Opportunities for Supporting Latino Immigrants in Emergency and Ambulatory Care Settings

Lee, July; Bruce, Janine; Wang, Nancy Ewen

doi:10.1007/s10900-020-00889-7

Cited by 10 publications

(4 citation statements)

References 19 publications

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“…Reports about patients' reluctance to seek care because of fear of Immigrations and Customs Enforcement (ICE), and deportation corroborate earlier studies as well [12][13][14][15][16][17].…”

Section: Discussionsupporting

confidence: 60%

Clinicians’ Perceptions of The Health Status of Formerly Detained Immigrants

Hampton

Mishori

Griffin

et al. 2021

Preprint

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Background In the past decade, the U.S. immigration detention system regularly detained more than 30,000 people; in 2019 prior to the pandemic, the detention population exceeded 52,000 people. Inhumane detention conditions have been documented by internal government watchdogs, news media and human rights groups, finding over-crowding, poor hygiene and sanitation and poor and delayed medical care, as well as verbal, physical and sexual abuse. Methods This study surveyed health professionals across the United States who had provided care for immigrants who were recently released from immigration detention to assess clinician perceptions about the adverse health impact of immigration detention on migrant populations based on real-life clinical encounters. There were 150 survey responses, of which 85 clinicians observed medical conditions attributed to detention. Results These 85 clinicians reported seeing a combined 1300 patients with a medical issue related to their time in detention, including patients with delayed access to medical care or medicine in detention, patients with new or acute health conditions including infection and injury attributed to detention and patients with worsened chronic conditions or special needs conditions. Clinicians also provided details regarding sentinel cases, categorized into the following themes: Pregnant women, Children, Mentally Ill, COVID-19, and Other serious health issue. Conclusions This is the first survey, to our knowledge, of health care professionals treating individuals upon release from detention. Due to the lack of transparency by federal entities and limited access to detainees, this survey serves as a source of credible information about conditions experienced within immigration detention facilities and is a means of corroborating immigrant testimonials and media reports. These findings can help inform policy discussions regarding systematic changes to the delivery of healthcare in detention, quality assurance and transparent reporting.

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Section: Discussionsupporting

confidence: 60%

Clinicians’ Perceptions of The Health Status of Formerly Detained Immigrants

Hampton

Mishori

Griffin

et al. 2021

Preprint

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“…Immigration status and fear of deportation were reported as major barriers to COVID-19 vaccination uptake among Hispanic communities. Immigration policies have direct and indirect effects on Hispanic health care utilization and health outcomes [ 38 , 39 ], with insecurities around immigration status shown to shape vaccine-seeking behaviors [ 20 ]. Our findings are consistent with emerging literature on the COVID-19 vaccine in Hispanic communities in the US linking undocumented status and fears of immigration status disclosure to lowered rates of vaccination uptake [ 37 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Overcoming barriers and enhancing facilitators to COVID-19 vaccination in the Hispanic community

et al. 2022

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Background Hispanic communities in the United States have been disproportionately affected by COVID-19 infections, hospitalizations, and death. Vaccination against COVID-19 is critical for controlling the pandemic; however, higher levels of vaccine hesitancy and reduced vaccine uptake constrain efforts to mitigate the pandemic and could perpetuate disparities. The aim of this study was to understand barriers and facilitators to COVID-19 vaccination through the lived experiences of Hispanic persons living in Arkansas. Methods Bilingual community partners facilitated recruitment, made initial contact with potential participants, and scheduled interviews and focus groups. Individuals over the age of 18 who identified as Hispanic were invited to participate. Data was collected from 49 participants in 10 individual interviews and five focus groups. This study used a qualitative exploratory design and thematic analysis. Results Five themes emerged as barriers for Hispanic participants: technological literacy and pre-registration, language and literacy, health insurance/health care costs, immigration status, and location and transportation. Three themes emerged as facilitators: workplace vaccination, health care provider recommendations, and engagement through schools. Conclusions Based on the findings of this study, a multi-modal and flexible approach will be implemented by the authors to address barriers to vaccine uptake among the Hispanic community in Arkansas.

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“…Among Latino Oregonians, medical mistrust and perceived discrimination were associated with dissatisfaction with the health care system ( López-Cevallos et al, 2014 ; Oakley et al, 2019 ). Immigration laws and “public charge” policies may discourage recent migrants from seeking the health and social services they need ( Lee et al, 2020 ). Effective community engagement and dissemination strategies are necessary to dispel mistrust.…”

mentioning

confidence: 99%

Engaging Latino Families About COVID-19 Vaccines: A Qualitative Study Conducted in Oregon, USA

García

Vargas

Torre³

et al. 2021

Health Educ Behav

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Objectives Latinos are disproportionately vulnerable to severe COVID-19 due to workplace exposure, multigenerational households, and existing health disparities. Rolling out COVID-19 vaccines among vulnerable Latinos is critical to address disparities. This study explores vaccine perceptions of Latino families to inform culturally centered strategies for vaccine dissemination. Method Semistructured telephone interviews with Latino families (22 mothers and 24 youth, 13–18 years old) explored COVID-19 vaccine perceptions including (1) sources of information, (2) trust of vaccine effectiveness and willingness to get vaccinated, and (3) access to the vaccine distribution. We identified thematic patterns using immersion–crystallization. Results We found that (1) 41% expressed optimism and willingness to receive the vaccine coupled with concerns about side effects; (2) 45% expressed hesitancy or would refuse vaccination based on mistrust, myths, fear of being used as “guinea pigs,” and the perceived role of politics in vaccine development; (3) families “digested” information gathered from social media, the news, and radio through intergenerational communication; and (4) participants called for community-led advocacy and “leading by example” to dispel fear and misinformation. Optimistic participants saw the vaccine as a way to protect their families, allowing youth to return to schools and providing safer conditions for frontline essential workers. Conclusions Culturally centered vaccine promotion campaigns may consider the Latino family unit as their target audience by providing information that can be discussed among parents and youth, engaging a range of health providers and advocates that includes traditional practitioners and community health workers, and disseminating information at key venues, such as schools, churches, and supermarkets.

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Opportunities for Supporting Latino Immigrants in Emergency and Ambulatory Care Settings

Cited by 10 publications

References 19 publications

Clinicians’ Perceptions of The Health Status of Formerly Detained Immigrants

Clinicians’ Perceptions of The Health Status of Formerly Detained Immigrants

Overcoming barriers and enhancing facilitators to COVID-19 vaccination in the Hispanic community

Engaging Latino Families About COVID-19 Vaccines: A Qualitative Study Conducted in Oregon, USA

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