Geographic variation in COVID-19 vulnerability by legal immigration status in California: a prepandemic cross-sectional study.
BMJ Open
; 12(5): e054331, 2022 05 24.
Article
in English
| MEDLINE | ID: covidwho-1865165
ABSTRACT
OBJECTIVE:
To quantify COVID-19 vulnerabilities for Californian residents by their legal immigration status and place of residence.DESIGN:
Secondary data analysis of cross-sectional population-representative survey data. DATA All adult respondents in the restricted version of the California Health Interview Survey (2015-2020, n=128 528). OUTCOMEMEASURE:
Relative Social Vulnerability Indices for COVID-19 by legal immigration status and census region across six domains socioeconomic vulnerability; demography and disability; minority status and language barriers; high housing density; epidemiological risk; and access to care.RESULTS:
Undocumented immigrants living in Southern California's urban areas (Los Angeles, Orange, San Diego-Imperial) have exceptionally high vulnerabilities due to low socioeconomic status, high language barriers, high housing density and low access to care. San Joaquin Valley is home to vulnerable immigrant groups and a US-born population with the highest demographic and epidemiological risk for severe COVID-19.CONCLUSION:
Interventions to mitigate public health crises must explicitly consider immigrants' dual disadvantage from social vulnerability and exclusionary state and federal safety-net policies.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Emigrants and Immigrants
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adult
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
BMJ Open
Year:
2022
Document Type:
Article
Affiliation country:
Bmjopen-2021-054331
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