评估移民政策对无证移民健康状况的影响：一项系统综述。
Evaluating the impact of immigration policies on health status among undocumented immigrants: a systematic review.
作者信息
Martinez Omar, Wu Elwin, Sandfort Theo, Dodge Brian, Carballo-Dieguez Alex, Pinto Rogeiro, Rhodes Scott D, Moya Eva, Chavez-Baray Silvia
机构信息
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA,
出版信息
J Immigr Minor Health. 2015 Jun;17(3):947-70. doi: 10.1007/s10903-013-9968-4.
Over the past two decades, new anti-immigration policies and laws have emerged to address the migration of undocumented immigrants. A systematic review of the literature was conducted to assess and understand how these immigration policies and laws may affect both access to health services and health outcomes among undocumented immigrants. Eight databases were used to conduct this review, which returned 325 papers that were assessed for validity based on specified inclusion criteria. Forty critically appraised articles were selected for analysis; thirty articles related to access to health services, and ten related to health outcomes. The articles showed a direct relationship between anti-immigration policies and their effects on access to health services. In addition, as a result of these policies, undocumented immigrants were impacted by mental health outcomes, including depression, anxiety, and post-traumatic stress disorder. Action items were presented, including the promotion of cultural diversity training and the development of innovative strategies to support safety-net health care facilities serving vulnerable populations.
在过去二十年中，出现了新的反移民政策和法律来应对无证移民的迁移问题。我们对文献进行了系统回顾，以评估和了解这些移民政策和法律如何影响无证移民获得医疗服务的机会以及健康状况。我们使用了八个数据库进行这项回顾，共检索到325篇论文，并根据指定的纳入标准对其有效性进行了评估。我们选择了40篇经过严格评估的文章进行分析；其中30篇与获得医疗服务的机会有关，10篇与健康状况有关。这些文章表明，反移民政策与其对获得医疗服务机会的影响之间存在直接关系。此外，由于这些政策，无证移民受到心理健康问题的影响，包括抑郁症、焦虑症和创伤后应激障碍。我们提出了行动建议，包括推广文化多样性培训以及制定创新策略，以支持为弱势群体服务的安全网医疗保健机构。
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