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日常暴力:加州无证年轻成年人中的移民执法、新冠疫情和抑郁。

Everyday Violence: Immigration Enforcement, COVID-19, and Depression among Undocumented Young Adults in California.

机构信息

USC Equity Research Institute, Los Angeles, CA.

Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA.

出版信息

Ethn Dis. 2024 Jul 2;34(2):84-92. doi: 10.18865/ed.34.2.84. eCollection 2024 Feb.

DOI:10.18865/ed.34.2.84
PMID:38973802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11223033/
Abstract

BACKGROUND

The immigration enforcement system has significant effects on the health of immigrants, their families, and society. Exposure to the immigration enforcement system is linked to adverse mental health outcomes, which may have been exacerbated by sustained immigration enforcement activities during the COVID-19 pandemic.

OBJECTIVES

This study was conducted to investigate the association between exposure to immigration enforcement and the mental health of undocumented young adults in California during the COVID-19 pandemic.

METHODS

Data are from the COVID-19 BRAVE (Building Community Raising All Immigrant Voices for Health Equity) Study, a community-engaged cross-sectional survey of the impacts of the COVID-19 pandemic on undocumented immigrants in California. A total of 366 undocumented immigrants between 18 and 39 years of age completed the online survey, which was conducted between September 2020 and February 2021. Multivariable logistic regression models were fit to examine the association between immigration enforcement exposure and depression.

RESULTS

Almost all participants (91.4%) disclosed exposure to the immigration enforcement system, with most reporting an average of 3.52 (SD=2.06) experiences. Multivariate analyses revealed that an increase in the immigration enforcement exposure score was significantly associated with higher odds of depression (adjusted odds ratio [aOR]=1.24; 95% confidence interval [CI]: 1.10, 1.40), and women were 92% more likely to report depression than were men (aOR=1.92; 95% CI: 1.12, 3.31). Those who reported deportation fears were significantly more likely to be depressed (aOR=1.24; 95% CI: 1.10, 1.40).

CONCLUSIONS

Researchers should consider the mental health implications of a punitive immigration enforcement system, and policymakers should examine the impacts of immigration policies on local communities.

摘要

背景

移民执法系统对移民及其家庭和社会的健康有重大影响。接触移民执法系统与心理健康不良结果有关,而在 COVID-19 大流行期间持续的移民执法活动可能使这些结果恶化。

目的

本研究旨在调查接触移民执法与 COVID-19 大流行期间加利福尼亚州无证年轻成年人心理健康之间的关联。

方法

数据来自 COVID-19 BRAVE(建立社区提升所有移民健康公平的声音)研究,这是一项针对 COVID-19 对加利福尼亚州无证移民影响的社区参与横断面调查。共有 366 名 18 至 39 岁的无证移民完成了在线调查,调查于 2020 年 9 月至 2021 年 2 月进行。采用多变量逻辑回归模型来检验移民执法接触与抑郁之间的关联。

结果

几乎所有参与者(91.4%)都透露接触过移民执法系统,大多数人报告平均有 3.52 次(SD=2.06)经历。多变量分析显示,移民执法接触评分的增加与抑郁的几率显著相关(调整后的优势比[aOR]=1.24;95%置信区间[CI]:1.10,1.40),女性报告抑郁的几率比男性高 92%(aOR=1.92;95% CI:1.12,3.31)。报告有被驱逐出境担忧的人抑郁的几率显著更高(aOR=1.24;95% CI:1.10,1.40)。

结论

研究人员应考虑惩罚性移民执法系统对心理健康的影响,政策制定者应审查移民政策对当地社区的影响。

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本文引用的文献

1
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JAMA Netw Open. 2021 Jul 1;4(7):e2117049. doi: 10.1001/jamanetworkopen.2021.17049.
2
Immigration and Gender as Social Determinants of Mental Health during the COVID-19 Outbreak: The Case of US Latina/os.移民和性别是新冠疫情期间心理健康的社会决定因素:以美国拉丁裔为例。
Int J Environ Res Public Health. 2021 Jun 4;18(11):6065. doi: 10.3390/ijerph18116065.
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The association between Deferred Action for Childhood Arrivals, health access, and mental health: the role of discrimination, medical mistrust, and stigma.童年入境暂缓遣返行动、健康获取途径与心理健康之间的关联:歧视、医疗不信任和污名的作用。
Ethn Health. 2022 Jul;27(5):1075-1087. doi: 10.1080/13557858.2020.1850647. Epub 2020 Dec 4.
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Letter to the Editor: The economic and mental health costs of COVID-19 to immigrants.致编辑的信:新冠疫情对移民造成的经济和心理健康成本。
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U.S. Immigration Law Enforcement Practices and Health Inequities.美国移民执法实践与健康不平等
Am J Prev Med. 2019 Dec;57(6):858-861. doi: 10.1016/j.amepre.2019.07.019.
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The Mental Health of Hispanic/Latino Americans Following National Immigration Policy Changes: United States, 2014-2018.美国 2014-2018 年国家移民政策变化后西班牙裔/拉丁裔美国人的心理健康状况。
Am J Public Health. 2019 Dec;109(12):1786-1788. doi: 10.2105/AJPH.2019.305337. Epub 2019 Oct 17.
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Association between immigration status and anxiety, depression, and use of anxiolytic and antidepressant medications in the Hispanic Community Health Study/Study of Latinos.移民身份与西班牙裔社区健康研究/拉丁裔研究中焦虑、抑郁以及使用抗焦虑药和抗抑郁药之间的关联。
Ann Epidemiol. 2019 Sep;37:17-23.e3. doi: 10.1016/j.annepidem.2019.07.007. Epub 2019 Jul 12.
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Perceived discrimination and physical health-related quality of life: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study.感知歧视与与身体健康相关的生活质量:西班牙裔社区健康研究/拉丁裔研究(HCHS/SOL)社会文化辅助研究。
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Health consequences of the US Deferred Action for Childhood Arrivals (DACA) immigration programme: a quasi-experimental study.美国“童年入境暂缓遣返”(DACA)移民计划的健康后果:一项准实验研究。
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10
Local-Level Immigration Enforcement and Food Insecurity Risk among Hispanic Immigrant Families with Children: National-Level Evidence.有子女的西班牙裔移民家庭中地方层面的移民执法与粮食不安全风险:国家级证据
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