Immigration status as a health care barrier in the USA during COVID-19.

Immigration status as a health care barrier in the USA during COVID-19.
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DOI:
10.1016/j.jmh.2021.100036
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发表时间:
2021
影响因子:
4.6
通讯作者:
McDaniel PN
McDaniel PN
中科院分区:
其他
文献类型:
--
作者:
Hill J;Rodriguez DX;McDaniel PN

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在美利坚合众国的背景下,COVID-19以各种方式影响了移民的经历,包括政府使用公共卫生命令阻止移民进入该国,以及移民在拘留中心感染COVID-19的风险。然而,本文重点关注的障碍,不同身份的移民生活在美国-沿着这些障碍对COVID-19预防和应对工作的影响。我们报告的调查结果从一个范围审查移民身份作为健康的社会决定因素,并讨论移民身份的方式可以阻碍获得医疗保健的社会生态的各个层面。然后,我们制定了一个概念大纲,以探讨2020年实施的联邦移民政策和COVID-19联邦救援工作的变化可能如何给移民及其家人的医疗保健带来额外的障碍。改善美国移民人口的医疗保健服务需要在社会生态的各个层面和各种健康的社会决定因素中进行干预,以应对COVID-19并更广泛地加强卫生系统。
In the context of the United States of America (U.S.), COVID-19 has influenced migrant experiences in a variety of ways, including the government's use of public health orders to prevent migration into the country and the risk of immigrants contracting COVID-19 while in detention centers. However, this paper focuses on barriers that immigrants of diverse statuses living in the U.S.—along with their families—may face in accessing health services during the pandemic, as well as implications of these barriers for COVID-19 prevention and response efforts. We report findings from a scoping review about immigration status as a social determinant of health and discuss ways that immigration status can impede access to health care across levels of the social ecology. We then develop a conceptual outline to explore how changes to federal immigration policies and COVID-19 federal relief efforts implemented in 2020 may have created additional barriers to health care for immigrants and their families. Improving health care access for immigrant populations in the U.S. requires interventions at all levels of the social ecology and across various social determinants of health, both in response to COVID-19 and to strengthen health systems more broadly.
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