Department of Public Health Sciences, The University of Texas at El Paso, 500 W. University, El Paso, TX, 79968, USA.
Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, USA.
J Immigr Minor Health. 2022 Feb;24(1):1-9. doi: 10.1007/s10903-021-01314-4. Epub 2022 Jan 11.
Immigration concerns can deter immigrants from utilizing healthcare services. We examined Latinx immigrants' immigration concerns related to COVID-19 testing and treatment. A multi-state sample of 336 US Latinx immigrants (documented and undocumented) completed a cross-sectional online survey in Spanish. Factor analysis informed the construction of a COVID-19 Immigration Concerns Scale. Multiple logistic regression was used to examine associations between the scale and indices of perceived immigration risk and healthcare access and utilization. Concerns clustered around two factors: (1) providers' release of information to immigration authorities and drawing government attention; and (2) eligibility for COVID-19 services and the immigration ramifications of using these. The regression equation highlighted strong associations between these and perceived instability of immigration laws and enforcement concerns after controlling for healthcare access and utilization. COVID-19-related immigration concerns were substantial and multifaceted. Perceived instability of laws was strongly related to concerns but remains understudied.
移民问题可能会阻碍移民使用医疗保健服务。我们研究了拉丁裔移民对 COVID-19 检测和治疗的移民问题。一项由 336 名美国拉丁裔移民（有文件记录和无文件记录）组成的多州样本完成了西班牙语的横断面在线调查。因素分析为 COVID-19 移民问题量表的构建提供了信息。使用多变量逻辑回归检验了该量表与感知移民风险和医疗保健获取和利用指数之间的关联。关注点集中在两个因素上：（1）提供者向移民当局披露信息并引起政府关注；以及（2）获得 COVID-19 服务的资格以及使用这些服务对移民的影响。回归方程突出表明，在控制医疗保健获取和利用后，这些因素与移民法的不稳定性和执法问题的关注之间存在很强的关联。与 COVID-19 相关的移民问题很多而且多方面。对法律不稳定性的看法与担忧密切相关，但仍未得到充分研究。
