ArticleDemography2022
State Immigration Policy Contexts and Racialized Legal Status Disparities in Health Care Utilization Among U.S. Agricultural Workers.
Article in Demography, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Spatial-Structural Disparities in Acute Care Accessibility Among Latin American Immigrants and Spanish Speakers in the Rural US South.Journal of racial and ethnic health disparities · 2026Article
- Cognitive difficulties among middle-aged and older Latino adults: within-group variation across U.S. states.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Brief Report: State Policy Contexts and Disability Risks Among Midlife Working-Age Latino Adults in the U.S.: Variation by Nativity and Citizenship Status.Population research and policy review · 2026Article
- The promise and limits of inclusive public policy: federal safety net clinics and immigrant access to health care in the U.S.Social forces; a scientific medium of social study and interpretation · 2025Article
- Evolution of the US nonmetropolitan mortality disadvantage by sex, state, and year, 1999-2019.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Stress Exposure and Cardiovascular Disease Risk among US Black Women: Ethnicity and Nativity Intersections.Population research and policy review · 2024Article
- Hitting closer to home: State policies' impacts on health by race and legal status.Social science & medicine (1982) · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Research links restrictive immigration policies to immigrant health and health care outcomes. Yet most studies in this area focus on the impact of single policies in particular years, with few assessing how broader state-level immigration policy contexts affect groups by nativity, race/ethnicity, and legal status. Linking data from the National Agricultural Workers Survey (2005-2012) with information on state immigration policies, we use an intersectional approach to examine the links between policy contexts and health care utilization by nativity, race/ethnicity, and legal status. We also assess the associations between two specific types of state immigration policies-those governing immigrant access to Medicaid and driver's licenses-and health care utilization disparities. We find that state-level immigration policy contexts are associated with health care utilization among U.S.-born and naturalized U.S. citizen non-White Latinx agricultural workers, who report lower levels of health care utilization and greater barriers to care-seeking in more restrictive policy contexts. By contrast, we find little evidence that state policies shaped health care utilization among undocumented workers. These findings advance understanding of the impact of "policies of exclusion" on the lives of marginalized groups and underscore the importance of racialized legal status in considering the links between sociopolitical contexts and health and health care disparities.
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Registered trials
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