{"id":11487,"date":"2023-05-25T08:30:00","date_gmt":"2023-05-25T08:30:00","guid":{"rendered":"https:\/\/thesocietypages.org\/discoveries\/?p=11487"},"modified":"2023-05-24T20:17:06","modified_gmt":"2023-05-24T20:17:06","slug":"how-immigration-policy-affects-healthcare-use","status":"publish","type":"post","link":"https:\/\/thesocietypages.org\/discoveries\/2023\/05\/25\/how-immigration-policy-affects-healthcare-use\/","title":{"rendered":"<strong>How Immigration Policy Affects Healthcare Use<\/strong>"},"content":{"rendered":"<div class='citation'>\n    <span class='authors'>Rebecca Anna Schut and Courtney Boen, <\/span><span class='link'><a href=\"https:\/\/doi.org\/10.1215\/00703370-10342687\">&ldquo;State Immigration Policy Contexts and Racialized Legal Status Disparities in Health Care Utilization Among U.S. Agricultural Workers,&rdquo; <em>Demography<\/em>,<\/a><\/span><span class='year'> 2022<\/span><\/div>\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1707\" src=\"https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-scaled.jpg\" alt=\"\" class=\"wp-image-11488\" srcset=\"https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-scaled.jpg 2560w, https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-300x200.jpg 300w, https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-600x400.jpg 600w, https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-768x512.jpg 768w, https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-1536x1024.jpg 1536w, https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"https:\/\/www.flickr.com\/photos\/10040051@N02\/10506591153\">&#8220;Healthcare Justice March &#8211; October 26, 2013&#8221;<\/a> by <a href=\"https:\/\/www.flickr.com\/photos\/unitedworkers\/\">United Workers<\/a> is licensed under<a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\"> CC BY 2.0<\/a>. <\/figcaption><\/figure>\n\n\n\n<p>Immigration and healthcare are both major political issues: policies made about these issues have profound impacts on people\u2019s lives. This is especially true for agricultural workers. <a href=\"https:\/\/www.ers.usda.gov\/topics\/farm-economy\/farm-labor\/#demographic\">According to the US Department of Agriculture<\/a>, about half of the nation\u2019s farmworkers are immigrants. This work is essential to making sure that we have food on our tables. Even in the best of times, <a href=\"https:\/\/www.cdc.gov\/niosh\/topics\/aginjury\/default.html\">farm work is a dangerous business<\/a>. The COVID-19 pandemic has made this situation even worse. <a href=\"https:\/\/www.cidrap.umn.edu\/study-farmworkers-4-times-risk-covid-19\">According to one study<\/a>, farmworkers faced 4 times the risk of getting COVID as most people.<\/p>\n\n\n\n<p>New research by <a href=\"https:\/\/sites.google.com\/view\/rebeccaschut\/home\">Rebecca A. Schut<\/a> and <a href=\"https:\/\/web.sas.upenn.edu\/cboen\/\">Courtney E. Boen<\/a> examined the influence of state immigration policy on agricultural workers\u2019 healthcare use. They also compared healthcare usage across various categories, such as race and legal immigration status. Examples of immigration policies that differ across states include <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/fact-sheet\/health-coverage-and-care-of-immigrants\/\">to what extent immigrants have access to Medicaid<\/a> and <a href=\"https:\/\/www.ncsl.org\/immigration\/states-offering-drivers-licenses-to-immigrants\">whether undocumented immigrants can get driver\u2019s licenses<\/a>.<\/p>\n\n\n\n<p><div class=\"pull-this-show\" id=\"pull-this-show-11487-ex1\" style=\"display:none;\"><\/div>Overall, Schut and Boen found that white people who did not identify as Latinx (the term used in the paper) and were born in the US used healthcare more often and reported the fewest barriers to care. Differences in state immigration policies, however, had a big impact on the healthcare usage of non-white Latinx agricultural workers with legal immigration status. In states with more restrictive immigration policies, these groups reported less healthcare use and more barriers to seeking care.&nbsp;<span class=\"pull-this-mark\" id=\"pull-this-mark-11487-ex1\" style=\"display:none;\"> In states with more restrictive immigration policies, [non-white Latinx agricultural workers with legal immigration status] reported less healthcare use and more barriers to seeking care.<\/span><\/p>\n\n\n\n<p>Some examples of barriers to care include not having transportation or money, fearing job consequences if they took time off, believing providers didn\u2019t understand their needs, and not feeling welcome to get care. By contrast, state policies had little effect on the healthcare usage of undocumented workers.<\/p>\n\n\n\n<p>Although undocumented workers did report more barriers, including xenophobia, in states with more restrictive policies, their overall levels of healthcare usage didn\u2019t change significantly. The researchers say that this could be because, due to surveillance and discrimination, undocumented people are already unlikely to use healthcare or other social services, instead relying on their social networks.<\/p>\n\n\n\n<p>The authors argue that while these restrictive policies often target the undocumented, they also affect legal immigrants. In part, this is because they might reinforce stereotypes which associate undocumented legal status with non-white, Latinx immigrant farmworkers for whom English is not their first language. Essentially, Schut and Boen argue, Latinx people who were born in the US or have legal documentation&nbsp; may be \u201clumped in\u201d with undocumented people thanks to these stereotypes.<\/p>\n\n\n\n<p>If we want to reduce health disparities, the researchers argue, we need to look at the unintended consequences of&nbsp;non-health related government policies on people\u2019s healthcare usage\u2013especially in the case of restrictive policies that have nativist origins and racialized implications.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rebecca Anna Schut and Courtney Boen, &ldquo;State Immigration Policy Contexts and Racialized Legal Status Disparities in Health Care Utilization Among U.S. Agricultural Workers,&rdquo; Demography, 2022 Immigration and healthcare are both major political issues: policies made about these issues have profound impacts on people\u2019s lives. This is especially true for agricultural workers. According to the US [&hellip;]<\/p>\n","protected":false},"author":2106,"featured_media":11488,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[138151,138145,123,138150,138152,122287,1139,138144,89,19383,37332,138089,625,678,97463,138148,138149,105186,1031,465,138147,138146,37333,4225,3355,138154,138079,138153],"class_list":["post-11487","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-agricultural-workers","tag-barriers-to-healthcare","tag-ethnicity","tag-farm-workers","tag-farmwork","tag-health-outcomes","tag-healthcare","tag-healthcare-acccess","tag-immigration","tag-immigration-policy","tag-inequality","tag-latina","tag-latino","tag-latinos","tag-latinx","tag-legal-migrants","tag-legal-status","tag-migrant","tag-migrants","tag-migration","tag-preventative-care","tag-primary-care","tag-race","tag-racial-inequality","tag-racialization","tag-state-policy","tag-undocumented-migrants","tag-workplace-safety"],"jetpack_featured_media_url":"https:\/\/thesocietypages.org\/discoveries\/files\/2023\/05\/10506591153_f0531db87a_o-scaled.jpg","_links":{"self":[{"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/posts\/11487","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/users\/2106"}],"replies":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/comments?post=11487"}],"version-history":[{"count":5,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/posts\/11487\/revisions"}],"predecessor-version":[{"id":11493,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/posts\/11487\/revisions\/11493"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/media\/11488"}],"wp:attachment":[{"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/media?parent=11487"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/categories?post=11487"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thesocietypages.org\/discoveries\/wp-json\/wp\/v2\/tags?post=11487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}