ArticleHealth affairs scholar2023
Reduced health care utilization among young children of immigrants after Donald Trump's election and proposed public charge rule.
Article in Health affairs scholar, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed.
- Emergency Department Visits After Heightened Immigration Enforcement in Los Angeles County.JAMA network open · 2026Article
- Protecting Health Care as a Safe Space: Immigration Enforcement and Public Health.Journal of immigrant and minority health · 2026Article
- Ten high-priority areas for health policy research in 2026-2027.Health affairs scholar · 2026Article
- Eroding the foundation: health and social needs of adult SNAP participants in an era of policy change.Health affairs scholar · 2026Article
- U.S. Public Opinion About Immigration Enforcement in Sensitive Locations.Journal of immigrant and minority health · 2026Article
- "This is Going to Get Worse": Immigrant Reactions to the Public Charge Rule in a Large Northeastern City.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Self-Pay Emergency Department Visits by Undocumented Patients After 2018 Public Charge Announcement.JAMA network open · 2026Article
- Settlement Duration Matters: Deportation Threat and Safety Net Participation Among Mixed-Status Families.The Russell Sage Foundation journal of the social sciences : RSF · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Widespread fear among immigrants from hostile 2016 presidential campaign rhetoric decreased social and health care service enrollment (chilling effect). Health care utilization effects among immigrant families with young children are unknown. We examined whether former President Trump's election had chilling effects on well-child visit (WCV) schedule adherence, hospitalizations, and emergency department (ED) visits among children of immigrant vs US-born mothers in 3 US cities. Cross-sectional surveys of children <4 years receiving care in hospitals were linked to 2015-2018 electronic health records. We applied difference-in-difference analysis with a 12-month pre/post-election study period. Trump's election was associated with a 5-percentage-point decrease (-0.05; 95% CI: -0.08, -0.02) in WCV adherence for children of immigrant vs US-born mothers with no difference in hospitalizations or ED visits. Secondary analyses extending the treatment period to a leaked draft of proposed changes to public charge rules also showed significantly decreased WCV adherence among children of immigrant vs US-born mothers. Findings indicate likely missed opportunities for American Academy of Pediatrics-recommended early childhood vaccinations, health and developmental screenings, and family support. Policies and rhetoric promoting immigrant inclusion create a more just and equitable society for all US children.
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