Social Science and Medicine
Volume 199, 2018, Pages 29-38

State-level immigration and immigrant-focused policies as drivers of Latino health disparities in the United States (Article)

Philbin M.M.* , Flake M. , Hatzenbuehler M.L. , Hirsch J.S.
  • a Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States
  • b Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States
  • c Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States
  • d Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States

Abstract

There has been a great deal of state-level legislative activity focused on immigration and immigrants over the past decade in the United States. Some policies aim to improve access to education, transportation, benefits, and additional services while others constrain such access. From a social determinants of health perspective, social and economic policies are intrinsically health policies, but research on the relationship between state-level immigration-related policies and Latino health remains scarce. This paper summarizes the existing evidence about the range of state-level immigration policies that affect Latino health, indicates conceptually plausible but under-explored relationships between policy domains and Latino health, traces the mechanisms through which immigration policies might shape Latino health, and points to key areas for future research. We examined peer-reviewed publications from 1986 to 2016 and assessed 838 based on inclusion criteria; 40 were included for final review. These 40 articles identified four pathways through which state-level immigration policies may influence Latino health: through stress related to structural racism; by affecting access to beneficial social institutions, particularly education; by affecting access to healthcare and related services; and through constraining access to material conditions such as food, wages, working conditions, and housing. Our review demonstrates that the field of immigration policy and health is currently dominated by a “one-policy, one-level, one-outcome” approach. We argue that pursuing multi-sectoral, multi-level, and multi-outcome research will strengthen and advance the existing evidence base on immigration policy and Latino health. © 2017 Elsevier Ltd

Author Keywords

Race/ethnicity Latino health inequalities Immigrant/immigration State-level policy Law and policy Structural racism Health and wellness United States

Index Keywords

education immigrant publication legislation health care policy health disparity Health Status Disparities human work environment immigration statistics and numerical data health status housing driver Hispanic Americans United States Humans racism Hispanic immigration policy stress Latino people legislation and jurisprudence human experiment migration equity Emigration and Immigration Health Policy ethnicity Health Services Accessibility public health health care delivery

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017335447&doi=10.1016%2fj.socscimed.2017.04.007&partnerID=40&md5=cf032b89e127b7331dd1267e5fad514c

DOI: 10.1016/j.socscimed.2017.04.007
ISSN: 02779536
Cited by: 39
Original Language: English