Declared impact of the US President's statements and campaign statements on Latino populations' perceptions of safety and emergency care access
Declared impact of the US President's statements and campaign statements on Latino populations' perceptions of safety and emergency care access
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DOI：
10.1371/journal.pone.0222837
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发表时间：
2019-10-30
期刊：
影响因子：
3.7
通讯作者：
Taira, Breena
中科院分区：
文献类型：
--
作者：
Rodriguez, Robert M.;Torres, Jesus R.;Taira, Breena
特朗普总统在竞选和担任总统期间发表的关于修建隔离墙、驱逐和拒绝向无证移民提供服务的言论，可能会在拉丁裔人口中引发恐惧，并为他们获得医疗保健设置障碍。为了评估这些陈述与无证拉丁裔移民（UDLI）和拉丁裔合法居民/公民（LLRC）对安全的看法及其对急诊护理的陈述之间的关系，我们在2017年6月至2018年12月期间对加利福尼亚州三个县急诊科（ed）的成年患者进行了调查。在1,684名患者中，1,337名（79.4%）同意参与：UDLI 34.3%, LLRC 36.9%，非拉丁裔合法居民/公民（NLRC） 29.8%。绝大多数UDLI（95%）、LLRC（94%）和NLRC（85%）都听过有关移民的言论。大多数UDLI（89%）、LLRC（88%）和NLRC（87%）认为这些措施现在正在制定或将在未来制定。大多数UDLI和一半的LLRC报告说，这些言论使他们在美国生活感到不安全，分别为75% （95% CI 70-80%）和51% （95% CI 47-56%）。更多的UDLI报告说，这些陈述使他们害怕来ED (24%, 95% CI 20-28%)，而LLRC （4.4%, 95% CI 3-7%）和NLRC (3.5%, 95% CI 2-6%)；55%有这种恐惧的UDLI患者表示，这导致他们推迟到急诊室就诊（平均延迟2-3天）。我们加州急诊室的绝大多数患者都听说过2016年总统竞选期间或特朗普总统关于针对无证移民的措施的声明，这引起了UDLI和LLRC患者的担忧和安全担忧。在一些地方自治团体中，接触这些言论还与害怕获得紧急护理有关。考虑到加州的庇护州地位，这些安全问题和ED在全国拉丁裔人口中的担忧可能更大。
Statements about building walls, deportation and denying services to undocumented immigrants made during President Trump's presidential campaign and presidency may induce fear in Latino populations and create barriers to their health care access. To assess how these statements relate to undocumented Latino immigrants' (UDLI) and Latino legal residents/citizens' (LLRC) perceptions of safety and their presentations for emergency care, we conducted surveys of adult patients at three county emergency departments (EDs) in California from June 2017 to December 2018. Of 1,684 patients approached, 1,337 (79.4%) agreed to participate: 34.3% UDLI, 36.9% LLRC, and 29.8% non -Latino legal residents/citizens (NLRC). The vast majority of UDLI (95%), LLRC (94%) and NLRC (85%) had heard statements about immigrants. Most UDLI (89%), LLRC (88%) and NLRC (87%) either thought that these measures were being enacted now or will be enacted in the future. Most UDLI and half of LLRC reported that these statements made them feel unsafe living in the US, 75% (95% CI 70-80%) and 51% (95% CI 47-56%), respectively. More UDLI reported that these statements made them afraid to come to the ED (24%, 95% CI 20-28%) vs LLRC (4.4%, 95% CI 3-7%) and NLRC (3.5%, 95% CI 2-6%); 55% of UDLI with this fear stated it caused them to delay coming to the ED (median delay 2-3 days). The vast majority of patients in our California EDs have heard statements during the 2016 presidential campaign or from President Trump about measures against undocumented immigrants, which have induced worry and safety concerns in both UDLI and LLRC patients. Exposure to these statements was also associated with fear of accessing emergency care in some UDLIs. Given California's sanctuary state status, these safety concerns and ED access fears may be greater in a nationwide population of Latinos.