Hill Jessica, Rodriguez Darlene Xiomara, McDaniel Paul N
School of Conflict Management, Peacebuilding and Development, Norman J. Radow College of Humanities and Social Sciences, Kennesaw State University, United States.
Wellstar College of Health and Human Services, Kennesaw State University, United States.
J Migr Health. 2021;4:100036. doi: 10.1016/j.jmh.2021.100036. Epub 2021 Mar 20.
In the context of the United States of America (U.S.), COVID-19 has influenced migrant experiences in a variety of ways, including the government's use of public health orders to prevent migration into the country and the risk of immigrants contracting COVID-19 while in detention centers. However, this paper focuses on barriers that immigrants of diverse statuses living in the U.S.-along with their families-may face in accessing health services during the pandemic, as well as implications of these barriers for COVID-19 prevention and response efforts. We report findings from a scoping review about immigration status as a social determinant of health and discuss ways that immigration status can impede access to health care across levels of the social ecology. We then develop a conceptual outline to explore how changes to federal immigration policies and COVID-19 federal relief efforts implemented in 2020 may have created additional barriers to health care for immigrants and their families. Improving health care access for immigrant populations in the U.S. requires interventions at all levels of the social ecology and across various social determinants of health, both in response to COVID-19 and to strengthen health systems more broadly.
在美国，新冠疫情以多种方式影响着移民的经历，包括政府利用公共卫生指令阻止移民进入该国，以及移民在拘留中心感染新冠病毒的风险。然而，本文关注的是在美国生活的不同身份的移民及其家人在疫情期间获得医疗服务时可能面临的障碍，以及这些障碍对新冠疫情防控工作的影响。我们报告了一项关于移民身份作为健康社会决定因素的范围审查的结果，并讨论了移民身份在社会生态层面上如何阻碍获得医疗保健的方式。然后，我们制定了一个概念框架，以探讨2020年实施的联邦移民政策变化和新冠疫情联邦救助措施可能如何给移民及其家人获得医疗保健带来更多障碍。改善美国移民群体的医疗保健可及性，需要在社会生态的各个层面以及健康的各种社会决定因素方面进行干预，既要应对新冠疫情，也要更广泛地加强卫生系统。
