Structural Concepts Of Immigrant Health

Juana Mora in “Acculturation Is Bad for Our Health: Eat More Nopalitos” argues that the United States offers many job and educational opportunities for Latinos, but acculturation in America negatively impacts their health. Mora offers research and statistics, most of which I find compelling, to explain that these illnesses are primarily due to the immigrants’ new “daily habits and environment changes” (Mora 660). After arriving in America, immigrants often live in crime-ridden, low income neighborhoods, rely on fast food, abuse alcohol and tobacco products, and have fewer safe areas for exercise. Additionally, the stress caused “by learning a new language and culture” and “living in new and sometimes dangerous environments” causes illnesses such as post-traumatic

First, they must pass a health-screening process beforehand. In Canada, health screening was implemented to ensure that no immigrant becomes a burden on health or social services or “is a danger to public health or safety” (Government of Canada, 2002:np). Canada has no list of diseases that will automatically disqualify would-be immigrants, but infectious conditions such as HIV-AIDS can decrease their chances of acceptance (Zencovich, Kennedy, MacPherson, & Gushulak 2006). Screening does not guarantee that the host country will receive immigrants that are healthier than its own citizens, but it does ensure that people with serious health problems are not allowed to immigrate; consequently, the cohort of immigrants coming to North America tends to be healthy.

As the daughter of an immigrant, I have witnessed the various barriers faced by immigrants, and this experience has motivated me toward my career objective. According to the Pew Research Center Hispanic Trends Project, there were about 11.3 million immigrants living illegally in the United States in 2013 (Passel et al., 2014). These immigrants come from all parts of the world for several different reasons. Whether to provide better resources for their family back home or to live a better life, these immigrants usually work in environments that can be harmful and dangerous to their health.

     Illegal immigrants usually hold jobs that have bad conditions and worse pay.  Oftentimes, these jobs are found in sectors such as agriculture, construction, food-handling and manufacturing (Dwyer).  Unfortunately for the illegal individuals who acquire these jobs, they have no access to comprehensive health care, though their line of work tends to demand it.  Although illegal immigrants are consequently strapped for cash, many of them will not visit primary care physicians for fear of being deported.  This sets up a vicious cycle: individuals get sick yet ignore the signs.  When illnesses get remarkably worse and are too severe to treat at doctors' offices, the individuals then go to emergency rooms, where the cost is considerably greater.  More often than not, the immigrants cannot afford to pay their hospital bills.  The cost is then covered by the medical institutions and tax-payer dollars (Wolf).  While some argue that illegal migrants do not

There are many vulnerable populations within the United States. One of the many vulnerable populations are undocumented immigrants. Undocumented immigrants also known as illegal immigrants according to Wikipedia (2016) is defined as “the migration of people across national boarders in a way that violates the immigration laws of the destination country” (para 1). The United States of America has one of the largest population of immigrants. In this paper, I will be discussing the multiple stressors related to undocumented immigrants as well as the programs that can be used to help alleviate those stressors.

The United States is a melting pot of cultures from around the globe. Many immigrants acclimate to American culture and customs while retaining many of their native culture and customs. However, much of their culture places these immigrants at risk for health disparities. Hispanics are the largest and fastest growing racial and ethnic in the United States (cardiosmart.org, 2014). According to CDC.gov (2004), compared to non-Hispanic whites, Hispanics experienced chronic liver disease 62% more, diabetes 41% more, HIV 168% more and cancer of the cervix 152% and stomach 63% more for males and 150% more for females.

There have been legislative bills that have limited the access that illegal immigrants have to medical care, whether it be private insurance or with federal help such as state funded resources like Medical. For example the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 restricts medical care for illegal immigrants. Jeffrey Kullgren a medical student at the Michigan State University College of Human Medicine, argues that having severe limitations on health care services threatens the public’s health. He argues that the original purposes of the act were to reduce illegal immigration and preserve resources yet the act burdens health care providers and endangers the public’s health. The act stated that it was made in order to “remove the incentive for illegal immigration” and so that “individual aliens not burden the public benefits system”. These were the argument made in order to place eligibility restrictions for service made available by the local, state and federal governments. Although there were exceptions to the act, such as being able to get emergency care and immunizations, it still made getting proper health care very difficult. Placing these kinds of restrictions on people Kullgren argues has consequences on health. One is that it leads to greater waiting times and increase cost which reduces the efficiency of medical facilities. Another is that it can affect the lives of the American born children of immigrants. Although they are able to receive medical services, their parents are afraid to seek health care because they believe that they can get deported. Or they are not sure of whether their children are able to get medical coverage. Another negative result due to the act, Kullgren states, is that public resources are not being effectively used. It costs more to treat emergency situations that could have been easily prevented or that could have

Whether legal or illegal, when migrating from their homeland, regardless of their individual circumstances, immigrants face a number of challenges en route to, and upon arrival into the United States. It is common knowledge that immigrants face language barriers, basic cultural differences, emotional isolation, prejudice and discrimination upon their arrival into the United States. Dr. Jean Rhodes points out that due to their exclusion from public services, [undocumented] immigrants typically settle in areas of deep poverty plagued with inadequate services in addition to substandard living conditions and schools (2005). However, the most difficult and detrimental issue they face is their access to receiving public health care. In his 2003 article in the American Journal of Public Health, Jeffrey Kullgren points out that many of the undocumented immigrants in

The article Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes was extremely informative. The article identified “three dimensions of fear including (a) Cost; (b) Language,

Undocumented immigrants in the United States are denied and limited to health care access due to their legal status. However, recent arrived immigrants are healthier than the general U.S. population. According to the National Longitudinal Mortality Study (1979-1989), “Singh and Siahpush (2001) found that all-cause mortality was significantly lower among immigrants than among the U.S. born (18% lower for men and 13% lower for women), after adjusting for age, race/ethnicity, marital status, urban/rural residence, education, occupation, and family income (Acevedo-Garcia & Bates, 2008). While policy and Health Care Acts are denying and limiting health insurance to undocumented immigrants and wanting them out of the country, that may not be an appropriate strategy to promote health insurance in Latino communities since recent arriving immigrants are healthier than the general U.S. population. Some studies suggest that, “Latino and immigrants have more positive health behaviors, particularly related to substance abuse, than their non-Latino and U.S. born counterparts. For example, compared to non-Latino whites, Latinos are less likely to consume cigarettes or alcohol, independent of SES (Abraido-Lanza, Chao, & Florez, 2005)(Acevedo-Garcia & Bates, 2008). However, after several years of acculturating into the majority culture, Latinos/as are becoming accustomed to unhealthy habits that American citizens are familiar with. Researchers have taken in consideration the Latino Health

Immigrant population are the most frequently identified as susceptible population in the United States to inadequate health care. (Dorese, Escarce & Lurie, 2007) have mentioned in their article by the title Immigrants and health Care: Sources of Vulnerability that immigrants are group of population that are in an increased risk for poor health and inadequate health. The Authors have also mentioned that that vulnerability of the immigrant population is influenced by many factors. To mention some of the factors are political, social marginalization, lack of socioeconomic and societal resources.

In "Health Assimilation among Hispanic Immigrants in the United States: The Impact of Ignoring Arrival-cohort Effects," Tod G. Hamilton, Tia Palermo, and Tiffany L. Green set out to add a meaningful contribution to the literature tackling the "healthy immigrant effect," a phenomenon where the initial health advantage of Hispanic immigrants in the U.S. diminishes over time. Indeed, this phenomenon (or puzzle) sets the foundation for their study since it is clearly presented by Hamilton et al. right at the beginning of their article: "Upon arrival in the United States, Hispanic immigrants, like many immigrant subgroups, tend to exhibit better health than their native-born counter-parts. This advantage, however, erodes as immigrants' tenure of U.S. residences increases" (Hamilton et al. 2015, 460).

Canada has always been recognized as a multicultural country with a diversity of ethnic groups. According to the 2006 census (Statistics Canada, 2006), there was a total of 1,109,980 new immigrants arriving Canada from various countries between 2001 and 2006. The Multiculturalism Act (1988) is adopted to encourage ethnic groups to preserve their own languages and cultural heritages while integrating into the Canadian culture (Minster of Justice, 1984). Despite that, constant barriers remain in immigrants’ experiences of acculturation. Newcomers who failed to acculturate into the host country may experience social exclusion, which could result in a reduction in their health statuses. Although recent immigrants are often healthier than the general Canadian population, their health status tend to converge to the Canadian-born population with increased length of residence; for instance, statistics revealed worsening immigrant health in chronic conditions like diabetes and tuberculosis (Statistics Canada, 2002). This is referred as the “healthy immigrant effect”. Immigrants’ initial healthy status is explained by self-selection reasons, and screenings that are regulated by the Immigration Act (Statistics Canada, 2002). However, it is more crucial to understand the reasons for their deterioration in health over time. In this paper, we will explore a framework that explains the pathway between social exclusion, an important social determinant of health, and the deterioration in the

One of the highest health issues in America. It is the reason for 1 out of every 20 deaths. Mexican Americans have a 34% higher risk to suffer from a stroke that Whites in the US. Mexican-Americans are also likely to have a stroke at a younger age that their White counterparts. The average age for Mexican Americans to have a stroke is at 67, but for Whites in the US the age is 80. The effects after a stroke are more likely to disrupt overall health in Mexican Americans. They are more likely to have neurological issues, suffer from dementia, and have issues with comprehension and communication.

In the article “The Health Toll of Immigration” by Sabrina Tavernise explains that immigrants of Hispanic heritage live longer than American born persons of Hispanic heritage. Many causes of this have been suspected such as smoking and drinking but ultimately it is the American diet of fast food that seems to be the reason for poor health (Tavernise 2013). Fast food was a luxury to some and to others it was a money saver. Fast food is fast and cheap making it an easy stop for many families on the run. The statistic is that “Hispanic immigrants live 2.9 years longer than American-born Hispanics” (Tavernise 2013). America’s fast food diet has also been moving into Mexico. When it comes to obesity “Hispanic adults are also 14 percent more likely to be obese…for