Cautious Citizenship: The deterring effect of immigration issue salience on health care use and bureaucratic interactions among Latino US Citizens

Franciso I. Pedraza, Vanessa Cruz Nichols, Alana M.W. LeBrón

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

Research shows that health care use among Latino immigrants is adversely affected by restrictive immigration policy. A core concern is that immigrants shy away from sharing personal information in response to policies that expand bureaucratic monitoring of citizenship status across service-providing organizations. This investigation addresses the concern that immigration politics also negatively influences health care utilization among Latino US citizens. One implication is that health insurance expansions may not reduce health care inequities among Latinos due to concern about exposure to immigration law enforcement authorities. Using data from the 2015 Latino National Health and Immigration Survey, we examine the extent to which the politics of immigration deters individuals from going to health care providers and service-providing institutions.Results indicate that LatinoUS citizens are less likely tomake an appointment to see a health care provider when the issue of immigration is mentioned. Additionally, Latino US citizens who know someone who has been deported are more inclined to perceive that information sharedwith health care providers is not secure.We discuss how cautious citizenship, or risk-avoidance behaviors toward public institutions in order to avoid scrutiny of citizenship status, informs debates about reducing health care inequities.

Original languageEnglish (US)
Pages (from-to)925-960
Number of pages36
JournalJournal of health politics, policy and law
Volume42
Issue number5
DOIs
StatePublished - Oct 1 2017
Externally publishedYes

Keywords

  • Health
  • Health care
  • Immigration
  • Latino
  • Policy

ASJC Scopus subject areas

  • Health Policy

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