Chang Cindy D
Department of Emergency Medicine Los Angeles County, Harbor-UCLA Medical Center 1000 West Carson St, Torrance, CA 90509, United States.
Curr Probl Pediatr Adolesc Health Care. 2019 Jan;49(1):23-30. doi: 10.1016/j.cppeds.2018.11.009. Epub 2018 Dec 28.
In 2017, the United States (U.S.) foreign-born population was estimated to be 44.5 million, the highest share since 1910. It is unclear how many undocumented immigrants live in the U.S., but estimates in 2014 determined that there were at least 12.1 million. The immigrant population, particularly undocumented immigrants, has consistently been affected negatively by social determinants of health such as poverty, food and housing insecurity, lack of educational attainment, and challenges with health care access. Additionally, they face stigma and marginalization, difficulties with acculturation, and fear of deportation. Given these challenges that immigrants and their children face, physicians have a responsibility of assessing these social determinants of health and providing comprehensive care for this population.
2017年,美国的外国出生人口估计为4450万,是自1910年以来占比最高的。目前尚不清楚美国有多少无证移民,但2014年的估计表明至少有1210万。移民人口,尤其是无证移民,一直受到健康的社会决定因素的负面影响,如贫困、食品和住房不安全、缺乏教育程度以及获得医疗保健方面的挑战。此外,他们还面临耻辱和边缘化、文化适应困难以及被驱逐的恐惧。鉴于移民及其子女面临的这些挑战,医生有责任评估这些健康的社会决定因素,并为这一人群提供全面护理。