The Case for Research-Informed Immigrant Health Policies Within Health Care Systems

Montoya-Williams, Diana; Fuentes-Afflick, Elena; Wallis, Kate

doi:10.1001/jamanetworkopen.2020.3022

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…Moreover, longitudinal analyses of prenatal care utilization and subsequent behaviors suggest that receiving timely and adequate prenatal care may have particular benefits for mothers, including maintaining a healthy weight during pregnancy, reducing lengthy maternal hospitalizations, and improving behaviors in the postpartum period 29–31. Thus, the shifts in prenatal care utilization we observe, in conjunction with more recent studies showing increased risks of adverse perinatal and infant health outcomes after exposure to anti-immigrant threats and rhetoric, suggest that the Hispanic perinatal paradox, whereby Hispanic populations have more favorable infant health indicators despite their significant socioeconomic barriers, may no longer hold 32. Research is urgently needed to document how the full constellation of maternal, perinatal, and child health outcomes may be affected by a rapidly changing and increasingly hostile immigration landscape.…”

Section: Discussionmentioning

confidence: 68%

“…[29][30][31] Thus, the shifts in prenatal care utilization we observe, in conjunction with more recent studies showing increased risks of adverse perinatal and infant health outcomes after exposure to anti-immigrant threats and rhetoric, suggest that the Hispanic perinatal paradox, whereby Hispanic populations have more favorable infant health indicators despite their significant socioeconomic barriers, may no longer hold. 32 Research is urgently needed to document how the full constellation of maternal, perinatal, and child health outcomes may be affected by a rapidly changing and increasingly hostile immigration landscape.…”

Section: Discussionmentioning

confidence: 99%

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The 2016 Presidential Election and Prenatal Care Utilization Among Foreign-born Hispanic Pregnant People

2022

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Background: Few studies have evaluated the relationship between adequate and timely prenatal care among immigrant pregnant people and the recent political climate, including the 2016 election and associated campaigns. Objectives: We examine whether the 2016 presidential election was associated with changes in prenatal care utilization among US foreign-born Hispanic pregnant people. Research Design: Interrupted time series. Subjects: All foreign-born Hispanic and US-born non-Hispanic White people delivering singleton infants from 2008 to 2017 who resided in the 23 states that fully implemented the 2003 version of the birth certificate before January 2008 (n=12,397,503). Measures: We examine the relationship between the presidential election and changes in the odds of inadequate or late/no prenatal care among immigrant Hispanic pregnant people, as well as trends in prenatal care utilization before the election. Results: Our results show no unexpected changes in receipt of inadequate prenatal care, and late/no prenatal care, among the 7 monthly conception cohorts exposed to the election before the third trimester. However, we detected increases in the odds of both inadequate care and late/no prenatal care among foreign-born Hispanic pregnant people in June 2015 and January 2016, respectively. These upward level shifts persisted through the remainder of our time series ending with the cohort conceived around December 2016. Conclusions: The worsening shifts in prenatal care utilization we observe may serve as a bellwether for worsening outcomes among immigrant women and their families. Research is therefore urgently needed to investigate the determinants and consequences of these concerning trends.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

The 2016 Presidential Election and Prenatal Care Utilization Among Foreign-born Hispanic Pregnant People

2022

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“…Understanding how racialized foreign-born older adults perceive healthy ageing, and how their perceptions may inform their health behaviour and decision-making, is an important yet understudied domain (Montoya-Williams et al, 2020 ). Our study is one of only a few studies (e.g., Keith et al, 1990 , Oishi, 2000 , Sampaio, 2021 ) focusing on how racialized immigrant older adults perceive and conceptualize healthy ageing.…”

Section: Discussionmentioning

confidence: 99%

“Think positive and don’t die alone” - Foreign-born, South Asian older adults’ perceptions on healthy aging

Chowdhury,

Stolee,

Sims-Gould

et al. 2023

International Journal of Qualitative Studies on Health and Well

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South Asians are the largest and fastest-growing racialized group in Canada, yet there are limited data on various aspects of health and well-being within this population. This includes the South Asian older adults’ ethnoculturally informed perceptions of ageing. The study aimed to understand how social and cultural forces impact the meaning assigned to healthy ageing amongst older South Asians in Canada. We recruited with purposeful and snowball sampling strategies in Southern Ontario. We conducted in-depth focus group and individual interviews ( n = 19) in five South Asian languages, employing a multilingual and cross-cultural qualitative approach. In our analysis, we identified three central themes: (a) taking care of body (b) taking care of mind and heart and (c) healthy ageing through the integration of mind and body. Our study demonstrates that older immigrants are a diverse and heterogeneous population and that their conception of healthy ageing is strongly influenced by their country of origin. This study also demonstrates how racialized foreign-born older adults might provide distinctive perspectives on the ageing process and on social theories of ageing due to their simultaneous immersion in and belonging to global majority and global minority cultures. This research also adds to the limited body of literature on the theories of ageing, despite migration trends, still has a white-centric lens.

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“…For immigrant populations in particular, research has shown that prevailing political and social sentiments may significantly impact health-seeking behavior. 28 , 29 Moments of crisis afford opportunities to rethink aspects of a system that were largely taken for granted, and to build new legislative majorities around evolving needs. In the face of several overlapping public health challenges, this is an important moment for national discussion regarding how best to ensure all populations have equal access to health care resources in the United States, and how to fairly distribute the costs of care.…”

Section: Covid-19 and Daca—policymaking In The Face Of Overlapping Ch...mentioning

confidence: 99%

DACA, public health, and immigrant restrictions on healthcare in the United States

Park

Yale-Loehr

Kaur

2023

The Lancet Regional Health - Americas

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The Case for Research-Informed Immigrant Health Policies Within Health Care Systems

Cited by 6 publications

References 7 publications

The 2016 Presidential Election and Prenatal Care Utilization Among Foreign-born Hispanic Pregnant People

The 2016 Presidential Election and Prenatal Care Utilization Among Foreign-born Hispanic Pregnant People

“Think positive and don’t die alone” - Foreign-born, South Asian older adults’ perceptions on healthy aging

DACA, public health, and immigrant restrictions on healthcare in the United States

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