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Immigration policy shocks and infant health
1Department of Economics, Connecticut College, United States of America.
Insights
Positive immigration policies, like the 1986 Immigration Reform Act (IRCA), improved infant health outcomes. Conversely, increased immigration enforcement, such as Immigration and Customs Enforcement (ICE) arrests, negatively impacted birth weight and increased low birth weight (LBW) risks for foreign-born mothers.
Area of Science:
- Public Health
- Health Economics
- Sociology
Background:
- Immigration policies significantly impact public health, particularly vulnerable populations like foreign-born mothers.
- Understanding the differential effects of immigration policy shifts on infant health is crucial for evidence-based policymaking.
- Previous research has not fully elucidated the causal links between specific immigration policy changes and infant health metrics.
Purpose of the Study:
- To evaluate the impact of positive and negative immigration policy shocks on infant health outcomes in the U.S.
- To analyze changes in mean birth weight and the incidence of low birth weight (LBW) following major immigration policy events.
- To differentiate the effects of pro-immigrant versus enforcement-focused immigration policies.
Main Methods:
- Utilized a triple difference approach to compare birth outcomes.
- Analyzed data at the Metropolitan Statistical Area (MSA) level, comparing foreign-born and U.S.-born mothers.
- Examined changes before and after the 1986 Immigration Reform Act (IRCA) and increased Immigration and Customs Enforcement (ICE) arrests in 2017.
Main Results:
- Higher IRCA applications correlated with increased mean birth weight and decreased LBW incidence (3-6%) for foreign-born mothers.
- Increased ICE arrests correlated with decreased mean birth weight and increased LBW incidence (3-7%) for foreign-born mothers.
- Negative effects of ICE arrests were more pronounced for mothers from Latin and Central American countries, with LBW increasing up to 12% for Hispanic mothers.
Conclusions:
- Immigration policies have a direct and measurable impact on infant health outcomes.
- Pro-immigrant policies appear to benefit infant health, while stricter enforcement policies pose risks.
- Targeted interventions and supportive policies are needed for vulnerable immigrant populations to mitigate adverse health effects.
Abstract:
This paper evaluates the effect of positive and negative immigration policy shocks on infant health outcomes in the U.S. I examine changes in mean birth weight and the incidence of low birth weight (LBW) at the metropolitan statistical area (MSA) level around two major institutional shocks: The 1986 Immigration Reform Act (IRCA), which favored immigrants, and the increase in Immigration and Customs Enforcement (ICE) agency arrests at the start of 2017 which might have put immigrants at greater risk of apprehension. It uses a triple difference approach, comparing birth outcomes of foreign-born mothers with U.S.-born mothers (relative to mothers living in MSAs with a higher and lower concentration of IRCA applications and an increase in ICE arrests) before and after the two immigration policies. I find that in MSAs that had higher IRCA applications, mean birth weight increased, and the incidence of LBW decreased by 3-6 percent for babies born to foreign-born mothers. By contrast, in MSAs that had higher ICE arrests starting in 2017, mean birth weight decreased, and the incidence of LBW increased by 3-7 percent for babies born to foreign-born mothers. The effect of the increase in ICE arrests was more pronounced among mothers who were born in Latin and Central American countries. Sub-sample analysis shows that the incidence of LBW increased by as much as 12 percent for babies born to foreign-born mothers of Hispanic origin.
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