Manalo-Pedro Erin, Sudhinaraset May
Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, 650 Charles E. Young Dr. South, Los Angeles, CA, 90095, USA.
SSM Popul Health. 2021 Dec 18;17:101008. doi: 10.1016/j.ssmph.2021.101008. eCollection 2022 Mar.
Undocumented Asians and Pacific Islanders (UndocuAPI) comprise 25% of undocumented students. Yet few studies have examined UndocuAPI mental health in the context of the contradictory political environment which encompasses both inclusionary policies, such as Deferred Action for Childhood Arrivals (DACA), and exclusionary policies, like immigration enforcement.
Using cross-sectional survey data collected in 2019 from UndocuAPI college students and recent alumni in California (n = 174), we used multiple logistic regression to estimate the effect of DACA status on clinical levels of depressive symptoms. We tested whether immigration enforcement experiences mediated this relationship using the Karlson, Holm, and Breen (KHB) method.
Adjusted logistic regression results revealed that UndocuAPI with DACA had significantly lower odds of depression (OR = 0.32, 95% CI: 0.13-0.79). Out of five immigration enforcement factors, limited contact with friends and family (OR = 2.36, 95% CI: 1.08, 5.13) and fearing deportation most or all of the time (OR = 3.62, 95% CI: 1.15, 11.34) were associated with significantly higher odds of depression. However, we did not detect a statistically significant mediation effect of immigration enforcement using KHB decomposition.
Findings suggest that the benefits of DACA protected UndocuAPI in California from depressive symptoms, even when accounting for immigration enforcement experiences. Because it was unclear whether immigration enforcement mediates DACA, future research should investigate the underlying mechanisms between immigration policies and mental health with larger samples. Practitioners should consider the short-term need for mental health support and legal services for UndocuAPI students as well as the long-term goal to decriminalize immigrant communities to advance racial health equity.
无身份的亚裔和太平洋岛民(UndocuAPI)占无身份学生的25%。然而,很少有研究在既包含诸如童年抵美者暂缓遣返(DACA)等包容政策,又包含移民执法等排斥政策的矛盾政治环境背景下,考察UndocuAPI的心理健康状况。
利用2019年从加利福尼亚州的UndocuAPI大学生和近期校友中收集的横断面调查数据(n = 174),我们使用多元逻辑回归来估计DACA身份对抑郁症状临床水平的影响。我们使用卡尔森、霍尔姆和布林(KHB)方法检验移民执法经历是否介导了这种关系。
调整后的逻辑回归结果显示,拥有DACA的UndocuAPI患抑郁症的几率显著更低(OR = 0.32,95%置信区间:0.13 - 0.79)。在五个移民执法因素中,与朋友和家人联系有限(OR = 2.36,95%置信区间:1.08,5.13)以及大部分或全部时间都担心被驱逐(OR = 3.62,95%置信区间:1.15,11.34)与患抑郁症的几率显著更高相关。然而,我们使用KHB分解未检测到移民执法的统计学显著中介效应。
研究结果表明,即使考虑到移民执法经历,DACA的益处仍保护了加利福尼亚州的UndocuAPI免受抑郁症状困扰。由于尚不清楚移民执法是否介导DACA,未来研究应以更大样本调查移民政策与心理健康之间的潜在机制。从业者应考虑为UndocuAPI学生提供心理健康支持和法律服务的短期需求,以及将移民社区非刑事化以促进种族健康公平的长期目标。