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Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department
INTRODUCTION: Anti-immigrant rhetoric and increased enforcement of immigration laws have induced worry and safety concerns among undocumented Latino immigrants (UDLI) and legal Latino residents/citizens (LLRC), with some delaying the time to care.1 In this study, we conducted a qualitative analysis...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203025/ https://www.ncbi.nlm.nih.gov/pubmed/34125043 http://dx.doi.org/10.5811/westjem.2021.2.50189 |
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author | Ornelas, Carolina Torres, Jacqueline M. Torres, Jesus R. Alter, Harrison Taira, Breena R. Rodriguez, Robert M. |
author_facet | Ornelas, Carolina Torres, Jacqueline M. Torres, Jesus R. Alter, Harrison Taira, Breena R. Rodriguez, Robert M. |
author_sort | Ornelas, Carolina |
collection | PubMed |
description | INTRODUCTION: Anti-immigrant rhetoric and increased enforcement of immigration laws have induced worry and safety concerns among undocumented Latino immigrants (UDLI) and legal Latino residents/citizens (LLRC), with some delaying the time to care.1 In this study, we conducted a qualitative analysis of statements made by emergency department (ED) patients – a majority of whom were UDLI and LLRC – participating in a study to better understand their experiences and fears with regard to anti-immigrant rhetoric, immigration enforcement, and ED utilization. METHODS: We conducted a multi-site study, surveying patients in three California safety-net EDs serving large immigrant populations from June 2017–December 2018. Of 1684 patients approached, 1337 (79.4%) agreed to participate; when given the option to provide open-ended comments, 260 participants provided perspectives about their experiences during the years immediately following the 2016 United States presidential election. We analyzed these qualitative data using constructivist grounded theory. RESULTS: We analyzed comments from 260 individuals. Among ED patients who provided qualitative data, 59% were women and their median age was 45 years (Interquartile range 33–57 years). Undocumented Latino immigrants comprised 49%, 31% were LLRC, and 20% were non-Latino legal residents. As their primary language, 68% spoke Spanish. We identified six themes: fear as a barrier to care (especially for UDLI); the negative impact of fear on health and wellness (physical and mental health, delays in care); factors influencing fear (eg, media coverage); and future solutions, including the need for increased communication about rights. CONCLUSION: Anti-immigrant rhetoric during the 2016 US presidential campaign contributed to fear and safety concerns among UDLI and LLRC accessing healthcare. This is one of the few studies that captured firsthand experiences of UDLI in the ED. Our findings revealed fear-based barriers to accessing emergency care, protective and contributing factors to fear, and the negative impact of fear. There is a need for increased culturally informed patient communication about rights and resources, strategic media campaigns, and improved access to healthcare for undocumented individuals. |
format | Online Article Text |
id | pubmed-8203025 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-82030252021-06-21 Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department Ornelas, Carolina Torres, Jacqueline M. Torres, Jesus R. Alter, Harrison Taira, Breena R. Rodriguez, Robert M. West J Emerg Med Health Equity INTRODUCTION: Anti-immigrant rhetoric and increased enforcement of immigration laws have induced worry and safety concerns among undocumented Latino immigrants (UDLI) and legal Latino residents/citizens (LLRC), with some delaying the time to care.1 In this study, we conducted a qualitative analysis of statements made by emergency department (ED) patients – a majority of whom were UDLI and LLRC – participating in a study to better understand their experiences and fears with regard to anti-immigrant rhetoric, immigration enforcement, and ED utilization. METHODS: We conducted a multi-site study, surveying patients in three California safety-net EDs serving large immigrant populations from June 2017–December 2018. Of 1684 patients approached, 1337 (79.4%) agreed to participate; when given the option to provide open-ended comments, 260 participants provided perspectives about their experiences during the years immediately following the 2016 United States presidential election. We analyzed these qualitative data using constructivist grounded theory. RESULTS: We analyzed comments from 260 individuals. Among ED patients who provided qualitative data, 59% were women and their median age was 45 years (Interquartile range 33–57 years). Undocumented Latino immigrants comprised 49%, 31% were LLRC, and 20% were non-Latino legal residents. As their primary language, 68% spoke Spanish. We identified six themes: fear as a barrier to care (especially for UDLI); the negative impact of fear on health and wellness (physical and mental health, delays in care); factors influencing fear (eg, media coverage); and future solutions, including the need for increased communication about rights. CONCLUSION: Anti-immigrant rhetoric during the 2016 US presidential campaign contributed to fear and safety concerns among UDLI and LLRC accessing healthcare. This is one of the few studies that captured firsthand experiences of UDLI in the ED. Our findings revealed fear-based barriers to accessing emergency care, protective and contributing factors to fear, and the negative impact of fear. There is a need for increased culturally informed patient communication about rights and resources, strategic media campaigns, and improved access to healthcare for undocumented individuals. Department of Emergency Medicine, University of California, Irvine School of Medicine 2021-05 2021-05-07 /pmc/articles/PMC8203025/ /pubmed/34125043 http://dx.doi.org/10.5811/westjem.2021.2.50189 Text en Copyright: © 2021 Ornelas et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Health Equity Ornelas, Carolina Torres, Jacqueline M. Torres, Jesus R. Alter, Harrison Taira, Breena R. Rodriguez, Robert M. Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department |
title | Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department |
title_full | Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department |
title_fullStr | Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department |
title_full_unstemmed | Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department |
title_short | Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department |
title_sort | anti-immigrant rhetoric and the experiences of latino immigrants in the emergency department |
topic | Health Equity |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203025/ https://www.ncbi.nlm.nih.gov/pubmed/34125043 http://dx.doi.org/10.5811/westjem.2021.2.50189 |
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