College of Nursing and Women's and Gender Studies, University of South Carolina, Columbia, SC.
College of Nursing and Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ.
Nurs Outlook. 2015 Jan-Feb;63(1):86-94. doi: 10.1016/j.outlook.2014.11.004. Epub 2014 Nov 22.
A nation of immigrants, the United States currently has more foreign-born residents than any other country; approximately 28% of these foreign-born residents are undocumented immigrants--individuals who either entered or are currently residing in the country without valid immigration or residency documents. The complex and constantly changing social, political, and economic context of undocumented migration has profound effects on individuals, families, and communities. The lack of demographic and epidemiologic data on undocumented immigrants is a major public health challenge. In this article, we identify multiple dimensions of vulnerability among undocumented persons; examine how undocumentedness impacts health and health care access and utilization; and consider the professional, practice, and policy issues and implications for nurses.
美国是一个移民国家，目前拥有比其他任何国家都多的外国出生居民；这些外国出生居民中约有 28%是无证移民——即没有有效移民或居住文件而进入或目前居住在该国的个人。无证移民的复杂和不断变化的社会、政治和经济背景对个人、家庭和社区产生了深远的影响。缺乏无证移民的人口和流行病学数据是一个主要的公共卫生挑战。在本文中，我们确定了无证者的多个脆弱性维度；研究了无证状态如何影响健康和医疗保健的获取和利用；并考虑了护士的专业、实践和政策问题及影响。
