Hitting closer to home: State policies' impacts on health by race and legal status.
Soc Sci Med
; 343: 116562, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-38242032
ABSTRACT
While the proliferation of inclusionary and exclusionary state policies has led to an increasingly heterogeneous patchwork of state climates, state policy and the climates they create have become increasingly important for health outcomes. We leverage the heterogeneity across state policy climates to test the relationship between state-level policies and health inequality across the US. We include 24 state policies related to public health and safety, immigration enforcement, integration, and healthcare to capture the state climate. Using the Survey of Income and Program Participation (SIPP), a nationally representative study of households in the U.S., we estimate multilevel regression models to assess the relationship between state policy climate and healthcare utilization. We further examine differential effects of the policy climate across various vulnerable groups, by examining differences by citizenship status and race. We find that more exclusionary policies may be detrimental to healthcare utilization for all residents regardless of race and legal status- but ultimately racial minorities and noncitizens see the greatest benefits from inclusive policy climates.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Emigração e Imigração
/
Disparidades nos Níveis de Saúde
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Soc Sci Med
Ano de publicação:
2024
Tipo de documento:
Article