Adewoye Aishat, Apenteng Bettye, Kimsey Linda, Opoku Samuel
Georgia Southern University, Statesboro, USA.
J Immigr Minor Health. 2025 Jun;27(3):501-512. doi: 10.1007/s10903-025-01681-2. Epub 2025 Mar 18.
The COVID-19 pandemic may have exacerbated existing health inequities in the U.S., disproportionately affecting marginalized groups, particularly immigrants. Structural barriers, institutional inequalities, and exclusion from relief measures may have worsened these communities' health outcomes. Additionally, anti-immigrant rhetoric, restrictive policies, and fear of deportation may have deterred many immigrants from accessing essential services, affecting both their physical and mental health. This scoping review examines immigrant health access, outcomes, and relevant policies during the pandemic using the Arksey and O'Malley framework and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews) guidelines. Key findings highlight widespread distrust in government, limited healthcare access, and significant adverse mental health challenges among immigrants during the pandemic, which may be worsened by restrictive immigration policies such as revisions to the public charge rule.
新冠疫情可能加剧了美国现有的健康不平等现象，对边缘化群体，尤其是移民造成了 disproportionately 的影响。结构性障碍、制度性不平等以及被排除在救济措施之外，可能使这些社区的健康状况恶化。此外，反移民言论、限制性政策以及对被驱逐出境的恐惧，可能阻碍许多移民获得基本服务，影响他们的身心健康。本综述使用阿克斯和奥马利框架以及PRISMA-ScR（范围综述的系统评价与荟萃分析扩展的首选报告项目）指南，考察了疫情期间移民的健康获取、结果及相关政策。主要发现凸显了疫情期间移民对政府普遍不信任、医疗保健获取受限以及面临重大的不良心理健康挑战，而诸如修订公共负担规则等限制性移民政策可能会使这些情况恶化。
