Evidence map›Paper›PMID 31164114›Full record

ArticleBMC health services research2019

Immigrant health access in Texas: policy, rhetoric, and fear in the Trump era.

Timothy Callaghan, David J Washburn, Katharine Nimmons, Delia Duchicela, Anoop Gurram, James Burdine

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

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  6. Intersecting Structural Barriers and Hypertension Management Among Middle East and North Africa Refugees Resettled in the United States: A Qualitative Study.Health education & behavior : the official publication of the Society for Public Health Education · 2025
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  11. The association of maternal country/region of origin and nativity with infant mortality rate among Hispanic preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Timothy CallaghanDepartment of Health Policy and Management, Texas A&M School of Public Health, 212 Adriance Lab Rd., 1266 TAMU, College Station, TX, 77843, USA. callaghan@sph.tamhsc.edu.ORCID http://orcid.org/0000-0002-9056-9123
David J WashburnDepartment of Health Policy and Management, Texas A&M School of Public Health, 212 Adriance Lab Rd., 1266 TAMU, College Station, TX, 77843, USA.
Katharine NimmonsTexas A&M College of Dentistry, 3302 Gaston Ave, Dallas, TX, 75246, USA.
Delia DuchicelaOffice of Special Programs and Global Health, Texas A&M School of Public Health, 212 Adriance Lab Rd., 1266 TAMU, College Station, TX, 77843, USA.
Anoop GurramSchool of Public Health, Brown University, 121 S Main St, Providence, RI, 02903, USA.
James BurdineDepartment of Health Promotion and Community Health Sciences, Texas A&M School of Public Health, 212 Adriance Lab Rd., 1266 TAMU, College Station, TX, 77843, USA.

Funding

Delta Omega Research Enhancement and Development Initiative N/A
6 · The paper itself

Abstract

backgroundSince the 2016 presidential election, reports have suggested that President Trump's rhetoric and his administration's proposed policies could be exacerbating barriers to accessing health care for undocumented as well as lawfully present immigrants and their families in the United States. However, very little empirical work has analyzed this possibility or detailed how these reports and rhetoric have altered the health seeking behavior of mixed immigration status families.

methodsUsing a series of focus groups throughout Texas in both English and Spanish, this qualitative study analyzes changes to health access for immigrants. We consulted Community Health Workers to better understand the barriers encountered by their otherwise hard-to-reach undocumented clients and their families as they interface with the health system, revealing key insights about the changing nature of barriers to access under the Trump administration.

resultsWe identify four key themes about the changing nature of immigrant health access in the United States: growing fear of interacting with health and social services; that social networks are paradoxically limiting health access in the current political climate; that the administration's rhetoric and proposed policies are impeding health seeking behavior; and that children are encountering new barriers to social program participation.

conclusionsThe Trump administration, its proposed immigration policies, and his rhetoric are posing new and significant barriers to health access for immigrants and their families.

Indexed as

FearPoliticsChildEmigration and ImmigrationFemaleFocus GroupsHealth Services AccessibilityHumansMaleQualitative ResearchTexasUndocumented ImmigrantsCommunity health workerHealth accessImmigrantPresident trumpTexas

Identifiers

PMID31164114
PMCPMC6549327

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.