Background Escalating interior immigration enforcement by the Trump administration threatens U.S. Latino immigrant families, yet systematic evidence is limited regarding the impacts of immigration enforcement in this community. Our study explored lived experiences of U.S.-citizen adolescents affected by various levels of immigration enforcement, including parental deportation. Methods In-depth interviews were conducted with adolescents (13-17 years old, N = 7) who experienced-or were at risk of-parental deportation as part of a larger, on-going longitudinal study. Interviews queried after their health, family life, perceived discrimination, conceptualization of today's anti-immigrant climate and, if applicable, the circumstances and impact of their parent's deportation. A preliminary qualitative analysis of the interviews was conducted. Interview summaries were created and reviewed systematically. Major themes and qualitative assertions were derived and discussed by the analytical team. Results Parental detainment/deportation was inherently violent and traumatic and had profound mental/emotional, physical, socio-cultural and economic consequences for separated adolescents as they assumed adult roles and responsibilities. The threat of deportation negatively affected the well-being of adolescents with deportable parents, resulting in increased vigilance and stress. Participants were ambivalent regarding their desire to talk about the risk of deportation or their experiences with it, as well as their own identities as Latinx citizens. They also reported feelings of isolation, discrimination and victimization related to immigration enforcement. Conclusions Anticipated and experienced parental deportation negatively affects health and well-being among U.S.-citizen adolescents. Family-friendly immigration policies, community-based interventions, and family counseling are critical to protect this vulnerable population. Key messages Following deportation, the deportee’s family—especially their U.S.-citizen adolescents—are profoundly and negatively affected. Even the threat of deportation stresses adolescents and their families and results in negative psychosocial outcomes.

Background In the United States (U.S.), over 4 million citizen children live with an unauthorized immigrant parent who is at risk of deportation. Children of Mexican immigrants are disproportionately represented among this population, as 1 out of 3 deported immigrants are from Mexico. Parental deportation can have profound and long-lasting consequences for children, yet research on this topic is sparse. We present preliminary findings from an ongoing, longitudinal study examining changes in health, well-being, behavior, and environmental factors among U.S. citizen children of recently deported Mexican immigrants. Methods Forty-eight deported Mexican parents were recruited from deportation processing stations on the Mexican border region. We completed phone interviews with one of their U.S.-based, citizen children and an adult caregiver, collecting retrospective information on health, health behavior, household, academics, and socio-ecological health determinants from a year earlier, as well as shortly after deportation of their parent. Pre-post analyses of caregivers' survey data were conducted to assess changes in outcomes associated with parental deportation. Results Following deportation of their parents, children were reported to have more frequent health problems (p=.008), including mental health problems (p=.002), externalizing (p=.040) and internalizing (p=.011) behaviors, school absences (p=.092), and experiences of food insecurity (p=.007) than a year before. Academic expectations were also significantly worse (p=.006) than those prior to parental deportation. Conclusions Children are the unintended victims of indiscriminate immigration enforcement. Deportation of parents is associated with significant deterioration of physical and mental health, behavior, academics, and home environment for their U.S. citizen children. Our results call for immigration policy reform and interventions to support families affected by the deportation of a parent. Key messages Immigration policies that separate families can have significant detrimental impacts on the health and well-being of U.S. citizen children. Policies must be revised to keep families together and protect children in mixed-legal status families.