

et al. 2022

IJERPH

Self Cite

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Objective: Immigration status is a known social driver of health. Little research exists on addressing concerns about immigration status in primary care. The objective of this study is to understand the experiences of immigrant families that received a clinical-community intervention to address immigration-related concerns. Methods: We conducted a mixed-methods study: an embedded experimental design study. We implemented an immigration-focused legal needs screening tool and referral intervention at one academic primary care clinic in January 2018. Caregivers who screened positive for immigration-related concerns and were referred to a local immigration law firm were invited to participate in a semi-structured interview. Interviews were recorded, de-identified, transcribed, and systematically coded using an inductive content analysis approach. A modified constant comparative method was used to iteratively review codes, identify emerging themes, and resolve differences through consensus. Results: Nineteen caregivers reported immigration-related legal concerns, seven of whom were interviewed. Most (84.2%) were mothers, identified as Hispanic (94.7%), were from Mexico (52.6%), and reported persecution and fear of returning to their country of origin (57.9%). In interviews, we identified three major themes: (1) families were motivated to immigrate due to mental health trauma and persecution; (2) families sought legal services for several immigration-related concerns; and (3) families experienced challenges in navigating the legal system, with which clinics may assist. Conclusion: This study demonstrates the need for immigration-related services in primary care settings and the feasibility and potential benefits of implementing a legal screening and referral intervention.

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Pediatricians Awakened: Addressing Family Immigration Status as a Critical and Intersectional Social Determinant of Health

Cited by 8 publications

References 4 publications

Screening for Immigration-Related Health Concerns in a Federally Qualified Health Center Serving a Diverse Latinx Community: A Mixed Methods Study

Screening for Immigration-Related Health Concerns in a Federally Qualified Health Center Serving a Diverse Latinx Community: A Mixed Methods Study

The concept of intersectionality in bioethics: a systematic review

Legal Relief for Children in Immigrant Families: A Mixed-Methods Study

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