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“时刻处于紧张状态”:在亚利桑那州最严格的反移民法实施后,身份混合的家庭如何应对医疗保健问题

"On Edge All the Time": Mixed-Status Households Navigating Health Care Post Arizona's Most Stringent Anti-immigrant Law.

作者信息

Gómez Sofía, O'Leary Anna O

机构信息

Department of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.

Mexican American Studies, College of Social and Behavioral Sciences, University of Arizona, Tucson, AZ, United States.

出版信息

Front Public Health. 2019 Jan 15;6:383. doi: 10.3389/fpubh.2018.00383. eCollection 2018.

Abstract

Arizona's state-level policies restricting undocumented immigrants' access to public benefits continue to have implications on mixed-status households' accessibility to care. More notably, the effects of prolonged stress, anxiety and trauma remain unaddressed whilst mental health services continue to be absent. This article examines the healthcare experiences of mixed-status households after Arizona's SB1070 ("Support Our Law Enforcement and Safe Neighborhoods Act") was passed. Arizona Senate Bill 1070 (SB1070) was state legislation empowering police to detain individuals unable to prove their citizenship upon request. Of particular interest is how households navigate accessibility to care when members have varied immigration statuses, hence, varied healthcare availability. Interviews with 43 households in Tucson, Arizona, 81% of which had at least one undocumented member, reveal barriers and promoters to care. Barriers include complexity of applications, fear and trepidation in seeking care. Promoters include discount care programs that are a vital source of care as well as discretionary practices exercised by front-line staff. Findings have implications beyond Arizona as immigrants settle in new destination states while the current Trump administration borrows from Arizona's anti-immigrant policies.

摘要

亚利桑那州限制无证移民获得公共福利的州级政策,继续对混合身份家庭获得医疗服务产生影响。更值得注意的是,长期压力、焦虑和创伤的影响仍未得到解决,而心理健康服务依然匮乏。本文探讨了亚利桑那州通过《第1070号参议院法案》(“支持我们的执法人员和安全社区法案”)后,混合身份家庭的医疗经历。亚利桑那州参议院第1070号法案(SB1070)是一项州立法,授权警方应要求拘留无法证明其公民身份的个人。特别值得关注的是,当家庭成员具有不同的移民身份,从而享有不同的医疗服务可及性时,家庭如何应对获得医疗服务的问题。对亚利桑那州图森市43个家庭进行的访谈显示,其中81%的家庭至少有一名无证成员,这些访谈揭示了获得医疗服务的障碍和促进因素。障碍包括申请流程复杂、寻求医疗服务时的恐惧和担忧。促进因素包括折扣医疗计划,这是医疗服务的重要来源,以及一线工作人员的自由裁量做法。随着移民在新的目的地州定居,以及现任特朗普政府借鉴亚利桑那州的反移民政策,这些研究结果的影响范围超出了亚利桑那州。

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