Declared impact of the US President’s statements and campaign statements on Latino populations’ perceptions of safety and emergency care access

Autoři: Robert M. Rodriguez aff001;  Jesus R. Torres aff001;  Jennifer Sun aff002;  Harrison Alter aff001;  Carolina Ornelas aff001;  Mayra Cruz aff001;  Leah Fraimow-Wong aff002;  Alexis Aleman aff003;  Luis M. Lovato aff003;  Angela Wong aff001;  Breena Taira aff003
Působiště autorů: Department of Emergency Medicine, University of California San Francisco, San Francisco, California, United States of America aff001;  Highland Hospital-Alameda Health System, Oakland, California, United States of America aff002;  Olive View UCLA Medical Center–University of California Los Angeles School of Medicine, Los Angeles, California, United States of America aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article


Statements about building walls, deportation and denying services to undocumented immigrants made during President Trump’s presidential campaign and presidency may induce fear in Latino populations and create barriers to their health care access. To assess how these statements relate to undocumented Latino immigrants’ (UDLI) and Latino legal residents/citizens’ (LLRC) perceptions of safety and their presentations for emergency care, we conducted surveys of adult patients at three county emergency departments (EDs) in California from June 2017 to December 2018. Of 1,684 patients approached, 1,337 (79.4%) agreed to participate: 34.3% UDLI, 36.9% LLRC, and 29.8% non-Latino legal residents/citizens (NLRC). The vast majority of UDLI (95%), LLRC (94%) and NLRC (85%) had heard statements about immigrants. Most UDLI (89%), LLRC (88%) and NLRC (87%) either thought that these measures were being enacted now or will be enacted in the future. Most UDLI and half of LLRC reported that these statements made them feel unsafe living in the US, 75% (95% CI 70–80%) and 51% (95% CI 47–56%), respectively. More UDLI reported that these statements made them afraid to come to the ED (24%, 95% CI 20–28%) vs LLRC (4.4%, 95% CI 3–7%) and NLRC (3.5%, 95% CI 2–6%); 55% of UDLI with this fear stated it caused them to delay coming to the ED (median delay 2–3 days). The vast majority of patients in our California EDs have heard statements during the 2016 presidential campaign or from President Trump about measures against undocumented immigrants, which have induced worry and safety concerns in both UDLI and LLRC patients. Exposure to these statements was also associated with fear of accessing emergency care in some UDLIs. Given California’s sanctuary state status, these safety concerns and ED access fears may be greater in a nationwide population of Latinos.

Klíčová slova:

Critical care and emergency medicine – Fear – Governments – Health insurance – Language – Socioeconomic aspects of health – Surveys – United States


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2019 Číslo 10
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