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A Scoping Review to Explore the Intersection of Immigration-Related Policies and Immigrants’ Health Access and Outcomes During the COVID-19 Pandemic

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Abstract

The COVID-19 pandemic may have exacerbated existing health inequities in the U.S., disproportionately affecting marginalized groups, particularly immigrants. Structural barriers, institutional inequalities, and exclusion from relief measures may have worsened these communities' health outcomes. Additionally, anti-immigrant rhetoric, restrictive policies, and fear of deportation may have deterred many immigrants from accessing essential services, affecting both their physical and mental health. This scoping review examines immigrant health access, outcomes, and relevant policies during the pandemic using the Arksey and O'Malley framework and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews) guidelines. Key findings highlight widespread distrust in government, limited healthcare access, and significant adverse mental health challenges among immigrants during the pandemic, which may be worsened by restrictive immigration policies such as revisions to the public charge rule.

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References

  1. WHO. WHO Coronavirus (COVID-19) Dashboard.2020. https://covid19.who.int/. Accessed Dec 18, 2023.

  2. Gupta N, Dhamija S, Patil J, Chaudhari B. Impact of COVID-19 pandemic on healthcare workers. Ind Psychiatry J. 2021;30(Suppl 1):S282–4.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Dalglish SL. COVID-19 gives the lie to global health expertise. The Lancet. 2020;395(10231):1189.

    Article  CAS  Google Scholar 

  4. Abedi V, Olulana O, Avula V, Chaudhary D, Khan A, Shahjouei S, Li J, Zand R. Racial, economic, and health inequality and COVID-19 infection in the United States. J Racial Ethn Health Disparities. 2021;8:732–42.

    Article  PubMed  Google Scholar 

  5. Clark E, Fredricks K, Woc-Colburn L, Bottazzi ME, Weatherhead J. Disproportionate impact of the COVID-19 pandemic on immigrant communities in the United States. PLoS Negl Trop Dis. 2020;14(7):e0008484.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. Millett GA, Jones AT, Benkeser D, Baral S, Mercer L, Beyrer C, Honermann B, Lankiewicz E, Mena L, Crowley JS, Sherwood J. Assessing differential impacts of COVID-19 on black communities. Ann Epidemiol. 2020;1(47):37–44.

    Article  Google Scholar 

  7. Gordon SH, Huberfeld N, Jones DK. What federalism means for the US Response to Coronavirus Disease 2019. JAMA Health Forum. 2020;1:e200510.

    Article  PubMed  Google Scholar 

  8. Gelatt J, Chishti M. COVID-19's Effects on U.S. Immigration and Immigrant Communities, Two Years On. 2022. https://www.migrationpolicy.org/sites/default/files/publications/mpi-covid-us-immigration-lookback_final.pdf. Accessed Jan 10 2024.

  9. Kantamneni N. The impact of the COVID-19 pandemic on marginalized populations in the United States: A research agenda. J Vocat Behav. 2020;1(119):103439.

    Article  Google Scholar 

  10. Gomez-Aguinaga B, Dominguez MS, Manzano S. Immigration and gender as social determinants of mental health during the COVID-19 outbreak: the case of US. Latina/os Int J Environ Res Public Health. 2021;18(11):6065.

    Article  CAS  PubMed  Google Scholar 

  11. Sanchez GR, Dominguez MS, Vargus ED. Structural Inequalities and Not Behavior Explain COVID-19 Racial Disparities. 2020. https://www.latinorebels.com/2020/05/01/structuralinequalitiescovid/ Latino Decisions. Accessed Dec 18, 2023.

  12. Ross J, Diaz CM, Starrels JL. The disproportionate burden of COVID-19 for immigrants in the Bronx New York. JAMA Inter Med. 2020;180(8):1043–4.

    Article  Google Scholar 

  13. Solheim CA, Ballard J, Fatiha N, Dini Z, Buchanan G, Song S. Immigrant family financial and relationship stress from the COVID-19 pandemic. J Fam Econ Issues. 2022;43(2):282–95.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Derose KP, Escarce JJ, Lurie N. Immigrants, and Healthcare: Sources of Vulnerability. Health Aff. 2007;26(5):1258–68.

    Article  Google Scholar 

  15. Ortega AN, McKenna RM, Pintor JK, Langellier BA, Roby DH, Pourat N, Bustamante AV, Wallace SP. Health care access and physical and behavioral health among undocumented Latinos in California. Med Care. 2018;56(11):919–26.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Pitkin Derose K, Bahney BW, Lurie N, Escarce JJ. Immigrants and health care access, quality, and cost. Med Care Res Rev. 2009;66(4):355–408.

    Article  Google Scholar 

  17. Lemon ED, Flores YA, Crookes DM, Sainz M, Santiago C, Urbina B, Woods-Jaeger B. The toll of the COVID-19 pandemic on Latinx mixed-status immigrant families in a restrictive immigration policy climate in the Southeast. Child Youth Serv Rev. 2023;155:107254.

    Article  Google Scholar 

  18. Yusuf KK, Madu E, Kutchava S, Liu SK. The coronavirus (COVID-19) pandemic and mental health of African immigrants in the United States. Int J Environ Res Public Health. 2022;19(16):10095.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Perreira KM, Pedroza JM. Policies of exclusion: implications for the health of immigrants and their children. Annu Rev Public Health. 2019;40(1):147–66.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Gelatt JM, Koball H. Immigrant Access to Health and Human Services. 2014. https://www.urban.org/sites/default/files/publication/33551/2000012-Immigrant-Access-to-Health-and-Human-Services.pdf. Accessed Sep 17 2023.

  21. De Trinidad Young ME, Wallace SP. Included but deportable: a new public health approach to policies that criminalize and integrate immigrants. Am J Public Health. 2019;109(9):1171–6.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Behbahani S, Smith CA, Carvalho M, Warren CJ, Gregory M, Silva NA. Vulnerable immigrant populations in the New York metropolitan area and COVID-19: lessons learned in the epicenter of the crisis. Acad Med. 2020;95(12):1827–30.

    Article  PubMed  Google Scholar 

  23. Wilson FA, Stimpson JP. US policies increase the vulnerability of immigrant communities to the COVID-19 pandemic. Ann Glob Health. 2020. https://doi.org/10.5334/aogh.2897.

    Article  PubMed Central  PubMed  Google Scholar 

  24. Ross, H. M., Desiderio, S., St. Mars, T., & Rangel, P. (2021). US immigration policies pose threat to health security during COVID-19 pandemic. Health security, 19(S1), S-83.

  25. Parmet, W. E. (2020). Immigration Law's Adverse Impact on COVID-19. 2020). Assessing Legal Responses to COVID-19. Boston: Public Health Law Watch, Northeastern University School of Law Research Paper, (392–2020).

  26. Batalova J, Fix M, Greenberg M. Chilling Effects: The Expected Public Charge Rule and Its Impact on Legal Immigrant Families' Public Benefits Use. Washington, DC: Kaiser Family Foundation. 2018. https://www.immigrationresearch.org/system/files/Chilling_Effects_Public_Charge_Rule.pdf. Accessed Dec 19, 2023.

  27. Bernstein H, Gonzalez D, Karpman M, Zuckerman S. Amid confusion over the public charge rule, immigrant families continued avoiding public benefits in 2019. Washington, DC: Urban Institute. 2020;18(1):1–20.

    Google Scholar 

  28. KFF. Changes to "Public Charge" Inadmissibility Rule: Implications for Health and Health Coverage. 2019. https://www.kff.org/racial-equity-and-health-policy/fact-sheet/public-charge-policies-for-immigrants-implications-for-health-coverage/. Accessed Dec 19 2023.

  29. Bustamante AV, Diaz S. Can Changing the Public Charge Rule Improve The Health and Lives of Children. Advancing health equity. New York, NY: The Commonwealth Fund. 2021. https://www.commonwealthfund.org/blog/2021/can-changing-public-charge-rule-improve-health-and-lives-children. Accessed Jan 2024.

  30. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.

    Article  Google Scholar 

  31. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Moher D, Peters MD, Horsley T, Weeks L, Hempel S. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467–73.

    Article  PubMed  Google Scholar 

  32. Gehlbach D, Vázquez E, Ortiz G, Li E, Sánchez CB, Rodríguez S, Pozar M, Cheney AM. Perceptions of the Coronavirus and COVID-19 testing and vaccination in Latinx and Indigenous Mexican immigrant communities in the Eastern Coachella Valley. BMC Public Health. 2022;22(1):1019.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  33. Vilar-Compte M, Gaitán-Rossi P, Félix-Beltrán L, Bustamante AV. Pre-COVID-19 social determinants of health among Mexican migrants in Los Angeles and New York City and their increased vulnerability to unfavorable health outcomes during the COVID-19 pandemic. J Immigr Minor Health. 2022;1:1–3.

    Google Scholar 

  34. Bustamante AV, Félix-Beltrán L, Nwadiuko J, Ortega AN. Avoiding Medicaid enrollment after the reversal of the changes in the public charge rule among Latino and Asian immigrants. Health Serv Res. 2022;57:195–203.

    Article  PubMed Central  PubMed  Google Scholar 

  35. Albright K, de Jesus DPM, Trujillo T, Beascochea Y, Sammen J. Addressing health care needs of Colorado immigrants using a community power building approach. Health Serv Res. 2022;57:111–21.

    Article  PubMed Central  PubMed  Google Scholar 

  36. Held ML, Villarreal-Otálora T, McPherson J, Jennings-McGarity P. Politics, pandemics, and trauma: Understanding and addressing Latino health needs through a culturally informed lens. Front Public Health. 2022;15(10): 877328.

    Article  Google Scholar 

  37. Touw S, McCormack G, Himmelstein DU, Woolhandler S, Zallman L. Immigrant essential workers likely avoided medicaid and SNAP because of a change to the public charge rule: immigrant essential workers likely avoided medicaid and SNAP because of a change to the public charge rule. Health Aff. 2021;40(7):1090–8.

    Article  Google Scholar 

  38. Pineros-Leano M, Pérez-Flores NJ, Damian K, Rodrigues K, Ortiz G, Simonovich SD. Mental health disparities in Latinx immigrant communities residing in the United States during COVID-19: Implications for policy and practice. Front Public Health. 2022;29(10):1000233.

    Article  Google Scholar 

  39. E-verify. 2021. https://www.e-verify.gov/. Accessed Aug 26, 2024.

  40. U.S. ICE. Delegation of Immigration Authority Section 287(g) Immigration and Nationality Act. 2022. https://www.ice.gov/identify-and-arrest/287g. Accessed Aug 26, 2024).

  41. Garcini LM, Domenech Rodríguez MM, Mercado A, Silva M, Cadenas G, Galvan T, Paris M. Anti-immigration policy and mental health: Risk of distress and trauma among deferred action for childhood arrivals recipients in the United States. Psychol Trauma Theory Res Pract Policy. 2022;15(7):1067–75.

    Article  Google Scholar 

  42. Olguin-Aguirre R, Boals A, Niemann YF, Wang C. Impact of potential changes in US immigration policies on distress and mental health of Latinx college students. Journal of Latinos and Education. 2024;23(1):163–75.

    Article  Google Scholar 

  43. Chavez LR. Undocumented immigrants and their use of medical services in Orange County. California Social Science & Medicine. 2012;74(6):887–93.

    Article  Google Scholar 

  44. Almeida J, Biello KB, Pedraza F, Wintner S, Viruell-Fuentes E. The association between anti-immigrant policies and perceived discrimination among Latinos in the U.S: A multilevel analysis. SSM-Population Health. 2016;2:897–903.

    Article  PubMed Central  PubMed  Google Scholar 

  45. Hatzenbuehler ML, Prins SJ, Flake M, Philbin M, Frazer MS, Hagen D, Hirsch J. Immigration policies and mental health morbidity among Latinos: a state-level analysis. Soc Sci Med. 2017;1(174):169–78.

    Article  Google Scholar 

  46. Vargas ED, Sanchez GR, Juárez M. Fear by association: perceptions of anti-immigrant policy and health outcomes. J Health Polit Policy Law. 2017;42(3):459–83.

    Article  PubMed Central  PubMed  Google Scholar 

  47. Vargas ED, Sanchez GR, Juárez MD. The impact of punitive immigrant laws on the health of Latina/o populations. Politics & Policy. 2017;45(3):312–37.

    Article  Google Scholar 

  48. Pew Research Center. Key findings about U.S. Immigrants. 2020. https://www.pewresearch.org/short-reads/2020/08/20/key-findings-about-u-s-immigrants/. Accessed Dec 26, 2023.

  49. Haley JM, Kenney GM, Bernstein H, Gonzalez D. One in five adults in immigrant families with children reported chilling effects on public benefit receipt in 2019. Washington, DC: Urban Institute. 2020;18(1):1–21.

    Google Scholar 

  50. Pew Research Center. Facts on U.S. Immigrants. 2018. https://www.pewresearch.org/hispanic/2020/08/20/facts-on-u-s-immigrants-trend-data/. Accessed Dec 26, 2023.

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Authors and Affiliations

  1. Georgia Southern University, Statesboro, USA

    Aishat Adewoye, Bettye Apenteng, Linda Kimsey & Samuel Opoku

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  1. Aishat Adewoye
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  2. Bettye Apenteng
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Contributions

Study conceptualization and design—All Authors. The initial draft of the manuscript- AA. Coordinated the review, performed the initial screening of studies, abstracted, cleaned data, and screened the studies for relevance- AA, BA. Establish the data analysis plan- AA, BA. Prepared Fig. 1- AA. Prepared Tables 1 and 2- AA, BA. Interpretation of results- All authors. Critical review and approval of the manuscript- All authors.

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Correspondence to Aishat Adewoye.

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Adewoye, A., Apenteng, B., Kimsey, L. et al. A Scoping Review to Explore the Intersection of Immigration-Related Policies and Immigrants’ Health Access and Outcomes During the COVID-19 Pandemic. J Immigrant Minority Health 27, 501–512 (2025). https://doi.org/10.1007/s10903-025-01681-2

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