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Stratified reproduction and threats to reproductive justice for immigrants: Decision-making for fertility using an ecological model

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  • Sudhinaraset, May
  • Woofter, Rebecca
  • Huang, Priscilla

Abstract

In recent years, immigrants in the U.S. have experienced shifting immigration policies, creating an environment of uncertainty. These policies often exacerbate social and economic vulnerabilities among the 11 million undocumented immigrants in the US. Stratified reproduction occurs when society or institutions deem certain individuals “undeserving” of reproduction. Undocumented immigrants in the U.S. experience a number of threats to their reproductive health. Yet, there is little empirical data on how immigration status may influence their decision-making to have children or not have children. This study explores the complex factors that influence fertility decisions among undocumented individuals in the U.S. Drawing on 30 life history interviews with 14 Asian and 16 Latinx undocumented immigrants conducted between February and July 2022, results highlight how societal, institutional, interpersonal, and internalized factors shape reproductive choices. Societal influences include the impact of their status on financial resources, immigration enforcement, fear of family separation, and experiences of racism and discrimination. Institutional factors include high costs for healthcare. Interpersonal factors such as pressures of gender and cultural norms within families further complicate these decisions. Additionally, many undocumented individuals described internalized struggles, including feelings of an "unfinished childhood". However, the study also reveals how these challenges can lead to resilience, with some participants expressing a desire to become parents as a source of hope. This research provides important insights into how undocumented status impacts reproductive decisions and highlights the need to address the unique challenges faced by undocumented immigrants.

Suggested Citation

  • Sudhinaraset, May & Woofter, Rebecca & Huang, Priscilla, 2025. "Stratified reproduction and threats to reproductive justice for immigrants: Decision-making for fertility using an ecological model," Social Science & Medicine, Elsevier, vol. 382(C).
    • Handle: RePEc:eee:socmed:v:382:y:2025:i:c:s0277953625006653
    DOI: 10.1016/j.socscimed.2025.118334
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    References listed on IDEAS

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    1. Stern, A.M., 2005. "Sterilized in the name of public health: Race, immigration, and reproductive control in modern California," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1128-1138.
    2. Amuedo-Dorantes, Catalina & Antman, Francisca, 2016. "Can authorization reduce poverty among undocumented immigrants? Evidence from the Deferred Action for Childhood Arrivals program," Economics Letters, Elsevier, vol. 147(C), pages 1-4.
    3. Amuedo-Dorantes, Catalina & Arenas-Arroyo, Esther, 2021. "Immigration policy and fertility: Evidence from undocumented migrants in the U.S," Journal of Economic Behavior & Organization, Elsevier, vol. 189(C), pages 274-297.
    4. Marcén, Miriam & Molina, José Alberto & Morales, Marina, 2018. "The effect of culture on the fertility decisions of immigrant women in the United States," Economic Modelling, Elsevier, vol. 70(C), pages 15-28.
    5. Monika Doshi & William D Lopez & Hannah Mesa & Richard Bryce & Ellen Rabinowitz & Raymond Rion & Paul J Fleming, 2020. "Barriers & facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrant clients: Perspectives from frontline service providers in Southeast Michigan," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-18, June.
    6. Elira Kuka & Na'ama Shenhav & Kevin Shih, 2019. "A Reason to Wait: The Effect of Legal Status on Teen Pregnancy," AEA Papers and Proceedings, American Economic Association, vol. 109, pages 213-217, May.
    7. 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.
    8. Gubrium, A.C. & Mann, E.S. & Borrero, S. & Dehlendorf, C. & Fields, J. & Geronimus, A.T. & Gomez, A.M. & Harris, L.H. & Higgins, J.A. & Kimport, K. & Luker, K. & Luna, Z. & Mamo, L. & Roberts, D. & Ro, 2016. "Realizing reproductive health equity needs more than Long-Acting Reversible Contraception (LARC)," American Journal of Public Health, American Public Health Association, vol. 106(1), pages 18-19.
    9. Catalina Amuedo-Dorantes & Francisca Antman, 2017. "Schooling and labor market effects of temporary authorization: evidence from DACA," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(1), pages 339-373, January.
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