Reducing the Impact of Immigration Enforcement Policies to Ensure the Health of North Carolinians: Statewide Community-Level Recommendations

Mann, Lilli; Simán, Florence M.; Downs, Mario; Sun, Christina J.; Hernandez, Brisa Urquieta de; García, Manuel Francisco Martínez; Alonzo, Jorge; Lawlor, Emma; Rhodes, Scott D.

doi:10.18043/ncm.77.4.240

Cited by 19 publications

(24 citation statements)

References 16 publications

(22 reference statements)

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“…This CBPR-driven intervention successfully engaged Latino community members and connected many with needed health and social services that were identified by the community itself through the CBPR process (Mann et al, 2016). The intervention also connected participants to primary care, specialty care, and support services within and beyond their neighborhood areas that addressed previous accessibility and utilization challenges.…”

Section: Discussionmentioning

confidence: 99%

Using CBPR to Decrease Health Disparities in a Suburban Latino Neighborhood

Coffman

Hernandez

Smith

et al. 2017

Hisp Health Care Int

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Introduction This project tested the feasibility of using a community-based participatory research (CBPR) approach to deliver health and social resources in two high-risk, suburban neighborhoods. Method An established research network was used to engage stakeholders to design and deliver a neighborhood-based intervention targeting a Latino immigrant population. The intervention provided screenings for hypertension, diabetes, and depression; primary care provider visits; and information about navigating health care delivery systems and related community-based resources. Participants (N = 216) were consented for participation and their subsequent use of health and social services were measured at baseline and 1 year post intervention. Results At baseline, 5.1% of participants had health insurance, 16.7% had a primary care provider, and 38.4% had a chronic illness. SF-12 scores showed a majority of participants with low perceived health status (56%) and high risk for clinical depression (33%). Self-reported use of primary care services increased from 33.8% at baseline to 48% 1 year after the intervention, and 62% reported use of social services. Conclusion Neighborhood-based interventions informed by a CBPR approach are effective in both identifying community members who lack access to health care–related services and connecting them into needed primary care and social services.

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Section: Discussionmentioning

confidence: 99%

Using CBPR to Decrease Health Disparities in a Suburban Latino Neighborhood

Coffman

Hernandez

Smith

et al. 2017

Hisp Health Care Int

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“…266,267 Fear of immigration enforcement or discrimination may exacerbate transportation barriers and worsen perceived access to care. 23,237,[268][269][270][271] Discrimination relating to immigration may intersect with religion (eg, Muslim immigrants) and race in complex ways. 264,[272][273][274] Discrimination and immigration enforcement policies may also create fear and uncertainty, which threaten the mental health of immigrant children 275 and their families.…”

Section: Immigration and Related Legal Issuesmentioning

confidence: 99%

Providing Care for Children in Immigrant Families

Linton

Green

Chilton³

et al. 2019

Pediatrics

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Children in immigrant families (CIF), who represent 1 in 4 children in the United States, represent a growing and ever more diverse US demographic that pediatric medical providers nationwide will increasingly encounter in clinical care. Immigrant children are those born outside the United States to non-US citizen parents, and CIF are defined as those who are either foreign born or have at least 1 parent who is foreign born. Some families immigrate for economic or educational reasons, and others come fleeing persecution and seeking safe haven. Some US-born children with a foreign-born parent may share vulnerabilities with children who themselves are foreign born, particularly regarding access to care and other social determinants of health. Therefore, the larger umbrella term of CIF is used in this statement. CIF, like all children, have diverse experiences that interact with their biopsychosocial development. CIF may face inequities that can threaten their health and wellbeing, and CIF also offer strengths and embody resilience that can surpass challenges experienced before and during integration. This policy statement describes the evolving population of CIF in the United States, briefly introduces core competencies to enhance care within a framework of cultural humility and safety, and discusses barriers and opportunities at the practice and systems levels. Practice-level recommendations describe how pediatricians can promote health equity for CIF through careful attention to core competencies in clinical care, thoughtful community engagement, and systemlevel support. Advocacy and policy recommendations offer ways pediatricians can advocate for policies that promote health equity for CIF. DEMOGRAPHICS Health care of children in immigrant families (CIF) in the United States has received increasing attention over the past decade, in part because of increasing migration of children caused by conflicts globally, greater diversity among migrant populations, and divisive sociopolitical discussion regarding immigration policy. Definitions regarding immigrant children vary, but for the purposes of this policy statement, immigrant

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“…racism, and discrimination [7]. For children in mixed-status families (in which at least one member is a US citizen and at least one does not have legal status), fear of family separation or parental deportation is a stressful daily reality [7,12,14,15]. Beyond threatened deportation, families affected by actual deportation face additional burdens, including economic instability, emotional distress, and family dissolution [14].…”

Section: Simha Sidebarmentioning

confidence: 99%

“…Additionally, Section 287(g) of the Immigration and Nationality Act and the Secure Communities program authorize ICE to "enter into agreements with state and local law enforcement agencies to enforce federal immigration law during their regular, daily law enforcement activities" [12]. While Section 287(g) was initially intended to "target and remove undocumented immigrants convicted of serious or violent crimes," in 2015, over 80% of immigrants arrested through the program in North Carolina were charged with misdemeanors such as traffic violations [12,15]. Regarding the direct impact of these policies on health, in a 2015 study looking at utilization of prenatal care both pre-and post-implementation of 287(g), many Hispanic women reported "fearing immigration enforcement policies, avoiding health services, and thus sacrificing their own health and the health of members of their families" [12].…”

Section: Social Determinants Of Healthmentioning

confidence: 99%