Maria-Elena De Trinidad Young is with the Department of Public Health, School of Social Sciences, Humanities, and Arts, University of California, Merced. Steven P. Wallace is with the UCLA Center for Health Policy Research, Fielding School of Public Health, University of California, Los Angeles.
Am J Public Health. 2019 Sep;109(9):1171-1176. doi: 10.2105/AJPH.2019.305171. Epub 2019 Jul 18.
There has been a burst of research on immigrant health in the United States and an increasing attention to the broad range of state and local policies that are social determinants of immigrant health. Many of these policies criminalize immigrants by regulating the "legality" of their day-to-day lives while others function to integrate immigrants through expanded rights and eligibility for health care, social services, and other resources.Research on the health impact of policies has primarily focused on the extremes of either criminalization or integration. Most immigrants in the United States, however, live in states that possess a combination of both criminalizing and integrating policies, resulting in distinct contexts that may influence their well-being.We present data describing the variations in criminalization and integration policies across states and provide a framework that identifies distinct but concurrent mechanisms of deportability and inclusion that can influence health. Future public health research and practice should address the ongoing dynamics created by both criminalization and integration policies as these likely exacerbate health inequities by citizenship status, race/ethnicity, and other social hierarchies.
美国对移民健康的研究出现了热潮,人们越来越关注州和地方各级政策,这些政策是移民健康的社会决定因素。许多这些政策通过规范移民的“合法性”来将移民定罪,而其他政策则通过扩大移民的权利和获得医疗保健、社会服务和其他资源的资格来促进移民融合。关于政策对健康影响的研究主要集中在定罪或融合的极端情况上。然而,美国的大多数移民居住在拥有定罪和融合政策相结合的州,这导致了不同的背景,可能会影响他们的福祉。我们提供了描述各州定罪和融合政策差异的数据,并提供了一个框架,确定了可能影响健康的不同但同时存在的驱逐和包容机制。未来的公共卫生研究和实践应该解决由定罪和融合政策造成的持续动态问题,因为这些政策可能会通过公民身份、种族/族裔和其他社会等级制度加剧健康不平等。