Immigration as a
Social Determinant
of Health
PROCEEDINGS OF A WORKSHOP
Steve Olson and Karen M. Anderson, Rapporteurs
Roundtable on the Promotion of Health Equity
Board on Population Health and Public Health Practice
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
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This activity was supported by contracts between the National Academy of Sciences and Aetna Foundation, The Colorado Trust, Health Resources and Services Administration, Kaiser Foundation, The Kresge Foundation, Office of Health Equity, and the U.S. Department of Veterans Affairs. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-48217-2
International Standard Book Number-10: 0-309-48217-8
Digital Object Identifier: https://doi.org/10.17226/25204
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Copyright 2018 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2018. Immigration as a social determinant of health: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25204.
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PLANNING COMMITTEE ON IMMIGRATION AS A SOCIAL DETERMINANT OF HEALTH1
FRANCISCO GARCÍA (Chair), Director and Chief Medical Officer, Pima County Department of Health
GILLIAN BARCLAY, Healthcare Industry Specialist, Nevada Governor’s Office of Economic Development
B. NED CALONGE, President and CEO, The Colorado Trust
SAMANTHA SABO, Associate Professor, Center for Health Equity Research, Northern Arizona University
MELISSA A. SIMON, Professor of Obstetrics and Gynecology/Preventive Medicine and Medical Social Sciences, Feinberg School of Medicine, Northwestern University
UCHENNA S. UCHENDU, Executive Director, Office of Health Equity, Veterans Health Administration, U.S. Department of Veterans Affairs
WINSTON F. WONG, Medical Director, Community Benefit, Kaiser Permanente
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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ROUNDTABLE ON THE PROMOTION OF HEALTH EQUITY1
ANTONIA VILLARRUEL (Chair), University of Pennsylvania
PATRICIA BAKER, Connecticut Health Foundation
JULIE A. BALDWIN, Center for Health Equity Research, Northern Arizona University
GILLIAN BARCLAY, Nevada Governor’s Office of Economic Development
B. NED CALONGE, The Colorado Trust
KENDALL M. CAMPBELL, Brody School of Medicine, East Carolina University
LUTHER T. CLARK, Merck & Co., Inc.
FRANCISCO GARCÍA, Pima County Department of Health
JEFFREY A. HENDERSON, Black Hills Center for American Indian Health
EVE J. HIGGINBOTHAM, University of Pennsylvania
CARA V. JAMES, Centers for Medicare & Medicaid Services
CHRIS KABEL, The Kresge Foundation
MELENIE MAGNOTTA, Aetna Foundation
OCTAVIO N. MARTINEZ, Hogg Foundation for Mental Health, The University of Texas at Austin
CHRISTINE RAMEY, Health Resources and Services Administration
MELISSA A. SIMON, Northwestern University
PATTIE TUCKER, Centers for Disease Control and Prevention
UCHENNA S. UCHENDU, Office of Health Equity, Veterans Health Administration, U.S. Department of Veterans Affairs
ROHIT VARMA, University of Southern California
WINSTON F. WONG, Kaiser Permanente
Staff
KAREN ANDERSON, Director
ANNA MARTIN, Senior Program Assistant
HOPE HARE, Administrative Assistant
ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
KENDALL M. CAMPBELL, Brody School of Medicine, East Carolina University
ERIN HAGAN, University of California, San Francisco
MELISSA A. SIMON, Feinberg School of Medicine, Northwestern University
PATTIE TUCKER, Centers for Disease Control and Prevention
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by HARRY J. HEIMAN, Georgia State University School of Public Health. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.
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Contents
Major Topics of the Publication
2 THE PAST AND PRESENT OF U.S. IMMIGRATION POLICY
Advent and Decline of the Quota System
1965 Immigration and Nationality Act
Immigration Reform and Control Act and Subsequent Legislation
Health and Well-Being of Immigrants
Continuing Integration of Immigrants into U.S. Society
Asian Americans and Pacific Islanders
Data Security and the Need for Disaggregated Data
3 IMMIGRATION AND THE SOCIAL DETERMINANTS OF HEALTH
Linking Immigration with the Social Determinants of Health
Data and Potential Policy Change