Evidence map›Paper›PMID 35247783›Full record

ArticleSocial science & medicine (1982)2022

Social exclusion at the intersections of immigration, employment, and healthcare policy: A qualitative study of Mexican and Chinese immigrants in California.

Michelle K Nakphong, Maria-Elena De Trinidad Young, Brenda Morales, Iris Y Guzman-Ruiz, Lei Chen, Kathryn G Kietzman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
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  11. Article
  12. Exploration of Social Exclusion among Older Chinese Immigrants in the USA.International journal of environmental research and public health · 2023
    Article
  13. Article
  14. Article
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.

Michelle K NakphongDepartment of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA; Center for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, USA. Electronic address: hmkao@ucla.edu.
Maria-Elena De Trinidad YoungCenter for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, USA; Department of Public Health, School of Social Sciences, Humanities, and Arts University of California, Merced, Merced, CA, USA.
Brenda MoralesCenter for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, USA; Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, Los Angeles, CA, USA.
Iris Y Guzman-RuizDepartment of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA; Center for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, USA.
Lei ChenCenter for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, USA; Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, Los Angeles, CA, USA.
Kathryn G KietzmanDepartment of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA; Center for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, USA.

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
CALIFORNIA CENTER FOR POPULATION TRAINING PROGRAMT32HD007545 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ, Megan M Sweeney · 2001 to 2026
$4.1M
Linking state policies to Latino and Asian American immigrant health care accessR01MD012292 · NIMHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KIETZMAN, KATHRYN G. · 2017 to 2021
$3.0M
NICHD NIH HHS P2C HD041022NICHD NIH HHS T32 HD007545NIMHD NIH HHS R01 MD012292
6 · The paper itself

Abstract

While immigrants in the US suffer poor access to healthcare in general, access within immigrant populations varies notably by legal status and employment. Intersections between immigration, employment, and healthcare policy have shaped immigrants' access or exclusion from healthcare; however, little research has examined how immigrants experience and navigate these intersections. Drawing on social exclusion theory and the theory of bounded agency, we aimed to investigate Mexican and Chinese immigrants' experiences of exclusion from healthcare as one key dimension of social exclusion-and how this was shaped by interactions with the institutions of immigration and employment. The examination of two ethnic immigrant groups who live under the same set of policies allows for a focus on the common impacts of policy. We selected Mexican and Chinese immigrants as the two largest subgroups in California's Latinx and Asian immigrant population. We use a policy lens to analyze qualitative data from the mixed-methods Research on Immigrant Health and State Policy (RIGHTS) Study, involving 60 in-depth interviews with Mexican and Chinese immigrants in California between August 2018-August 2019. We identified two primary themes: pathways of social exclusion and access, and strategies used to address social exclusion. Findings show that immigrants' exclusion from healthcare is fundamentally linked to legal status and employment, and that immigrants navigate difficult choices between opportunities for improved employment and changes in legal status. We argue that multiple categories of legal status affect immigrants' employment opportunities and social position, which, in turn, translates to stratified healthcare access. Our findings support the literature establishing legal status as a mechanism of social stratification but challenge legal-illegal binary paradigms.

Indexed as

Emigrants and ImmigrantsEmigration and ImmigrationCaliforniaChinaEmploymentHealth PolicyHealth Services AccessibilityHumansSocial IsolationEmigration and immigrationEmploymentHealth policyInsurance coverageSocial hierarchySocial inclusion

Identifiers

PMID35247783
PMCPMC10949949

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.