Prenatal care among immigrant and racial-ethnic minority women in a new immigrant destination: Exploring the impact of immigrant legal status
Prenatal care among immigrant and racial-ethnic minority women in a new immigrant destination: Exploring the impact of immigrant legal status
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DOI：
10.1016/j.socscimed.2011.02.046
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发表时间：
2011-05-01
影响因子：
5.4
通讯作者：
Smith, Ken R.
中科院分区：
文献类型：
--
作者：
Korinek, Kim;Smith, Ken R.
尽管非法移民在美国人口中的比例不断上升，但关于移民法律地位及其可能如何限制医疗保健获得的研究一直相当有限，特别是涉及直接识别非法人口的研究。利用犹他州人口数据库，这是一个独特的、全面的关联系统，包括生命、医疗和行政记录，我们分析了居住在前移民门户州犹他州的母亲最近出生的大量队列中的产前护理利用情况。我们的分析集中在母亲的种族-民族、出生地和法律地位作为影响产前保健利用的因素。国家行政记录被用来评估外国出生的母亲的法律地位，特别是向非法移民提供的司机特权卡。我们的结果表明，分解拉美裔和外国出生的庞大类别的重要性，以更好地了解移民的健康结果和医疗保健利用情况。特别是，我们发现移民母亲的法律地位是影响产前保健利用的几个重要因素之一。无证妇女是最不可能获得适当水平产前护理的群体之一。然而，在那些使用州综合司机特权计划的人以及那些居住在移民高度集中的社区的人中，无证妇女的产前护理利用率得到了提高。根据关于移民融入和医疗保健获得的理论，以及公共政策，如向未经授权的移民提供司机特权的政策，旨在便利移民进入目的地社区内的机构，讨论了结果。(C)2011爱思唯尔有限公司。保留所有权利。
Despite the rising share of undocumented immigrants in the US population, research has been quite limited regarding immigrant legal status and how it may limit healthcare access, especially research involving direct identification of undocumented populations. Drawing upon the Utah Population Database, a unique, comprehensive linked system of vital, medical, and administrative records, we analyze the prenatal care utilization in a large and recent cohort of births to mothers residing in the pre-emerging immigrant gateway state of Utah. Our analyses focus on the racial-ethnic, nativity and legal status of mothers as factors that influence prenatal care utilization. State administrative records are used to assess legal status among foreign-born mothers, specifically driver privilege cards made available to undocumented migrants. Our results indicate the importance of disaggregating the expansive categories of Hispanics and the foreign born to better understand health outcomes and healthcare utilization among immigrants. In particular, we find that the legal status of immigrant mothers is one of several important factors influencing prenatal care utilization. Undocumented women are among the least likely to obtain adequate levels of prenatal care. However, undocumented women's prenatal care utilization is enhanced among those using the state's integrative driver privilege program, and among those residing in neighborhoods with high concentrations of immigrants. Results are discussed in light of theory on immigrant integration and healthcare access, and in terms of public policies, such as those extending driver privileges to unauthorized immigrants, which aim to facilitate immigrants' access to institutions within destination communities. (C) 2011 Elsevier Ltd. All rights reserved.