Scott D Rhodes1, Lilli Mann-Jackson1, Eunyoung Y Song2, Mark Wolfson3, Alexandra Filindra4, Mark Hall5. 1. Department of Social Sciences and Health Policy, Wake Forest School of Medicine, and CTSI Program in Community Engagement, Winston-Salem, NC. 2. Health Quality Partners, Doylestown Health, Doylestown, PA. 3. Department of Social Medicine, Population, and Public Health, University of California, Riverside, School of Medicine, Riverside, CA. 4. Department of Political Science, University of Illinois, Chicago, IL. 5. Wake Forest University School of Law and Wake Forest School of Medicine, Winston-Salem, NC.
Abstract
OBJECTIVES: We conducted a policy scan of state and local laws and policies across the United States related to social determinants of health among immigrants. METHODS: We collected all state and municipal laws and policies in 10 domains that had potential to affect immigrant health from all 50 U.S. states and the 30 most populous U.S. metropolitan statistical areas. We coded these laws and policies and created an index of restrictiveness and supportiveness of immigrants. RESULTS: We identified 539 state and 322 municipal laws and policies. The most common restrictive state laws and policies were in the domains of identification requirements and driver's license access. The most common supportive state laws and policies were in the domains of health services and higher education access. The most common restrictive municipal laws and policies were in the domains of identification requirements and immigration policy enforcement. The most common supportive municipal laws and policies were in the domains of immigration policy enforcement and health services access. CONCLUSIONS: Most states had index scores reflecting policy environments that were primarily restrictive of immigrants, indicating potential negative impacts on social determinants of health. Further research examining the impact of these on health behaviors is warranted.
OBJECTIVES: We conducted a policy scan of state and local laws and policies across the United States related to social determinants of health among immigrants. METHODS: We collected all state and municipal laws and policies in 10 domains that had potential to affect immigrant health from all 50 U.S. states and the 30 most populous U.S. metropolitan statistical areas. We coded these laws and policies and created an index of restrictiveness and supportiveness of immigrants. RESULTS: We identified 539 state and 322 municipal laws and policies. The most common restrictive state laws and policies were in the domains of identification requirements and driver's license access. The most common supportive state laws and policies were in the domains of health services and higher education access. The most common restrictive municipal laws and policies were in the domains of identification requirements and immigration policy enforcement. The most common supportive municipal laws and policies were in the domains of immigration policy enforcement and health services access. CONCLUSIONS: Most states had index scores reflecting policy environments that were primarily restrictive of immigrants, indicating potential negative impacts on social determinants of health. Further research examining the impact of these on health behaviors is warranted.
Entities:
Keywords:
Immigrant; law; local; policy; social determinants of health; state
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Authors: Lilli Mann-Jackson; Florence M Simán; Mark A Hall; Jorge Alonzo; Julie M Linton; Scott D Rhodes Journal: Inquiry Date: 2022 Jan-Dec Impact factor: 1.730