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The impact of Immigration and Customs Enforcement on immigrant health: Perceptions of immigrants in Everett, Massachusetts, USA

Author

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  • Hacker, Karen
  • Chu, Jocelyn
  • Leung, Carolyn
  • Marra, Robert
  • Pirie, Alex
  • Brahimi, Mohamed
  • English, Margaret
  • Beckmann, Joshua
  • Acevedo-Garcia, Dolores
  • Marlin, Robert P.

Abstract

U.S. immigrants have faced a changing landscape with regard to immigration enforcement over the last two decades. Following the passage of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, and the creation of the Immigration and Customs Enforcement (ICE) agency after the attacks of September 11, 2001, detention and deportation activity increased substantially. As a result, immigrants today are experiencing heightened fear of profiling and deportation. Little research exists on how these activities affect the health and well-being of U.S. immigrant communities. This study sought to address this gap by using community-based participatory research to investigate the impact of enhanced immigration enforcement on immigrant health in Everett, Massachusetts, USA, a city with a large and diverse immigrant population. Community partners and researchers conducted 6 focus groups with 52 immigrant participants (documented and undocumented) in five languages in May 2009. The major themes across the groups included: 1) Fear of deportation, 2) Fear of collaboration between local law enforcement and ICE and perception of arbitrariness on the part of the former and 3) Concerns about not being able to furnish documentation required to apply for insurance and for health care. Documented and undocumented immigrants reported high levels of stress due to deportation fear, which affected their emotional well-being and their access to health services. Recommendations from the focus groups included improving relationships between immigrants and local police, educating immigrants on their rights and responsibilities as residents, and holding sessions to improve civic engagement. Immigration enforcement activities and the resulting deportation fear are contextual factors that undermine trust in community institutions and social capital, with implications for health and effective integration processes. These factors should be considered by any community seeking to improve the integration process.

Suggested Citation

  • Hacker, Karen & Chu, Jocelyn & Leung, Carolyn & Marra, Robert & Pirie, Alex & Brahimi, Mohamed & English, Margaret & Beckmann, Joshua & Acevedo-Garcia, Dolores & Marlin, Robert P., 2011. "The impact of Immigration and Customs Enforcement on immigrant health: Perceptions of immigrants in Everett, Massachusetts, USA," Social Science & Medicine, Elsevier, vol. 73(4), pages 586-594, August.
  • Handle: RePEc:eee:socmed:v:73:y:2011:i:4:p:586-594
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    References listed on IDEAS

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    3. Julia Shu-Huah Wang & Neeraj Kaushal, 2018. "Health and Mental Health Effects of Local Immigration Enforcement," NBER Working Papers 24487, National Bureau of Economic Research, Inc.
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    7. Asad, Asad L. & Clair, Matthew, 2018. "Racialized legal status as a social determinant of health," Social Science & Medicine, Elsevier, vol. 199(C), pages 19-28.
    8. Bae Jung, 2020. "Immigration Relief and Insurance Coverage: Evidence from Deferred Action for Childhood Arrivals," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 20(3), pages 1-37, July.
    9. Terriquez, Veronica & Joseph, Tiffany D., 2016. "Ethnoracial inequality and insurance coverage among Latino young adults," Social Science & Medicine, Elsevier, vol. 168(C), pages 150-158.
    10. Tianyuan Luo & Cesar L. Escalante, 2021. "Stringent immigration enforcement and the mental health and health‐risk behaviors of Hispanic adolescent students in Arizona," Health Economics, John Wiley & Sons, Ltd., vol. 30(1), pages 86-103, January.
    11. Sabo, Samantha & Shaw, Susan & Ingram, Maia & Teufel-Shone, Nicolette & Carvajal, Scott & de Zapien, Jill Guernsey & Rosales, Cecilia & Redondo, Flor & Garcia, Gina & Rubio-Goldsmith, Raquel, 2014. "Everyday violence, structural racism and mistreatment at the US–Mexico border," Social Science & Medicine, Elsevier, vol. 109(C), pages 66-74.
    12. Hicken, Margaret T. & Lee, Hedwig & Hing, Anna K., 2018. "The weight of racism: Vigilance and racial inequalities in weight-related measures," Social Science & Medicine, Elsevier, vol. 199(C), pages 157-166.
    13. Isabella Berardelli & Lorenzo Tarsitani & Salvatore Sarubbi & Irene Pinucci & Elena Rogante & Mariarosaria Cifrodelli & Denise Erbuto & David Lester & Marco Innamorati & Maurizio Pompili, 2023. "Suicide risk and suicide risk factors among immigrants in Italy: A bi-center matched sample study," International Journal of Social Psychiatry, , vol. 69(1), pages 111-116, February.
    14. Zai Liang & Bo Zhou, 2016. "The Effects of Legal Status on Employment and Health Outcomes among Low-Skilled Chinese Immigrants in New York City," The ANNALS of the American Academy of Political and Social Science, , vol. 666(1), pages 150-163, July.
    15. Patler, Caitlin & Laster Pirtle, Whitney, 2018. "From undocumented to lawfully present: Do changes to legal status impact psychological wellbeing among latino immigrant young adults?," Social Science & Medicine, Elsevier, vol. 199(C), pages 39-48.

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