Rhodes Scott D, Mann-Jackson Lilli, Song Eunyoung Y, Wolfson Mark, Filindra Alexandra, Hall Mark
Department of Social Sciences and Health Policy, Wake Forest School of Medicine, and CTSI Program in Community Engagement, Winston-Salem, NC.
Health Quality Partners, Doylestown Health, Doylestown, PA.
Health Behav Policy Rev. 2020 Jul;7(4):314-324. doi: 10.14485/hbpr.7.4.4.
We conducted a policy scan of state and local laws and policies across the United States related to social determinants of health among immigrants.
We collected all state and municipal laws and policies in 10 domains that had potential to affect immigrant health from all 50 U.S. states and the 30 most populous U.S. metropolitan statistical areas. We coded these laws and policies and created an index of restrictiveness and supportiveness of immigrants.
We identified 539 state and 322 municipal laws and policies. The most common restrictive state laws and policies were in the domains of identification requirements and driver's license access. The most common supportive state laws and policies were in the domains of health services and higher education access. The most common restrictive municipal laws and policies were in the domains of identification requirements and immigration policy enforcement. The most common supportive municipal laws and policies were in the domains of immigration policy enforcement and health services access.
Most states had index scores reflecting policy environments that were primarily restrictive of immigrants, indicating potential negative impacts on social determinants of health. Further research examining the impact of these on health behaviors is warranted.
我们对美国各州和地方法律及政策进行了一项政策审视，这些政策与移民健康的社会决定因素相关。
我们从美国所有50个州以及30个人口最多的大都市统计区收集了10个领域中所有可能影响移民健康的州和地方法律及政策。我们对这些法律和政策进行编码，并创建了一个关于对移民限制程度和支持程度的指数。
我们识别出539项州法律和政策以及322项地方法律和政策。最常见的具有限制性的州法律和政策在身份识别要求和驾照获取领域。最常见的具有支持性的州法律和政策在医疗服务和高等教育获取领域。最常见的具有限制性的地方法律和政策在身份识别要求和移民政策执行领域。最常见的具有支持性的地方法律和政策在移民政策执行和医疗服务获取领域。
大多数州的指数得分反映出其政策环境主要对移民具有限制性，这表明对健康的社会决定因素可能产生负面影响。有必要进一步研究这些因素对健康行为的影响。
