Emory University School of Medicine, Gynecology and Obstetrics, Atlanta, GA.
Emory University, Rollins School of Public Health, Department of Epidemiology, Atlanta, GA.
Ethn Dis. 2021 May 20;31(Suppl 1):333-344. doi: 10.18865/ed.31.S1.333. eCollection 2021.
Limited existing research suggests that immigration climate and enforcement practices represent a social determinant of health for immigrants, their families, and communities. However, national research on the impact of specific policies is limited. The goal of this article is to estimate the effect of county-level participation in a 287(g) immigration enforcement agreement on very preterm birth (VPTB, <32 weeks' gestation) rates between 2005-2016 among US-born and foreign-born Hispanic women across the United States.
We fit spatial Bayesian models to estimate the effect of local participation in a 287(g) program on county VPTB rates, accounting for variation by maternal nativity, county ethnic density, and controlling for individual specific Hispanic background and nativity and county-level confounders.
While there was no global effect of county participation in a 287(g) program on county VPTB rates, rates were slightly increased in some counties, primarily in the Southeast (Virginia, North Carolina, South Carolina).
Future research should consider the mechanisms through which immigration policies and enforcement may impact health of both immigrants and wider communities.
有限的现有研究表明，移民气候和执法实践代表了移民、他们的家庭和社区的健康的社会决定因素。然而，关于特定政策影响的国家研究有限。本文的目的是估计 2005-2016 年间美国出生和外国出生的西班牙裔妇女中，县级参与 287(g) 移民执法协议对非常早产（VPTB，<32 周妊娠）率的影响。
我们拟合空间贝叶斯模型来估计当地参与 287(g) 计划对县 VPTB 率的影响，考虑了产妇出生地、县族裔密度的变化，并控制了个人特定的西班牙裔背景和出生地以及县一级的混杂因素。
尽管县级参与 287(g) 计划对县 VPTB 率没有全局影响，但在某些县，主要在东南部（弗吉尼亚州、北卡罗来纳州、南卡罗来纳州），率略有上升。
未来的研究应考虑移民政策和执法可能通过哪些机制影响移民和更广泛社区的健康。
