Immigration as a Social Determinant of Health Proceedings of a Workshop (2018) / Chapter Skim
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3 Immigration and the Social Determinants of Health
3 Immigration and the Social Determinants of Health
Pages 19-28
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From page 19... ...
• The California Health Interview Survey is a tool and potential model for understanding the health needs and inequities in health and well-being of immigrant populations. (Ponce)
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From page 20... ...
LINKING IMMIGRATION WITH THE SOCIAL DETERMINANTS OF HEALTH In the past, research on immigrant health has been largely disconnected from the analytical framework provided by the concept of the social determinants of health, pointed out Heide Castañeda, associate professor of anthropology at the University of South Florida. Analyses and interventions of immigrant health have focused "on individual behaviors and purported cultural beliefs rather than on glaring patterns of inequality and pathogenic conditions produced by structures of poverty, immigration policy, and heavy-handed enforcement tactics," she said.
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From page 21... ...
Immigration can thus be both a consequence of social determinants and a social determinant in its own right, said Castañeda. Understanding this relationship may require going beyond the hold of individualism and behaviorism in scientific studies and interventions and instead tackling a wider sphere of upstream structural factors that affect health, including living and working conditions; income inequalities and poverty; access to care; immigration policies and enforcement practices; and gender, race, and ethnic hierarchies.
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Many states have adopted policies involving farm worker organizing, higher minimum wages, identification cards, and driver's license eligibility for immigrants, and the effects of these changes could be further explored. Finally, she emphasized studying resiliency despite factors that affect individual and community health.
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From page 23... ...
It seeks to understand the social determinants of health not just at a policy level but at an individual level, with geocoding allowing for linkages with measures of neighborhood context such as pollution, health care supply, or local policies. It is funded by a variety of state and local agencies, Californian and national foundations, and others.
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attainment, veteran status, food insecurity, housing experiences Health Behaviors Health Conditions Alcohol consumption, tobacco use, illicit drug use General health Physica I activity, dietary intake Chronic conditions (asthma, diabetes, heart Cancer screening, flu vaccine disease, hypertension) Sexua I activity, contraceptive use, HIV testing FIGURE 3-1 The California Health Interview Survey (CHIS)
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From page 25... ...
The survey provides not just numbers but relationships, Ponce concluded, which make its results a particularly valuable social science data set. COMMUNITY-BASED RESPONSES La Clínica del Pueblo is a federally qualified health center in the Washington, DC, metropolitan area focused on building a healthy Latino community through culturally appropriate health services, with a particular focus on those most in need.
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From page 26... ...
Homophobia, transphobia, and past traumatic experiences drive economic instability, social instability, and risk behaviors, including substance use, commercial sex work, and depression. La Clínica del Pueblo works on all the social determinants of health, said Wilson, including social and economic factors and health behaviors.
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From page 27... ...
Could data on increased detection of prediabetes rates as a result of CHIS results, for example, reduce overall health care costs? Though CHIS is expensive, costing $8 million to $10 million per year, it has affected health care, such as increased rates of cancer screening, that could yield major savings, though so far these effects have not been quantified.
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