RESUMEN
Restrictive immigration policies are important social determinants of health, but less is known about the health implications and health-related content of protective immigration policies, which may also represent critical determinants of health. We conducted a content analysis of types, themes, and health-related language in 328 "sanctuary" policies enacted between 2009 and 2017 in the United States. Sanctuary policies were introduced in thirty-two states and Washington, D.C., most frequently in 2014 and 2017. More than two-thirds of policies (67.6 percent) contained language related to health, including direct references to access to services. Health-related themes commonly co-occurred with language related to supporting immigrants in communities, including themes of antidiscrimination, inclusion, trust, and privacy. Our work provides foundational, nuanced data about the scope and nature of sanctuary policies that can inform future research exploring the impacts of these policies on health and health care.
Asunto(s)
Emigrantes e Inmigrantes , Emigración e Inmigración , Humanos , Políticas , Determinantes Sociales de la Salud , Estados Unidos , WashingtónRESUMEN
While nearly three decades of "new immigrant destination" research has vastly enriched our understanding of diversity in contexts of reception within the United States, there is a striking lack of consensus as to the implications of geographic dispersion for immigrant incorporation. We review the literature on new destinations as they relate to ongoing debates regarding spatial assimilation and segmented assimilation; the influence of co-ethnic communities on immigrant incorporation; and the extent to which growth in immigrant populations stimulates perceived threat, nativism, and reactive ethnicity. In each of these areas, the sheer diversity of new destinations undermines consensus about their impact. Coupled with the continuous evolution in immigrant destinations over time, most dramatically but not limited to the impact of the Great Recession, we argue for the need to move beyond the general concept of "new destinations" and focus more directly on identifying the precise mechanisms through which the local context of reception shapes immigrant incorporation, where the historical presence of co-ethnic communities is but one of many dimensions considered, together with other labor, housing, and educational structures.