Immigration law enforcement, social support, and health for Latino immigrant families in Southeastern Michigan

Benavides, Quetzabel; Doshi, Monika; Valentín-Cortés, Mislael; Militzer, Maria; Quiñones, Spring; Kraut, Ruth; Rion, Raymond; Bryce, Richard; Lopez, William D.; Fleming, Paul J.

doi:10.1016/j.socscimed.2021.114027

Cited by 36 publications

(30 citation statements)

References 37 publications

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“…Previous research illustrates that immigrants are increasingly fearful of engaging with healthcare systems, which leads to delays in care and disenrollment from healthcare and social service programs [ 19 ]. Researchers also documented the deleterious impact these policies have had on immigrant health [ 20 – 24 ]. Within this context, our research highlights both challenges healthcare providers are experiencing and sources of support providers receive in entering and sustaining their work with PWDS.…”

Section: Discussionmentioning

confidence: 99%

Caring for Patients Without Documentation Status: What Motivates Us and Sustains Us

Kaki

Dutt

Alwan

2021

J Immigrant Minority Health

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Restrictive policies and limited resources create challenges for care delivery for patients without documentation status (PWDS). This study explores the motivators and sustainers for healthcare providers serving PWDS. Twenty-four direct providers in public and private sectors were interviewed using semi-structured, in-depth interviews. Two members of the research team independently coded interviews using inductive thematic analysis. Four major themes emerged illustrating intrinsic and extrinsic sources that motivated and sustained providers: (1) a sense of calling to serve their community; (2) solidarity is sustaining; (3) organizational culture as a key element for provider engagement; (4) insight into necessary change. Providers who care for PWDS are driven and sustained by internal motivations and a sense of solidarity in working towards better care access for their marginalized patients. Findings illustrate the importance of recruiting and retaining providers with histories of recent migration. Immigration and healthcare policy reform may improve provider workflow.

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Section: Discussionmentioning

confidence: 99%

Caring for Patients Without Documentation Status: What Motivates Us and Sustains Us

Kaki

Dutt

Alwan

2021

J Immigrant Minority Health

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“…In the U.S., exclusionary immigration policies and anti-immigrant political propaganda are stressors that have long created anxiety and trauma among Latino 1 communities. Since 2016, increasingly restrictive policies and inflammatory anti-immigrant rhetoric have required Latinos to cope with intensified levels of immigration-related trauma, to which COVID-19 has more recently presented novel and painful stressors (1)(2)(3). Further, much of the anti-immigrant sentiment under former President Trump specifically targeted Mexican and Central American communities, exacerbating anxieties in Latino communities (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

“…Yet, providers in the Southeast may not be fully prepared to engage and serve Latino clients (19,20). In response, the goal of this article is twofold: (1) to delineate key service needs and service access barriers among Latinos, with a particular focus on Tennessee and Georgia, and (2) to detail empirical strategies that providers can use to reduce these barriers and to strengthen culturally-informed service provision for Latino clients. Toward these goals, qualitative responses from a study of providers serving Latino communities in Tennessee and Georgia are presented and further expanded on in relation to existing literature.…”

Section: Introductionmentioning

confidence: 99%

Politics, Pandemics, and Trauma: Understanding and Addressing Latino Health Needs Through a Culturally-Informed Lens

Held

Villarreal-Otálora

McPherson

et al. 2022

Front. Public Health

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Latino communities in the United States (U.S.) have long endured trauma due to multiple intersecting social and political forces. New restrictive immigration policies since 2016 and the COVID-19 pandemic have each created novel stressors for Latino communities, while escalating the risk of mental health disorders and highlighting the communities' vulnerabilities. The effects of these stressors have been particularly pronounced in southeastern states, such as Tennessee and Georgia, due to their state-level anti-immigrant legislation. Yet, we lack sufficient data to understand how these factors present among Latinos seeking services. To focus attention on the specific experiences of Latino communities living in the U.S. Southeast, the authors analyzed the perspectives of 44 service providers working with these communities in the region using qualitative data collected in an online survey administered during the COVID-19 pandemic and while President Trump's exclusionary immigration policies were in force. Four themes were identified: (1) Latino communities' strengths; (2) impact of the Trump administration on Latino communities; (3) impact of COVID-19's on Latino communities; and (4) strategies to enhance service delivery in Latino communities. Results provide meaningful data to inform micro- and macro-level service delivery in two exclusionary policy states and beyond. Findings suggest future research should include other new immigrant destinations and explore perceptions of Latino community members.

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“…In response, the current study was designed to examine COVID-19 exposure and incidents of discrimination as risk factors for depression and posttraumatic stress disorder among Latinx adults in the southeastern U.S., in addition to the role of social support as a protective factor. While social support is a well-evidenced protective factor for mental health among Latinx adults [ 13 – 15 ], data are limited regarding how social support functions during the recent exclusionary policy context or the pandemic that restricted typical opportunities for social engagement. Findings are essential to informing service provision, policymaking, and future research.…”

Section: Introductionmentioning

confidence: 99%

Effects of COVID-19, Discrimination, and Social Support on Latinx Adult Mental Health

Held

First

Huslage

2022

J Immigrant Minority Health

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We investigated the role of COVID-19 exposure and discrimination on depressive and posttraumatic stress symptoms among Latinx adults residing in the southeastern United States. Survey data were collected from 264 Latinx adults. Using structural equation modeling (SEM) procedures, we estimated a structural model for hypothesized direct and indirect relationships between the risk factors of COVID-19 exposure and discrimination, social support, and two mental health conditions: depression and posttraumatic stress. COVID-19 exposure and discrimination each had a significant and positive relationship with both depression and posttraumatic stress. Social support was found to have a significant and inverse relationship with depression and posttraumatic stress, as well as to mediate the relationship between discrimination and both mental health symptoms. Implications for service provision and program design are presented. Future studies should examine variation between southeastern states and consider the influence of documentation status among an immigrant-only sample.

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Immigration law enforcement, social support, and health for Latino immigrant families in Southeastern Michigan

Cited by 36 publications

References 37 publications

Caring for Patients Without Documentation Status: What Motivates Us and Sustains Us

Caring for Patients Without Documentation Status: What Motivates Us and Sustains Us

Politics, Pandemics, and Trauma: Understanding and Addressing Latino Health Needs Through a Culturally-Informed Lens

Effects of COVID-19, Discrimination, and Social Support on Latinx Adult Mental Health

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