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A Content Analysis Of US Sanctuary Immigration Policies: Implications For Research In Social Determinants Of Health
Robin Ortiz1, Dylan Farrell-Bryan2, Gabriel Gutierrez3
1Robin Ortiz (robin.ortiz@pennmedicine.upenn.edu) is a National Clinician Scholar at the Perelman School of Medicine, University of Pennsylvania, and the Children's Hospital of Philadelphia, in Philadelphia, Pennsylvania.
Health Affairs (Project Hope)
|July 6, 2021
Summary
Protective immigration policies, like sanctuary policies, significantly impact health. Over two-thirds of these policies include health-related language, often linked to community support and access to services.
Area of Science:
- Public Health
- Sociology
- Health Policy
Background:
- Immigration policies are recognized social determinants of health.
- Limited research exists on protective immigration policies' health implications.
- Sanctuary policies are a key area for investigation.
Purpose of the Study:
- To analyze the types, themes, and health-related language in U.S. sanctuary policies.
- To understand the scope and nature of health considerations within these policies.
Main Methods:
- Content analysis of 328 sanctuary policies enacted between 2009 and 2017.
- Examination of policy language for health-related themes and direct service access references.
Main Results:
- Sanctuary policies were adopted in 32 states and Washington, D.C.
- 67.6% of policies contained health-related language.
- Health themes frequently co-occurred with antidiscrimination, inclusion, trust, and privacy.
Conclusions:
- Sanctuary policies frequently incorporate health-related provisions.
- These policies may positively influence immigrant health by fostering supportive community environments.
- Further research is needed to explore the direct health impacts of sanctuary policies.
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