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《童年入境暂缓遣返计划对无证亚洲及太平洋岛裔青年的影响:从健康决定因素的角度来看》。

The Influence of Deferred Action for Childhood Arrivals on Undocumented Asian and Pacific Islander Young Adults: Through a Social Determinants of Health Lens.

机构信息

Department of Community Health Sciences, University of California, Los Angeles, Los Angeles, California; Department of Epidemiology and Biostatistics and Global Health Sciences, University of California, San Francisco, San Francisco, California.

Department of Epidemiology and Biostatistics and Global Health Sciences, University of California, San Francisco, San Francisco, California.

出版信息

J Adolesc Health. 2017 Jun;60(6):741-746. doi: 10.1016/j.jadohealth.2017.01.008. Epub 2017 Mar 27.

DOI:10.1016/j.jadohealth.2017.01.008
PMID:28359735
Abstract

PURPOSE

There is an urgent need to provide evidence-based policies to address the health of the 11.7 million undocumented immigrants in the United States. Deferred Action for Childhood Arrivals (DACA) offers temporary relief to qualified undocumented immigrants. Asians and Pacific Islanders (APIs), in particular, are the fastest growing immigrant population; yet, little is known about their health challenges. This article examines the influence of DACA on the health of API undocumented young adults.

METHODS

In total, 32 unique participants participated in 24 in-depth interviews and four focus group discussions. Participants were aged 18-31 years and identified as undocumented API.

RESULTS

DACA potentially improves health outcomes through four potential social determinants: economic stability, educational opportunities, social and community contexts, and access to health care. These determinants improve the mental health and sense of well-being among undocumented young adults.

CONCLUSIONS

Targeted outreach and education in communities should be informed by these research findings with an eye toward promoting the economic, education, and health benefits of enrolling in DACA. Social policies that address the social determinants of health have significant potential to address health inequities.

摘要

目的

迫切需要提供循证政策,以解决美国 1170 万无证移民的健康问题。童年入境暂缓遣返(DACA)为符合条件的无证移民提供临时救济。亚洲人和太平洋岛民(APIs)是增长最快的移民群体;然而,他们的健康挑战知之甚少。本文探讨了 DACA 对亚太裔无证青年成年人健康的影响。

方法

共有 32 名独特的参与者参加了 24 次深度访谈和 4 次焦点小组讨论。参与者年龄在 18-31 岁之间,被认定为无证亚太裔。

结果

DACA 通过四个潜在的社会决定因素可能改善健康结果:经济稳定、教育机会、社会和社区环境以及获得医疗保健的机会。这些决定因素改善了无证年轻成年人的心理健康和幸福感。

结论

社区的针对性外展和教育应该以这些研究结果为依据,着眼于促进参加 DACA 的经济、教育和健康益处。解决健康决定因素的社会政策具有解决健康不平等的巨大潜力。

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