Provider's Perspectives on the Impact of Immigration and Customs Enforcement (ICE) Activity on Immigrant Health

被引:71
作者
Hacker, Karen [1 ,2 ]
Chu, Jocelyn [1 ,2 ]
Arsenault, Lisa [1 ,2 ]
Marlin, Robert P. [2 ,3 ]
机构
[1] Cambridge Hlth Alliance, Inst Community Hlth, Cambridge, MA 02141 USA
[2] Harvard Univ, Sch Med, Cambridge, MA 02138 USA
[3] Cambridge Hlth Alliance, Dept Med, Cambridge, MA 02141 USA
关键词
Immigrant health; deportation fear; Immigration and Customs Enforcement; providers' perspectives; ASYLUM SEEKERS; MENTAL-HEALTH; SOCIAL DETERMINANTS; CARE; TUBERCULOSIS; DETENTION; GENDER; ACCESS;
D O I
10.1353/hpu.2012.0052
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Introduction. Increasing Immigration and Customs Enforcement (ICE) activities such as raids, detention, and deportation may be affecting the health and well-being of immigrants. This study sought to understand the impact of ICE activities on immigrant health from the perspective of health care providers. Methods. An online survey of primary care and emergency medicine providers was conducted to determine whether ICE activity was negatively affecting immigrant patients. Results. Of 327 providers surveyed, 163 responded (50%) and 156 (48%) met criteria for inclusion. Seventy-five (48%) of them observed negative effects of ICE enforcement on the health or health access of immigrant patients. Forty-three providers gave examples of the impact on emotional health, ability to comply with health care recommendations, and access. Conclusions. Health care providers are witnessing the negative effects of ICE activities on their immigrant patients' psychological and physical health. This should be considered an important determinant of immigrant health.
引用
收藏
页码:651 / 665
页数:15
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