@article{0abfc9972afe40249a5a24aa70faf06d,
title = "Cautious Citizenship: The deterring effect of immigration issue salience on health care use and bureaucratic interactions among Latino US Citizens",
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.",
keywords = "Health, Health care, Immigration, Latino, Policy",
author = "Pedraza, {Franciso I.} and Nichols, {Vanessa Cruz} and LeBr{\'o}n, {Alana M.W.}",
note = "Funding Information: Francisco I. Pedraza is assistant professor of political Science in the School of Public Policy at University of California, Riverside. Professor Pedraza is an alumnus (Cohort 19, 2012–14) of the RWJF Scholars in Health Policy Research Program. He served as coprincipal investigator on the 2015 Latino National Health and Immigration Survey. His research focuses broadly on explaining the political attitudes and behavior of Latinos and other minority groups and immigrants in the United States. fpedraza@ucr.edu Vanessa Cruz Nichols is a PhD candidate in political science at the University of Michigan. Vanessa{\textquoteright}s research interests include Latino politics, race and ethnicity politics, political participation, public opinion, and identity politics. She has received support to conduct research from the Ford Foundation as a predoctoral and dissertation fellow, and from the National Science Foundation Doctoral Dissertation Research Improvement Grant. Vanessa{\textquoteright}s dissertation, “Latinos Rising to the Challenge: Political Responses to Threat and Opportunity Messages,” focuses on mobilizing messages and how they might create a more engaged or disengaged citizenry. Vanessa is a co-student investigator with the 2015 Latino National Health and Immigrant Survey. Funding Information: Pedraza{\textquoteright}s research was supported by the RWJF, Scholars in Health Policy Research Program. LeBr{\'o}n{\textquoteright}s research was supported by University of Michigan National Center for Institutional Diversity. Publisher Copyright: {\textcopyright} 2017 by Duke University Press.",
year = "2017",
month = oct,
day = "1",
doi = "10.1215/03616878-3940486",
language = "English (US)",
volume = "42",
pages = "925--960",
journal = "Journal of health politics, policy and law",
issn = "0361-6878",
publisher = "Duke University Press",
number = "5",
}