Declared impact of the US President’s statements and campaign statements on Latino populations’ perceptions of safety and emergency care access
Open Access
- 30 October 2019
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 14 (10), e0222837
- https://doi.org/10.1371/journal.pone.0222837
Abstract
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.Keywords
Funding Information
- University of California Institute for Mexico and the United States
This publication has 17 references indexed in Scilit:
- Health Implications of an Immigration Raid: Findings from a Latino Community in the Midwestern United StatesJournal of Immigrant and Minority Health, 2016
- Barriers to health care for undocumented immigrants: a literature reviewRisk Management and Healthcare Policy, 2015
- Immigration as a Social Determinant of HealthAnnual Review of Public Health, 2015
- Inside the Refrigerator: Immigration Enforcement and Chilling Effects in Medicaid ParticipationAmerican Economic Journal: Economic Policy, 2014
- Stuck between Health and Immigration Reform — Care for Undocumented ImmigrantsNew England Journal of Medicine, 2013
- Emergency Department Services Use Among Immigrant and Non-immigrant Groups in the United StatesJournal of Immigrant and Minority Health, 2013
- Fear of Discovery Among Latino Immigrants Presenting to the Emergency DepartmentAcademic Emergency Medicine, 2013
- Review: Immigrants and Health Care Access, Quality, and CostMedical Care Research and Review, 2009
- Validity and reliability of measurement instruments used in researchAmerican Journal of Health-System Pharmacy, 2008
- Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics supportJournal of Biomedical Informatics, 2008