Fear Of Deportation Research Articles

“Precarious status: illegality and mental health among immigrants during the COVID-19 pandemic”

Purpose During the COVID-19 pandemic, immigrants faced new challenges that increased their precarity which often perpetuated existing social and health-related inequities. This compounded inadequate access to healthcare, harsh working conditions, marginalization due to legal status and fear of deportation, all of which were worsened during the height of the pandemic. This article aims to examine how existing social factors that marginalize immigrant populations were affected by the COVID-19 pandemic based on a study with immigrant farmworkers in Apopka, Florida. Design/methodology/approach The author analyzes how they were affected by stress both before and during the pandemic, and how these factors affected their mental health. Findings The author concludes that im/migrants’ often precarious status negatively affects their experiences with mental health, and that this was heightened during the COVID-19 pandemic. Despite the long-term nature of precarity for this vulnerable population, this study captures these issues as they were experienced during the COVID-19 pandemic. Originality/value This research contributes to emerging scholarship concerning social factors and mental health during the pandemic by examining the experiences of one of the most marginal populations in the United States.

Sexual and Reproductive Health Rights and Service Use among Undocumented Migrants in the EU: A Systematic Literature Review.

Most EU member states fail to provide essential sexual and reproductive health services to undocumented migrants, a vulnerable population facing limited access, utilization, and worse health-related outcomes. This study systematically reviewed the literature on access to and use of these services, as well as related health, economic, and migratory outcomes for undocumented migrants in the EU-EFTA region. The systematic review is reported based on the PRISMA 2020 checklist and includes 37 studies published between 2017 and 2024. Included studies were based upon original quantitative, qualitative, or mixed-methods data; conducted in one or more European countries; and published in one or more of the following languages: English, Spanish, French, Portuguese, or Romanian. A quality assessment was conducted using the CASP checklist for qualitative studies and the NHLBI Study Quality Assessment Tools for quantitative studies. The findings revealed numerous access barriers, including refusal of care, lack of knowledge about national healthcare schemes, bureaucratic hurdles, and affordability issues. Even when care was available, stigma, fear of deportation, socio-economic precarity, and abuse further hindered utilization. These barriers contributed to generally worse reproductive health outcomes for undocumented migrants in Europe, though the findings may not generalize to all EU-EFTA countries.

The influence of children’s immigration status on households with unauthorized parents

This study sought to examine children’s immigration status as predictors of immigration related psychological distress and poverty among household with unauthorized parents. Immigration related psychological distress included stressors associated with working in United States without legal working papers and living in constant fear of deportation. Poverty was assessed by looking into income-to-needs ratio. Children’s immigration status accounted for unique significant variance for poverty. The results indicated that households with unauthorized children were more likely to experience poverty than households with mixed-status children. Similarly, household with mixed status children were more likely to experience poverty than household with documented children. Although immigration-related psychological distress initially differed by children’s immigration status, these differences disappeared after accounting for the income-to-needs ratio, highlighting poverty as a key factor in this distress. The findings that households with unauthorized parents, regardless of their children’s immigration status, face higher poverty rates and that poverty drives immigration-related distress highlights the need for policies like DAPA, which could alleviate economic hardship and mental health challenges for these families.

‘All my friends here are ghosts’: everyday geo-legalities in a rural poultry town

ABSTRACT In recent years, feminist legal geographers have pressed for deeper engagement with the lived experience of law’s spatial logics including methodologies that extend beyond the study of legal discourse, practice, and enforcement to include ethnographic and other qualitative approaches that centre the experiences of those living with legal precarity. Building upon the work of feminist political geographers concerned with intimacy geopolitics, the concept of everyday geo-legalities emphasizes the ways that people interpret the spatiality of law, legal practice, and state policing and how it affects their lives, livelihoods and im/mobilities. This research reveals how undocumented im/migrants in a small, rural poultry town interpret and socially negotiate their racialized legal status in terms of im/mobility, heighted workplace pressure, increased job-related health risks, persistent fears of immigration raids, family separation and deportation, and prejudice and policing due to discourses of racialized criminalization. Social and familial relations, however, are central to the everyday negotiation of these dynamics, as community connections and care emerge from experiences of marginalization. This paper thus emphasizes how social relations are central to analysing the complexities and contradictions of everyday legal geographies.

Más que palabras: Understanding the mental health and behavioral consequences of sociodemographic risk and deportation fears in Latinx families.

Exponential increases in deportation and negative public discourse have resulted in heightened fears of profiling and deportation among Latinx immigrant families in the United States. Deportation fears could compound the inequalities Latinx families face, worsening mental and behavioral health. To better understand the mental health consequences of the climate of deportation concerns among low-income Latinx mothers in the United States, we conducted a linguistic analysis of interviews of Latinx mothers' parenting experiences, examining their use of words related to deportation fears (e.g., separado). We examined the interaction of sociodemographic risk with maternal deportation fears in predicting maternal and youth mental health. Recent immigrant Latinx mothers (N = 160) and youth (Mage = 12.88, SDage = 1.73) completed the Parent Development Interview-Revised (Slade et al., 2004), analyzed using a deportation fears custom dictionary (Linguistic Inquiry and Word Count; Pennebaker et al., 2003). Mothers completed the Brief Symptom Inventory (Derogatis, 2001); youth completed the Youth Self-Report (Achenbach, 1991). Cumulative sociodemographic risk was assessed using a composite score of six risk variables. Regressions revealed significant Sociodemographic Risk × Deportation Fear interactions for maternal depression (p = .01) and youth depression (p < .01) but not for maternal anxiety, youth anxiety, or aggression. As sociodemographic risk increased, associations between deportation fears and psychopathology decreased. The adverse impact of maternal deportation fears on mental health is visible only when demographic stress is lower. Deportation fears may increase mental health risk, potentially reducing treatment seeking among families previously at lower risk. Findings underscore the importance of policy and sociocultural shifts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Advancing advocacy communication theory: a theory grounded in undocumented college students’ motivations and strategies for challenging oppression

ABSTRACT Undocumented college students experience a myriad of stressors (e.g. fear of deportation, limited access to educational resources; Enriquez, Morales Hernandez & Ro. 2018. Deconstructing immigrant illegality: A mixed-methods investigation of stress and health among undocumented college students. Race and Social Problems, 10(3), 193–208. https://doi.org/10.1007/s12552-018-9242-4) because of systemic oppression, and they often engage in various advocacy efforts to challenge those oppressive systems. Although different persuasion (e.g. Reasoned Action Approach, Anger Activism Model; Fishbein & Ajzen. 2010. Predicting and changing behavior: The reasoned action approach. Psychology Press; Turner. 2007. Using emotion in risk communication: The anger activism model. Public Relations Review, 33(2), 114–119. https://doi.org/10.1016/j.pubrev.2006.11.013) and social movements theories (e.g. Mass Society Theory; Theory of Relative Deprivation; Bernstein & Crosby. 1980. An empirical examination of relative deprivation theory. Journal of Experimental Social Psychology, 16(5), 442–456. https://doi.org/10.1016/0022-1031(80)90050-5) can describe why minoritized group members advocate on behalf of their ingroup, these theories primarily focus on traditional advocacy efforts. rather than representing advocacy as multidimensional. Consequently, this paper introduces Advocacy Communication Theory (ACT), which argues that advocacy communication is a complex and multidimentional process consisting of advocacy strategies at the individual, interpersonal, community, organizational, and policy levels. ACT also identifies predictors of advocacy communication by drawing from communication and psychological factors, and it discusses the potential health implications associated with engaging in advocacy communication.

Sociopolitically and Trauma-Informed Public Health Practice With Latinx Families: Conceptual Framework and Best Practices.

Public health practitioners working with Latinx families in the United States must consider the historical contexts of colonization and slavery that have created conditions of violence, displacement, and social and economic marginalization throughout Latin America. Although shared experiences of colonization, dispossession, and migration affect all Latinxs, diverse national histories and sociopolitical contexts, migration patterns, and intersecting identities (e.g., gender, social class, race) complicate efforts to develop a uniform approach to this heterogeneous population. We provide a critical analysis of (1) how past experiences contribute to collective trauma and motivate migration, and (2) how these experiences are replicated in the United States through immigration-related adversities that deprive and threaten children and families through marginalization, fear of detention and deportation, and family separation brought on by a parent's deportation. This knowledge is imperative to advance research, practice, and policymaking with US Latinx populations. We provide best practice recommendations for a sociopolitically and trauma- informed public health workforce interfacing with Latinxs in the United States. (Am J Public Health. 2024;114(S6):S485-S494. https://doi.org/10.2105/AJPH.2024.307589) [Formula: see text].

Access Barriers, Trusted Channels, and Misconceptions About the COVID-19 Vaccine Among Rural Immigrant Farmworkers.

Background: Although COVID-19 has disproportionately impacted immigrant agricultural workers, vaccination efforts have been challenging. Barriers to immunization include language, visa status, and access to medical care. Additionally, vaccine hesitancy, mistrust, and misinformation contributed to low uptake. Methods: A community needs assessment was conducted with immigrant agricultural workers (n = 9) and community stakeholders (n = 15) in rural areas of Maryland and Delaware. In-depth interviews were recorded, transcribed verbatim, and analyzed using template analysis. Results: The participants named trusted and untrusted sources, sources of misinformation, and barriers to accessing information and physical locations to receive the vaccine as reasons for not getting the vaccine. Trusted sources included known community leaders and television programs. Some barriers mentioned were fear of deportation, lack of paid time off, language barriers, and difficulty navigating the U.S. healthcare system. Discussion: There is a need for culturally-tailored programs that address misinformation and barriers and use community-based programming.

Gender-based violence perpetrated against migrant women during lockdowns: A pastoral care challenge

Background: The article unpacks the complexities of gender-based violence (GBV) against illegal migrant women during lockdowns and contributes to the broader discourse on gender equality, human rights and social justice within the Pentecostal or Charismatic pastoral praxis. The geographical demography was a semi-formal area located between South Africa’s Gauteng and Northwest provinces. The period for the inquiry was South Africa’s coronavirus disease 2019 (COVID-19) induced lockdowns that began on 27 March 2020 until 05 April 2022.Objectives: The study aimed to shed light on the unique challenges faced by this vulnerable population, exploring the intersectionality of their undocumented status, gender and the socio-economic impacts of restrictive measures and the challenges to pastorally care for them.Method: The qualitative approach and case study were used to select two sets of participants; 13 illegal Zimbabwean Migrant Women (ZMW) and 3 Pentecostal or Charismatic clergy.Results: There was a disturbing prevalence of GBV incidents, ranging from physical, sexual to psychological abuse. The illegal status of migrant women exacerbated their vulnerability and reluctance to seek help due to fear of deportation and societal stigmatisation. The lockdown-induced economic strain further compounded their susceptibility to GBV.Conclusion: There was nonexistent pastoral care policy or praxis within the Pentecostal or Charismatic church for illegal ZMW who were victims of GBV during the lockdowns. These themes emerged: (1) high incidents of GBV perpetrated against illegal ZMW during lockdowns; (2) barriers to seeking pastoral care were lack of trust, migration status, fear of deportation, fear of infection and (3) no physical virtual pastoral care.Contribution: This article is embedded in the Pentecostal or Charismatic practice of care; postmodern, using the interpretive narrative framework to highlight the narratives of illegal Zimbabwean Migrant Women (ZMW) who were victims of gender-based violence (GBV) during South Africa’s COVID-19 lockdowns and the challenges of pastorally caring for them.

Botánicas Function as Health Care Safety Nets Among Hispanic American Immigrants: A Brief Report.

As the U.S. population becomes more racially/ethnically diverse, the Hispanic American immigrant population has slowly grown in recent years. In the face of anti-immigrant policies, limited access to care, fear of deportation, discrimination, stigmatization, poverty, and other stressors, Hispanic American immigrants seek services from botánicas for religious, spiritual, medical, and psychosocial health reasons, including the accessibility and affordability of services from folk practitioners in these herbal dispensaries. Hispanics are the primary consumers of herbal remedies and complementary and alternative medicines in the United States. The purpose of this article is to emphasize the critical role of botánicas in the health and wellness of Hispanic American immigrants. Recommendations for health professionals are provided in the care of Hispanic Americans who utilize folk, traditional, and herbal medicines for health and healing.

Barriers and enabling factors for utilizing physical rehabilitation services by Afghan immigrants and refugees with disabilities in Iran: a qualitative study

IntroductionIndividuals with a migrant background often underutilize physical rehabilitation services (PRS) compared to the host population. This disparity is attributed to various barriers, including limited access to information, language barriers, illiteracy, and cultural factors. To improve PRS utilization by Afghan immigrants and refugees in Iran, it is crucial to identify these barriers and enabling factors. In response, this study explored the barriers and enabling factors for utilizing PRS among Afghan immigrants and refugees with disabilities in Iran.MethodsThis qualitative study was conducted in Iran between January and March 2023. Participants were selected through convenient and snowball sampling. Individual, semi-structured interviews were carried out both in face-to-face and online formats. Data analysis occurred concurrently with data collection, using the directed content analysis approach.ResultsFindings from our research indicate that common barriers to PRS utilization among Afghan immigrants and refugees include insufficient insurance coverage, high service costs, expensive transportation and accommodation, limited knowledge about Iran’s health system, inadequate awareness of available supports, restricted access to PRS in remote areas, impatience among PRS providers, fear of arrest and deportation, a lack of trust in modern treatments, stringent immigration rules, high inflation rates limiting the ability to pay for PRS, and limited social support. On the other hand, several enabling factors were identified, such as strengthening insurance coverage, utilizing the capacities of charities and NGOs, providing information about available services, promoting respectful behavior by healthcare providers towards patients, facilitating cultural integration, and increasing immigrants’ awareness of available services and eligibility criteria.ConclusionThe barriers and enabling factors uncovered in this study offer valuable insights into the complexities surrounding PRS utilization by Afghan immigrants and refugees with disabilities in Iran. Understanding and addressing these factors is essential for developing targeted interventions and policies that can improve access and utilization, ultimately leading to enhanced health outcomes for this vulnerable population.

Examining the Impact of Living in an Asylum on the Mental Health of Middle Eastern Refugees

Refugee aid is seldom a topic of American political conversations despite rising global refugee populations (American Immigration Council, 2020). Refugees who have fled or been forced out of their native country seek asylum, or protection from persecution, in a host country (U.S. Citizenship and Immigration Services, 2015). Thus, an asylum country is one in which refugees can live without fear of persecution or deportation to their native country, while they apply for permanent residence or resettlement (U.S. Citizenship and Immigration Services, 2015). Many Middle Eastern nations including Syria, Libya, Yemen, and Palestine are currently experiencing war and subsequently, hundreds of thousands of individuals from these nations have been forced to seek asylum elsewhere (International Institute for Strategic Studies, 2022). Adjusting to asylum countries may affect mental health, which is an individual’s state of psychological wellness (Centers for Disease Control and Prevention, 2023; United Nations High Commissioner for Refugees, 2022). Thus, this paper will examine how relocation to an asylum country impacts the mental health of Middle Eastern refugees.

Do black women's lives matter? A study of the hidden impact of the barriers to access maternal healthcare for migrant women in South Africa.

Studies on the barriers migrant women face when trying to access healthcare services in South Africa have emphasized economic factors, fear of deportation, lack of documentation, language barriers, xenophobia, and discrimination in society and in healthcare institutions as factors explaining migrants' reluctance to seek healthcare. Our study aims to visualize some of the outcome effects of these barriers by analyzing data on maternal death and comparing the local population and black African migrant women from the South African Development Countries (SADC) living in South Africa. The heightened maternal mortality of black migrant women in South Africa can be associated with the hidden costs of barriers migrants face, including xenophobic attitudes experienced at public healthcare institutions. Our analysis is based on data on reported causes of death (COD) from the South African Department of Home Affairs (DHA). Statistics South Africa (Stats SA) processed the data further and coded the cause of death (COD) according to the WHO classification of disease, ICD10. The dataset is available on the StatsSA website (http://nesstar.statssa.gov.za:8282/webview/) for research and statistical purposes. The entire dataset consists of over 10 million records and about 50 variables of registered deaths that occurred in the country between 1997 and 2018. For our analysis, we have used data from 2002 to 2015, the years for which information on citizenship is reliably included on the death certificate. Corresponding benchmark data, in which nationality is recorded, exists only for a 10% sample from the population and housing census of 2011. Mid-year population estimates (MYPE) also exist but are not disaggregated by nationality. For this reason, certain estimates of death proportions by nationality will be relative and will not correspond to crude death rates. The total number of female deaths recorded from the years 2002 to 2015 in the country was 3740.761. Of these, 99.09% (n = 3,707,003) were deaths of South Africans and 0.91% (n = 33,758) were deaths of SADC women citizens. For maternal mortality, we considered the total number of deaths recorded for women between the ages of 15 and 49 years of age and were 1,530,495 deaths. Of these, deaths due to pregnancy-related causes contributed to approximately 1% of deaths. South African women contributed to 17,228 maternal deaths and SADC women to 467 maternal deaths during the period under study. The odds ratio for this comparison was 2.02. In other words, our findings show the odds of a black migrant woman from a SADC country dying of a maternal death were more than twice that of a South African woman. This result is statistically significant as this odds ratio, 2.02, falls within the 95% confidence interval (1.82-2.22). The study is the first to examine and compare maternal death among two groups of women, women from SADC countries and South Africa, based on Stats SA data available for the years 2002-2015. This analysis allows for a better understanding of the differential impact that social determinants of health have on mortality among black migrant women in South Africa and considers access to healthcare as a determinant of health. As we examined maternal death, we inferred that the heightened mortality among black migrant women in South Africa was associated with various determinants of health, such as xenophobic attitudes of healthcare workers toward foreigners during the study period. The negative attitudes of healthcare workers toward migrants have been reported in the literature and the media. Yet, until now, its long-term impact on the health of the foreign population has not been gaged. While a direct association between the heightened death of migrant populations and xenophobia cannot be established in this study, we hope to offer evidence that supports the need to focus on the heightened vulnerability of black migrant women in South Africa. As we argued here, the heightened maternal mortality among migrant women can be considered hidden barriers in which health inequality and the pervasive effects of xenophobia perpetuate the health disparity of SADC migrants in South Africa.

BARRIERS TO HEALTH CARE ACCESS AMONG UNDOCUMENTED IMMIGRANTS: PERSPECTIVE OF PALLIATIVE CARE HEALTH CARE PROVIDERS

Abstract Undocumented immigrants face numerous barriers to obtaining healthcare services, largely due to fear of deportation and limited access to health care. The purpose of this study was to learn about challenges and facilitators palliative care healthcare providers experience in caring for seriously ill undocumented immigrants and the factors affecting access to care in this seriously ill population. From November 2022 to January 2023, we conducted semi-structured, individual telephone interviews with 11 palliative care healthcare providers from two inner city hospitals in California. Our interview protocol elicited providers’ experience caring for undocumented immigrants, including the patients’ stage of illness when providers encounter them, referrals made by the healthcare team, and gaps in care they have witnessed for these undocumented immigrants. Transcripts were analyzed using thematic analysis. Themes related to provider perceived patient care-seeking behaviors and challenges include complications of postponing care, financial burden, fear of deportation, transportation, health literacy, lack of family support, lack of awareness and misperceptions of palliative care. Themes related to provider care challenges include language barriers, longer care process, and cultural barriers. Facilitators and recommendations include awareness of care options and reassurance, importance of social and community resources, expanded palliative care awareness, knowledge, and access, and improved cultural competence. Our findings underscore the need for intervention studies that focus on alleviating identified barriers for undocumented immigrants. Future studies are needed to elicit the perspectives of seriously ill undocumented patients.

Clinical Manifestations.

Older adults may experience decreased social support, which has been linked to cognitive decline and increased risk of dementia. Immigrants may also experience more social isolation due to discrimination and fear of deportation. This study examined social networks, nativity status, and neurocognitive functioning(NC) in an ethnoculturally diverse sample of middle/older adults. Participants included 26 immigrants (Mage= 64.12, SD = 5.64) and 109 U.S.-born adults (Mage= 65.37, SD = 7.10). Participants completed a comprehensive NC battery and the Berkman-Syne Social Network Index(SNI; a well-validated self-reported questionnaire assessing close social support, where higher scores represent more social support). Demographically-adjusted norms were used to compute average global NC and domain T-scores. A series of hierarchical multiple regressions were computed to predict global and domain NC T-scores. SNI and age were entered at Step-One, the interaction term(age*SNI) was entered at Step-Two, and nativity status was entered at Step-Three. Results revealed that the omnibus model was significantly associated with Attention/Working Memory(A/WM) (R² = .13; ps = .009) and Processing Speed(PS) (R² = .20; ps = .002). Notably Step-Three of the model significantly contributed to the association of AWM (R²Δ= .11; ps<.05) and PS (R²Δ= .09; ps<.05) beyond Step-One and Step-Two. For A/WM, the interaction term, and nativity status (𝛽s = .04-6.96, respectively; ps<.05) were significantly associated with A/WM. For PS, SNI, the interaction term, and nativity status (𝛽s = -3.91-8.17; ps<.05) were significantly associated with PS. Such that, there is a main effect of nativity status with immigrants scoring lower on measures of A/WM by 6.96 and PS by 8.17 units. Overall, there is a negative association between age and A/WM and PS but as SNI increases the relation between age and NC becomes positive. Only nativity status (𝛽s = 5.99-8.23; ps<.05) significantly predicted Memory, Verbal Fluency, and Global NC functioning scores. Findings show that among middle/older adults, both SNI and nativity status are associated with A/WM and PS, suggesting that a larger SNI can serve as a protective factor against the effects of aging on NC functioning. Importantly, even when SNI and age were not significantly related to NC T-scores, nativity status was. Nativity status likely serves as a proxy for other risk factors (e.g., healthcare access), which should be explored in future studies.

The precarious lives and survival strategies of unaccompanied Afghan youth in Türkiye

Unaccompanied children who do not or cannot access the child protection system in Türkiye often become engaged in child labor and find themselves living in precarity. This paper highlights narratives of survival within their culturally-assumed transition to manhood based on empirical research on the life experiences of 12 unaccompanied, male Afghan youth who came to Türkiye as unaccompanied children. These narratives reflect patriarchal culture, particularly the Taliban’s extreme manifestations of patriarchy, both in a context of war and violence. Unaccompanied Afghan children migrate for survival and, after dangerous journeys, live as irregular migrants. Their daily life is marked by (1) fear of police and deportation, (2) child labor, (3) long and challenging work routines, (4) lack of leisure time, schooling, adult protection or support and (5) lack of social security. As a result, they develop survival strategies to manage their precarious lives. Their narratives share commonalities focusing on the conditionalities of constructing manhood.

국내에서 출생한 이주 아동의 출생등록 문제

A child’s birth registration is a prerequisite for the child to achieve his/her civil status. The birth registration system in Korea has gone through important changes in the past few months. The Act on Registration of Family Relations was amended in June, 2023. Under the new registration law, a child’s birth can be registered by the head of local government. The Act on Confidential Birth was legislated in October, 2023. Under the new law, a pregnant woman can give birth without giving her name to the hospital or civil registry. However, the new registration law does not apply to immigrant children, as the scope of law is limited to the civil registration of Korean nationals. Moreover, immigrant parents might not be able to benefit from the new system due to their fear of deportation.&#x0D; This paper studies legal system of other countries regulating nationality (or citizenship), birth registration, and immigration, in order to design a new registration law which guarantees every child’s birth registration. The countries where children acquire nationality based on his/her parents’ nationality allow birth registration of children of foreign parents. Japan, even though its nationality law and immigration law are as conservative as Korea’s, allows immigrant children’s birth registration. I suggest the Act on Registration of Family Relations be amended so as to allow immigrant children’s birth registration, and the enforcement decree of the Immigration Act also be amended so that the information on foreign parents will not be transferred to the immigration office.

Qualitative Study of Barriers and Facilitators to Care Among Children in Immigrant Families.

Children in immigrant families comprise ∼25% of US children and live in families with high levels of poverty and food insecurity. Studies suggest a decline in public benefit enrollment among children in immigrant families. We aimed to explore perspectives on barriers and facilitators in accessing care among immigrant caregivers of hospitalized children. With a general qualitative descriptive design, we developed a semistructured interview guide using an iterative process informed by literature and content expertise. Using purposive sampling, we recruited immigrant caregivers of hospitalized children in March 2020 and conducted interviews in English or Spanish. Interviews were recorded, transcribed, and translated to English. Three authors coded transcripts using Dedoose and identified themes via thematic analysis. Analysis of 12 caregiver interviews revealed barriers and facilitators in accessing healthcare and public benefit use. Barriers included healthcare system barriers, immigration-related fear, and racism and discrimination. Within healthcare system barriers, subthemes included language barriers, cost, complexity of resource application, and lack of guidance on available benefits. Within immigration-related fear, subthemes included fear of familial separation, fear of deportation, fear that benefit use affects immigration status, and provider distrust. Healthcare system facilitators of resource use included recruiting diverse workforces, utilizing language interpretation, guidance on benefit enrollment, legal services, and mental health services. Participants also recommended hospital partnership with trusted information sources, including media stations and low-cost clinics. Immigrant caregivers of hospitalized children identified barriers and facilitators in access to care. Further research is needed to assess the efficacy of caregiver-suggested interventions.

Fear of Deportation and Hispanic Early Adolescent Substance Use: a Moderated Mediation Model of Stress and Hope.

Reports of deportation can create a state of chronic fear in children living in mixed-status immigrant families over their own or a loved one's potential deportation. One indicator of health disparities among youth is elevated rates of alcohol, tobacco, and other drug use (ATOD). Yet little is known about the effects of fear of deportation (FOD) on ATOD or what might promote resilience. We explore the associations between FOD and ATOD use, how stress mediates this relationship, and whether hope moderates the mediated pathway from FOD to ATOD. Participants were 200 first- and second-generation 7th grade Hispanic youth (49% female) assessed across three waves of data. A moderated mediation model tested the indirect effect of FOD on ATOD through stress and whether hope moderated these associations. FOD was measured by the Family Fear of Deportation Scale. Snyder's Children's Hope Scale measured hope. Stress was measured by a short version of Pediatric Psychological Stress Measure. ATOD was adapted from the Monitoring the Future project. FOD was not directly associated with ATOD use. However, this path was fully mediated by stress. Hope significantly moderated the path from FOD to stress such that a one unit increase in hope completely offset the effects of FOD on stress. Hope did not moderate the path from stress to ATOD use. Interventions that increase awareness of deportation trauma, alleviate stress, and promote hope may help prevent, delay initiation into, and/or decrease ATOD among Hispanic first- and second-generation youth.

Health disparities among illegal immigrants and homeless people in the USA: a struggle within

Undocumented immigrants in the United States face significant barriers in accessing healthcare services, which contribute to health disparities. This population is often affected by homelessness due to limited access to affordable housing, limited employment opportunities, language barriers, fear of deportation, and lack of social support. Homelessness and the fear of deportation can lead to stress, anxiety, and physical illness among undocumented immigrants, highlighting the need for healthcare services tailored to their unique needs. Access to healthcare is further hindered by a lack of health insurance coverage, financial constraints, language and cultural barriers, and the ineligibility for public health insurance schemes. Undocumented immigrants who are homeless encounter additional challenges, including difficulties in accessing resources, navigating the healthcare system, and facing societal discrimination. This article focuses on the barriers faced by undocumented migrants in the United States regarding healthcare access and proposes feasible solutions to promote health equity and advance universal health coverage in the country. The absence of health coverage for undocumented migrants undermines the concept of universal healthcare in the USA, as it excludes a significant portion of the population from accessing essential healthcare services. Hence, there is a need for comprehensive immigration reform and policies that ensure impartial access to healthcare. Practical solutions include establishing culturally competent care, implementing mobile clinics or street medicine programs, fostering collaborative relationships with nonprofit organizations, advocating for policies safeguarding the rights of undocumented immigrants, and enhancing data collection techniques.