Assessment of COVID-19-Related Immigration Concerns Among Latinx Immigrants in the US.
Assessment of COVID-19-Related Immigration Concerns Among Latinx Immigrants in the US.
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DOI：
10.1001/jamanetworkopen.2021.17049
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发表时间：
2021-07-01
影响因子：
13.8
通讯作者：
Espinoza-Madrigal I
中科院分区：
文献类型：
--
作者：
Galletly CL;Lechuga J;Dickson-Gomez JB;Glasman LR;McAuliffe TL;Espinoza-Madrigal I
有多大比例的拉丁裔移民支持关于从事与新冠肺炎相关的检测、治疗和接触者追踪的移民影响的声明？在这项对美国336名成年拉丁裔移民的调查研究中，89名参与者(27%)认为医院急诊科是未参保移民进行新冠肺炎相关检测或治疗的唯一来源。共有106名参与者(32%)同意使用与新冠肺炎有关的公共检测和治疗服务可能危及个人的移民前景；96名参与者(29%)和114名参与者(34%)在追查接触者时不会识别无证家庭成员或同事。这些结果表明，相当大比例的拉丁裔移民对从事与新冠肺炎相关的检测、治疗和接触者追踪存在移民担忧。尽管有争议的移民环境和不成比例的新冠肺炎感染率在美国的拉丁裔个人中，移民对从事与新冠肺炎相关的检测、治疗和接触者追踪的担忧在很大程度上尚未被探索。调查支持关于寻求和使用与新冠肺炎相关的检测和治疗服务以及从事接触者追踪的潜在负面移民分支的拉丁裔移民的比例。在这项横断面调查研究中，25个与新冠肺炎相关的项目被纳入正在进行的研究的在线西班牙语调查中。数据是在2020年7月15日至10月9日期间在伊利诺伊州芝加哥、加利福尼亚州洛杉矶和亚利桑那州凤凰城收集的。对379名讲西班牙语、非公民的拉丁裔成年移民(拥有合法或非法移民身份)进行了非随机抽样调查。其中，336人(参与率88.7%)返回调查，43人没有返回。另有213人接受了筛查，但不符合条件。运用描述性统计方法，对社会人口学变量、移民风险指数和新冠肺炎相关调查项目进行均值比较和双变量相关分析。关于移民获得新冠肺炎相关检测和治疗服务的声明，以及使用这些服务的潜在移民后果，这些项目引发了同意或不同意的声明。还评估了在追踪接触者期间识别无证人员的意愿。共有336名拉丁裔移民完成了调查。参与者的平均年龄(SD)为39.7岁(8.9岁)；210名参与者(62.5%)被确认为女性，216名参与者(64.3%)拥有无证移民身份。总体而言，89名参与者(26.5%)同意医院急诊科是对未参保移民进行新冠肺炎检测或治疗的唯一来源，106名参与者(31.6%)同意使用新冠肺炎的公共检测和医疗服务可能会危及一个人的移民前景。共有96名参与者(28.6%)和114名参与者(33.9%)在追踪接触者时不会识别无证家庭成员或同事。不愿识别无证家庭成员或同事与有过驱逐出境经历有关(r = −0.17；95%CI，−0.06至0.27；P = .003)，但与在美国居住的年限(r = 0.07；95%CI，−0.16至0.17；P = .15)或移民身份(r = 0.03；95%CI，−0.07至0.13；P = .56)无关。在这项横断面调查研究中，相当多的移民支持关于移民获得与新冠肺炎相关的检测和治疗服务受到限制以及使用这些服务可能带来的负面移民后果的说法。这些结果表明，需要开展旨在缓解移民担忧的新冠肺炎相关测试、接触者追踪和疫苗接种计划。这项横断面调查研究调查了美国成年拉丁裔移民中支持关于从事与新冠肺炎相关的检测、治疗和接触者追踪的移民影响的声明的比例。
What proportions of Latinx immigrants endorse statements about the immigration ramifications of engaging in COVID-19–related testing, treatment, and contact tracing? In this survey study of 336 adult Latinx immigrants in the US, 89 participants (27%) believed that hospital emergency departments provided the only source for COVID-19–related testing or treatment for uninsured immigrants. A total of 106 participants (32%) agreed that using public COVID-19–related testing and treatment services could jeopardize an individual’s immigration prospects; 96 participants (29%) and 114 participants (34%), respectively, would not identify an undocumented household member or coworker during contact tracing. These results suggest that substantial proportions of Latinx immigrants have immigration concerns about engaging in COVID-19–related testing, treatment, and contact tracing. Despite the contentious immigration environment and disproportionate rates of COVID-19 infection among Latinx individuals in the US, immigrants’ concerns about engaging in COVID-19–related testing, treatment, and contact tracing have been largely unexplored. To examine the proportions of Latinx immigrants who endorse statements about the potential negative immigration ramifications of seeking and using COVID-19–related testing and treatment services and engaging in contact tracing. In this cross-sectional survey study, 25 COVID-19–related items were incorporated into the online Spanish-language survey of an ongoing study. Data were collected between July 15 and October 9, 2020, in Chicago, Illinois; Los Angeles, California; and Phoenix, Arizona. A nonrandom sample of 379 adult, Spanish-speaking, noncitizen Latinx immigrants (with either documented or undocumented immigration status) were sent surveys. Of those, 336 individuals (88.7% participation rate) returned surveys, and 43 individuals did not. An additional 213 individuals were screened but ineligible. Descriptive statistics were computed, and mean comparisons and bivariate correlations between sociodemographic variables, indices of immigration risk, and COVID-19–related survey items were conducted. Items elicited agreement or disagreement with statements about immigrants’ access to COVID-19–related testing and treatment services and the potential immigration ramifications of using these services. Willingness to identify an undocumented person during contact tracing was also assessed. A total of 336 Latinx immigrants completed surveys. The mean (SD) age of participants was 39.7 (8.9) years; 210 participants (62.5%) identified as female, and 216 participants (64.3%) had undocumented immigration status. In total, 89 participants (26.5%) agreed that hospital emergency departments were the only source of COVID-19 testing or treatment for uninsured immigrants, and 106 participants (31.6%) agreed that using public testing and health care services for COVID-19 could jeopardize one’s immigration prospects. A total of 96 participants (28.6%) and 114 participants (33.9%), respectively, would not identify an undocumented household member or coworker during contact tracing. Reluctance to identify an undocumented household member or coworker was associated with having had deportation experiences (r = −0.17; 95% CI, −0.06 to 0.27; P = .003) but not with the number of years lived in the US (r = 0.07; 95% CI, −0.16 to 0.17; P = .15) or immigration status (r = 0.03; 95% CI, −0.07 to 0.13; P = .56). In this cross-sectional survey study, a substantial number of immigrants endorsed statements about immigrants’ restricted access to COVID-19–related testing and treatment services and the potential negative immigration ramifications of using these services. These results suggest that programs for COVID-19–related testing, contact tracing, and vaccine administration that are designed to allay immigration concerns are needed. This cross-sectional survey study examines the proportion of adult Latinx immigrants in the US who endorse statements about the immigration ramifications of engaging in COVID-19–related testing, treatment, and contact tracing.
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影响因子：
1.9
作者：
Martinez, Omar;Wu, Elwin;Sandfort, Theo;Dodge, Brian;Carballo-Dieguez, Alex;Pinto, Rogeiro;Rhodes, Scott;Moya, Eva;Chavez-Baray, Silvia
通讯作者：
Chavez-Baray, Silvia
无证件移民的卫生保健障碍：文献综述。
影响因子：
3.5
作者：
Hacker K;Anies M;Folb BL;Zallman L
通讯作者：
Zallman L
DOI：
10.1007/s40615-019-00565-0
发表时间：
2019-08-01
影响因子：
3.9
作者：
Galletly, Carol L.;Lechuga, Julia;Montenegro, Judith, I
通讯作者：
Montenegro, Judith, I
影响因子：
5.6
作者：
Rodriguez-Diaz, Carlos E.;Guilamo-Ramos, Vincent;Millett, Gregorio A.
通讯作者：
Millett, Gregorio A.