Nwankwo Ezinne, Sudhinaraset May
USC Equity Research Institute, Los Angeles, CA, USA; Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Soc Sci Med. 2025 Feb;366:117653. doi: 10.1016/j.socscimed.2024.117653. Epub 2024 Dec 21.
County governments across the U.S. adopt varied immigrant-related policies that facilitate or hinder immigrant inclusion. County-level social, economic, and geographic characteristics also differ by location-resulting in diverging immigrant inclusion goals and local contexts that disparately impact the lives and health of immigrants and their families. Although ethnic enclaves-communities where a large share of coethnic and immigrant residents live-are embedded within broader county governments, research on enclave-health effects have seldom considered the sociopolitical contexts, especially the immigration enforcement policies, in the settings where enclaves exist. This paper examines differences in immigration enforcement policies across U.S. counties. Data are from multiple sources, including the 2016-2020 American Community Survey, the National Center for Health Statistics, the Immigrant Legal Resource Center, the National Conference of State Legislatures, and the Kaiser Family Foundation. In a stepwise process, we generated nine county types using county-level social, economic, and geography-related characteristics. This resulted in 236 urban and suburban counties where Latino density was above 13.9%. In bivariate analyses comparing county types, we found significant statistical differences in the number of immigration enforcement (p < 0.00) and immigrant inclusion (p < 0.00) policies. There were also statistically significant demographic and diversity differences between county types (p < 0.00). Our results suggest a need to examine the county-level immigration policy context in research on enclave-health effects, as such contexts shape immigrant inclusion, immigrant health, and community wellbeing. Integrating the sociopolitical context may help to clarify points of intervention that county governments and immigrant communities can lead.
美国各县政府采取了各种与移民相关的政策,这些政策或促进或阻碍移民融入。县级的社会、经济和地理特征也因地区而异,导致移民融入目标和当地环境各不相同,对移民及其家庭的生活和健康产生了不同的影响。尽管族裔飞地——大量同族和移民居民居住的社区——嵌入在更广泛的县政府之中,但关于飞地对健康影响的研究很少考虑其存在环境中的社会政治背景,尤其是移民执法政策。本文研究了美国各县移民执法政策的差异。数据来自多个来源,包括2016 - 2020年美国社区调查、国家卫生统计中心、移民法律资源中心、全国州议会会议和凯撒家庭基金会。我们通过逐步的过程,利用县级社会、经济和地理相关特征生成了九种县类型。这产生了236个拉丁裔人口密度高于13.9%的城市和郊区县。在比较县类型的双变量分析中,我们发现移民执法政策数量(p < 0.00)和移民融入政策数量(p < 0.00)存在显著的统计差异。县类型之间在人口统计学和多样性方面也存在统计学上的显著差异(p < 0.00)。我们的研究结果表明,在研究飞地对健康的影响时需要考察县级移民政策背景,因为这样的背景塑造了移民融入、移民健康和社区福祉。整合社会政治背景可能有助于明确县政府和移民社区可以引领的干预点。