State-level immigration and immigrant-focused policies as drivers of Latino health disparities in the United States.
State-level immigration and immigrant-focused policies as drivers of Latino health disparities in the United States.
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DOI：
10.1016/j.socscimed.2017.04.007
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Hirsch JS
中科院分区：
文献类型：
--
作者：
Philbin MM;Flake M;Hatzenbuehler ML;Hirsch JS
在过去的十年里，美国有大量的州一级立法活动集中在移民和移民问题上。一些政策旨在改善获得教育、交通、福利和其他服务的机会，而另一些政策则限制这种机会。从健康的社会决定因素的角度来看，社会和经济政策本质上是健康政策，但国家一级的移民相关政策和拉丁美洲人的健康之间的关系的研究仍然很少。本文总结了现有的证据有关的范围内的国家级移民政策，影响拉丁美洲人的健康，表明在概念上合理的，但未充分探讨政策领域和拉丁美洲人的健康之间的关系，跟踪机制，通过移民政策可能塑造拉丁美洲人的健康，并指出未来研究的关键领域。我们检查了1986-2016年的同行评审出版物，并根据纳入标准评估了838篇; 40篇被纳入最终评审。这40篇文章确定了州一级移民政策可能影响拉丁美洲人健康的四种途径：通过与结构性种族主义有关的压力;通过影响获得有益的社会机构，特别是教育;通过影响获得医疗保健和相关服务;通过限制获得物质条件，如食物，工资，工作条件和住房。我们的审查表明，移民政策和卫生领域目前主要是“一个政策，一个层次，一个结果”的方法。我们认为，追求多部门，多层次，多成果的研究将加强和推进现有的证据基础上的移民政策和拉丁美洲人的健康。
There has been a great deal of state-level legislative activity focused on immigration and immigrants over the past decade in the United States. Some policies aim to improve access to education, transportation, benefits, and additional services while others constrain such access. From a social determinants of health perspective, social and economic policies are intrinsically health policies, but research on the relationship between state-level immigration-related policies and Latino health remains scarce. This paper summarizes the existing evidence about the range of state-level immigration policies that affect Latino health, indicates conceptually plausible but under-explored relationships between policy domains and Latino health, traces the mechanisms through which immigration policies might shape Latino health, and points to key areas for future research. We examined peer-reviewed publications from 1986–2016 and assessed 838 based on inclusion criteria; 40 were included for final review. These 40 articles identified four pathways through which state-level immigration policies may influence Latino health: through stress related to structural racism; by affecting access to beneficial social institutions, particularly education; by affecting access to healthcare and related services; and through constraining access to material conditions such as food, wages, working conditions, and housing. Our review demonstrates that the field of immigration policy and health is currently dominated by a “one-policy, one-level, one-outcome” approach. We argue that pursuing multi-sectoral, multi-level, and multi-outcome research will strengthen and advance the existing evidence base on immigration policy and Latino health.
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