ArticleThe western journal of emergency medicine2021
Anti-immigrant Rhetoric and the Experiences of Latino Immigrants in the Emergency Department.
Article in The western journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Exploring differences in the utilization of the emergency department between migrant and non-migrant populations: a systematic review.BMC public health · 2024Pooled it
- Protecting Health Care as a Safe Space: Immigration Enforcement and Public Health.Journal of immigrant and minority health · 2026Article
- Structural Competency: A Lifeline in a Time of Crisis.AEM education and training · 2026Article
- U.S. Public Opinion About Immigration Enforcement in Sensitive Locations.Journal of immigrant and minority health · 2026Article
- Self-Pay Emergency Department Visits by Undocumented Patients After 2018 Public Charge Announcement.JAMA network open · 2026Article
- "Threatened Because of My Ethnicity": Perspectives of Young Adults from Mexico and Central America Accessing Healthcare in the U.S. During 2019.Journal of general internal medicine · 2025Article
- A Network Analysis of Health Care Access and Behavioral/Mental Health in Hispanic Children and Adolescents.Behavioral sciences (Basel, Switzerland) · 2025Article
- Latinos' Intimate Partner Violence, Abuse, and Interventions: Developing a LatCrit Analysis and Critique.Journal of latinx psychology · 2025Article
- Ethical Considerations and Recommendations for Humanizing Immigrant Language in Health Equity Data Collection, Reporting, and Measurement.Health equity · 2025Article
- Will the Health Status of the Changing Hispanic Population Remain 'Paradoxical'?American journal of public health · 2024Article
- Health Equity and Policy Considerations for Pediatric and Adult Congenital Heart Disease Care among Minoritized Populations in the United States.Journal of cardiovascular development and disease · 2024Review
- Structural Inequities and Barriers to Accessing Kidney Healthcare Services in the United States: A Focus on Uninsured and Undocumented Children and Young Adults.Frontiers in pediatrics · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
introductionAnti-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. 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.
methodsWe 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.
resultsWe 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.
conclusionAnti-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.
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Registered trials
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.