Immigrant health access in Texas: policy, rhetoric, and fear in the Trump era
Immigrant health access in Texas: policy, rhetoric, and fear in the Trump era
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DOI：
10.1186/s12913-019-4167-1
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发表时间：
2019-06-05
影响因子：
2.8
通讯作者：
Burdine, James
中科院分区：
文献类型：
--
作者：
Callaghan, Timothy;Washburn, David J.;Burdine, James
背景自 2016 年总统选举以来，有报道表明，特朗普总统的言论及其政府提出的政策可能会加剧美国境内的无证移民和合法移民及其家人获得医疗保健的障碍。然而，很少有实证研究分析这种可能性，或详细说明这些报告和言论如何改变混合移民身份家庭的健康寻求行为。 方法 这项定性研究利用德克萨斯州各地的一系列英语和西班牙语焦点小组，分析了移民获得医疗服务的变化。我们咨询了社区卫生工作者，以更好地了解他们难以接触到的无证客户及其家人在与卫生系统打交道时遇到的障碍，揭示了有关特朗普政府领导下的准入障碍性质变化的重要见解。结果我们确定了有关美国移民医疗服务性质变化的四个关键主题：对与卫生和社会服务互动的恐惧日益增加；在当前的政治气候下，社交网络自相矛盾地限制了医疗服务；政府的言论和拟议的政策正在阻碍寻求健康的行为；儿童在参与社会计划方面遇到了新的障碍。结论特朗普政府、其拟议的移民政策以及他的言论对移民及其家人获得医疗服务构成了新的重大障碍。
BackgroundSince the 2016 presidential election, reports have suggested that President Trump's rhetoric and his administration's proposed policies could be exacerbating barriers to accessing health care for undocumented as well as lawfully present immigrants and their families in the United States. However, very little empirical work has analyzed this possibility or detailed how these reports and rhetoric have altered the health seeking behavior of mixed immigration status families.MethodsUsing a series of focus groups throughout Texas in both English and Spanish, this qualitative study analyzes changes to health access for immigrants. We consulted Community Health Workers to better understand the barriers encountered by their otherwise hard-to-reach undocumented clients and their families as they interface with the health system, revealing key insights about the changing nature of barriers to access under the Trump administration.ResultsWe identify four key themes about the changing nature of immigrant health access in the United States: growing fear of interacting with health and social services; that social networks are paradoxically limiting health access in the current political climate; that the administration's rhetoric and proposed policies are impeding health seeking behavior; and that children are encountering new barriers to social program participation.ConclusionsThe Trump administration, its proposed immigration policies, and his rhetoric are posing new and significant barriers to health access for immigrants and their families.