Immigration policies and mental health morbidity among Latinos: A state-level analysis.
Immigration policies and mental health morbidity among Latinos: A state-level analysis.
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拉丁美洲人之间的移民政策和心理健康发病率：州级分析。
DOI：
10.1016/j.socscimed.2016.11.040
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发表时间：
2017-02
期刊：
影响因子：
--
通讯作者：
Hirsch J
中科院分区：
文献类型：
--
作者：
Hatzenbuehler ML;Prins SJ;Flake M;Philbin M;Frazer MS;Hagen D;Hirsch J
尽管美国有大量与移民有关的州一级政策活动，但考虑到包容性和排斥性立法，没有研究探讨整体政策环境对拉丁美洲人心理健康的影响。研究与移民和拉丁美洲人心理健康结果有关的国家级政策气候之间的关联。我们创建了一个多部门政策气候指数，其中包括四个领域（移民，种族/民族，语言和农业工人保护）的14项政策。然后，我们研究了这一政策气候指数与来自31个州的拉丁美洲人的两个心理健康结果（精神健康状况不佳和心理困扰的天数）之间的关系，这是一项基于人口的健康调查，对象是18岁或以上的非制度化个人。在具有更多排斥性移民政策的州，个人的精神健康不良天数比例高于具有较少排斥性政策的州（RR：1.05，95%CI：1.00，1.10）。与非拉丁美洲人相比，拉丁美洲人的州政策与精神健康不良天数比率之间的关联显著更高（交互项的RR：1.03，95%CI：1.01，1.06）。此外，在具有更多排他性政策的州，拉丁美洲人的精神健康不良天数是具有较少排他性政策的州的拉丁美洲人的1.14倍（95% CI：1.04，1.25）。结果是强大的个人和国家水平的混杂因素。敏感性分析表明，结果是具体的移民政策，而不是国家的政治气候或居住隔离的指标。移民政策指数和心理困扰之间没有关系。这些结果表明，限制性移民政策可能对美国拉丁美洲人的心理健康有害。
Despite abundant state-level policy activity in the U.S. related to immigration, no research has examined the mental health impact of the overall policy climate for Latinos, taking into account both inclusionary and exclusionary legislation. To examine associations between the state-level policy climate related to immigration and mental health outcomes among Latinos. We created a multi-sectoral policy climate index that included 14 policies in four domains (immigration, race/ethnicity, language, and agricultural worker protections). We then examined the relation of this policy climate index to two mental health outcomes (days of poor mental health and psychological distress) among Latinos from 31 states in the 2012 Behavioral Risk Factor Surveillance System (BRFSS), a population-based health survey of non-institutionalized individuals aged 18 years or older. Individuals in states with more exclusionary immigration policies had higher rates of poor mental health days than participants in states with less exclusionary policies (RR: 1.05, 95% CI: 1.00, 1.10). The association between state policies and the rate of poor mental health days was significantly higher among Latinos versus non-Latinos (RR for interaction term: 1.03, 95% CI: 1.01, 1.06). Furthermore, Latinos in states with more exclusionary policies had 1.14 (95% CI: 1.04, 1.25) times the rate of poor mental health days than Latinos in states with less exclusionary policies. Results were robust to individual- and state-level confounders. Sensitivity analyses indicated that results were specific to immigration policies, and not indicators of state political climate or of residential segregation. No relationship was observed between the immigration policy index and psychological distress. These results suggest that restrictive immigration policies may be detrimental to the mental health of Latinos in the United States.