Policies of Exclusion: Implications for the Health of Immigrants and Their Children

Perreira, Krista M.; Pedroza, Juan Manuel

doi:10.1146/annurev-publhealth-040218-044115

Cited by 238 publications

(233 citation statements)

References 128 publications

(189 reference statements)

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“…Restrictive immigration policies and xenophobia have negative health consequences and affect health care utilization. [40][41][42] Such policiesthemselves worthy of focused legal epidemiological study 43 -make it more difficult to involve immigrants not only as research participants but also as health care providers and researchers. 44,45 Research recruitment, retention, and data collection plans for large-scale studies backed by the federal government must be designed with this legal and sociopolitical context in mind and both anticipate and be responsive to changing conditions.…”

Section: Discussionmentioning

confidence: 99%

Ethical and Legal Considerations for the Inclusion of Underserved and Underrepresented Immigrant Populations in Precision Health and Genomic Research in the United States

Wagner

2019

Ethn Dis

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There has been growing recognition of the importance of diversity and inclusion of underrepresented minority populations, including immigrants, in genomic research and precision medicine. Achieving diversity has been difficult and has led some scholars to question whether the law is a help or a threat to the inclusion of underserved and underrepresented immigrant populations. In this commentary, I provide an overview of some of the many relevant legal issues affecting the inclusion of immigrants in genomic research and precision health initiatives, such as the All of UsSM Research Program. Development of research recruitment, retention, and data collection plans without also considering the legal and sociopolitical context within which such efforts are to be carried out is risky. Advancing health policy with a goal of eliminating health disparities (or, at a minimum, ensuring that health disparities are not exacerbated by genomic or precision health technologies) requires us to acknowledge the negative effects that immigration policy and criminal justice policy have on the involvement of immigrants in such research and on their health directly. I conclude that it is not a question of whether the law is a help or a threat but, rather, whether we collectively will prioritize authentic diversity and inclusion policies and also insist on compliance with the laws intended to ensure the human right of every individual – regardless of immigration status or national origin – to share in the advancement of science.Ethn Dis.2019;29(Suppl 3):641-650;doi:10.18865/ed.29.S3.641

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Section: Discussionmentioning

confidence: 99%

Ethical and Legal Considerations for the Inclusion of Underserved and Underrepresented Immigrant Populations in Precision Health and Genomic Research in the United States

Wagner

2019

Ethn Dis

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“…Public health is one of the most important issues that every government has to care about [ 1 ]. Public health investment enhances human capital [ 2 ], increases human health [ 3 ], and brings well-being for citizens of a society [ 4 ]. An understanding of public health helps policy makers improve their strategy and management to enhance quality of public health for their society [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Leaders’ Future Orientation and Public Health Investment Intention: A Moderated Mediation Model of Self-Efficacy and Perceived Social Support

Wang

Chou

Chen

et al. 2020

IJERPH

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Prior studies have investigated the issue of public health and health policy from economic, environmental, and healthcare perspectives. Research on public health from leaders’ perspective may also help to advance our knowledge about leaders’ perceptions, attitudes, and behavioral intentions toward public health management. Therefore, this study is based on social ideal theory, social cognitive theory, and social trust theory to investigate the influence of leaders’ future orientation on public health investment intention with the mediating role of leaders’ self-efficacy and the moderating role of perceived social support. Using a structural equation modeling with a sample data of 381 leaders of government agencies in Vietnam, empirical results indicate that leaders’ future orientation has a positive influence on public health investment intention. Furthermore, self-efficacy is found to have a positive mediating effect in the relationship between leaders’ future orientation and public health investment intention. In addition, perceived social support positively moderates the link between leaders’ future orientation and self-efficacy. Perceived social support also moderates the indirect effect of leaders’ future orientation on public health investment intention through self-efficacy. On one hand, this study contributes to theoretical research by clarifying the effects of leaders’ perceptions, and cognitive and behavioral intentions toward public health investment. Findings of this study may have implications for researchers who may have interest in studying the issue of public health management from leaders’ viewpoints. On the other hand, this study contributes to practitioners since understanding how leaders’ characteristics affect public health investment will enhance the quality of policy makers’ decision-making in improving public health for citizens and society.

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“…Anti-immigrant policies directly and indirectly impact the health of immigrants [1]. Health and social service providers across the United States (US) have recently observed increased no-show rates among their immigrant patients and reduced enrollment in public assistance programs, in light of a more restrictive era of immigration policy [2].…”

Section: Introductionmentioning

confidence: 99%

Medical–Legal Partnerships to Support Continuity of Care for Immigrants Impacted by HIV: Lessons Learned from California

Fuller

Steward

Martínez

et al. 2019

J Immigrant Minority Health

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Background: The United States (US) has experienced a surge of antiimmigrant policies and rhetoric, raising concerns about the influence on health outcomes for immigrants living in the US. Methods: We conducted qualitative interviews (n=20) with health care and social service providers, attorneys, and legal/policy experts in California to understand how agencies were maintaining access to HIV care and prevention for immigrant clients. We conducted a thematic analysis to describe the role of medical-legal partnerships (MLPs) and document best practices. Results: Informants reported high demand for legal services. Referrals were facilitated by case managers, medical providers, and pre-existing relationships between clinics and legal agencies. Informants identified a need for additional funding and further guidance on screening for and supporting patients with legal needs. Discussion: MLPs have the capacity to create sustainable, efficient, comprehensive structural changes that minimize barriers to HIV prevention and treatment and improve health outcomes among immigrant populations.

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Policies of Exclusion: Implications for the Health of Immigrants and Their Children

Cited by 238 publications

References 128 publications

Ethical and Legal Considerations for the Inclusion of Underserved and Underrepresented Immigrant Populations in Precision Health and Genomic Research in the United States

Ethical and Legal Considerations for the Inclusion of Underserved and Underrepresented Immigrant Populations in Precision Health and Genomic Research in the United States

Leaders’ Future Orientation and Public Health Investment Intention: A Moderated Mediation Model of Self-Efficacy and Perceived Social Support

Medical–Legal Partnerships to Support Continuity of Care for Immigrants Impacted by HIV: Lessons Learned from California

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