Children of Immigrants Health Study (CIHS): An Evaluation of City and County Policies Affecting the Health of Children of Immigrants in the 2005-2019 National Health Interview Survey.

移民子女健康研究（CIHS）：2005-2019 年全国健康访谈调查中影响移民子女健康的市县政策评估。

• 批准号: 10397663
• 负责人: Chenoa Dawn Allen
• 金额: $ 8.27万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2023-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10397663
• 关键词: Adult; Affect; Buffers; Child; Child Health; Child Mental Health; Cities; Communities; Country; County; Databases; Dental Care; Disabled Children; Disadvantaged; Economics; Education; Effectiveness; El Salvador; Emotional; Enrollment; Evaluation Studies; Face; Family; Food; Fright; Goals; Government Officials; Guatemala; Health; Health Care Costs; Health Promotion; Health Services Accessibility; Health Status; Healthcare; Honduras; Housing; Immigrant; Immigrant family; Immigration; Insurance Coverage; Law Enforcement Officers; Life Cycle Stages; Local Government; Long-Term Effects; Medical; Mental Health; Methodology; Mexico; Modeling; Municipalities; National Health Interview Survey; Outcome; Parents; Policies; Population; Preventive; Public Health; Quasi-experiment; Research; Research Personnel; Resources; Rights; Risk; Sampling; Services; Shapes; Source; Stress; Testing; Translating; Translational Research; Trauma; United States; Wages; authority; childhood adversity; design; disability; economic disparity; economic outcome; evidence base; experience; food insecurity; health care availability; health disparity; health equity promotion; improved; improved outcome; innovation; physical conditioning; programs; safety net; tool

Project Summary/Abstract Over the past decade, up to 1,000,000 US citizen children have experienced the trauma of parental deportation and family separation, and an additional 4,000,000 children with undocumented parents face the risk of parental deportation. These children experience extreme adversity as a result of their parents’ undocumented status. This adversity will translate to worse health, educational, and economic outcomes across the life course. Immigration enforcement—the arrest, detention, and deportation of immigrants from the United States—exacerbates these health risks. Local policies that expand immigrants’ rights and access to services and material resources (immigrant integration policies) and that limit local government officials’ involvement in immigration enforcement (sanctuary policies) could be important tools for promoting health for these children. Little evidence exists for the effectiveness of these policies. The main goal of this study is to evaluate whether local sanctuary and integration policies improve health care access, physical health, and mental health for children with immigrant parents. A methodological innovation of this study is the use of a new comprehensive, longitudinal, nationwide database of state, county, and municipal sanctuary and integration policies, compiled by the research team. This database will be merged with a nationally-representative sample from the 2005–2019 National Health Interview Survey consisting of approximately 35,000 US-born children with likely-undocumented, noncitizen parents from Mexico, El Salvador, Guatemala, and Honduras. This study will use rigorous quasi-experimental methods to test the following hypotheses: 1) Passage of sanctuary and integration policies is associated with higher levels of health insurance coverage, better access to preventive medical and dental care, fewer emotional difficulties, better parent-rated health, and lower rates of disability for children with likely-undocumented parents [Specific Aim 1]. 2) Children living in jurisdictions with sanctuary and integration policies will not be as negatively impacted by immigration enforcement, compared to children living in jurisdictions without such policies [Specific Aim 2]. First, this study will use a difference-in-differences design to examine whether these outcomes improve when jurisdictions pass sanctuary and integration policies. Next, a moderation analysis will be conducted to examine whether the health impacts of immigration enforcement vary across jurisdictions with and without sanctuary and integration policies. This study will produce rigorous translational research that will help policymakers, practitioners, and immigrant-serving organizations choose effective policies to promote health equity for immigrant families. This will be the first study to examine the health impacts of county and municipal policies that expand immigrants’ rights and limit local involvement in immigration enforcement. This study will also be the first to examine how immigrant policies at multiple levels interact with immigration enforcement to impact health.

项目概要/摘要 过去十年，多达100万美国公民儿童经历了父母驱逐出境的创伤 和家庭分离，另有 4,000,000 名父母无证的儿童面临父母的风险 这些孩子由于父母的无证身份而经历了极大的苦难。 逆境将导致移民一生的健康、教育和经济成果恶化。 执法——逮捕、拘留和驱逐来自美国的移民——加剧了这些 扩大移民权利以及获得服务和物质资源的地方政策。 （移民融合政策）并限制地方政府官员参与移民执法 （庇护政策）可能是促进这些儿童健康的重要工具，但几乎没有证据表明这一点。 本研究的主要目标是评估当地庇护和融合是否有效。 政策改善了移民父母的儿童的医疗保健获取、身体健康和心理健康 A。 本研究方法的创新之处在于使用了一个新的综合性、纵向的、全国性的数据库 州、县和市的庇护和融合政策，由研究小组编制。 将与 2005-2019 年全国健康访谈调查的全国代表性样本合并 由大约 35,000 名在美国出生的儿童组成，其父母可能是来自墨西哥的无证非公民， 萨尔瓦多、危地马拉和洪都拉斯这项研究将使用严格的准实验方法来测试。 以下假设：1) 庇护和融合政策的通过与较高的健康水平相关 保险覆盖范围，更好地获得预防性医疗和牙科护理，更少的情感困难，更好 父母评价的健康状况，以及父母可能无证的儿童的残疾率较低[具体目标 1]。 2) 生活在有庇护和融合政策的司法管辖区的儿童不会受到以下负面影响 与生活在没有此类政策的司法管辖区的儿童相比，移民执法[具体目标首先]。 本研究将使用双重差异设计来检验这些结果是否会在以下情况下改善： 接下来，将进行适度分析以检查各司法管辖区通过的庇护和融合政策。 移民执法对健康的影响是否在有庇护所和没有庇护所的司法管辖区之间有所不同？ 这项研究将产生严格的转化研究，帮助政策制定者、 孤儿和移民服务组织选择有效的政策来促进健康公平 这将是第一项研究县和市政策对健康影响的研究。 这项研究也将是第一项扩大移民权利并限制当地参与移民执法的研究。 研究多个层面的移民政策如何与移民执法相互作用以影响健康。