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As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
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  1. Home
  3. Indirect Effects Of Immigration Enforcement On Health Care Utilization Among Lawfully Present Older Hispanics.
  1. Home
  3. Indirect Effects Of Immigration Enforcement On Health Care Utilization Among Lawfully Present Older Hispanics.

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Indirect effects of immigration enforcement on health care utilization among lawfully present older Hispanics.

Jordan Herring1, Burt Barnow2

  • 1Stanford University, School of Medicine, Stanford, CA, 94305, USA.

Social Science & Medicine (1982)
|September 14, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Immigration enforcement, like Secure Communities, reduced healthcare visits by 16.9% for authorized Hispanic immigrants due to fear and "chilling effects." This highlights a critical barrier to healthcare access for vulnerable populations.

Keywords:
Access to careHispanicImmigrationLatino

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Area of Science:

  • Public Health
  • Sociology
  • Health Services Research

Background:

  • Immigration enforcement creates
  • chilling effects,
  • deterring immigrants from accessing public resources.
  • Previous research focused on public assistance, leaving a gap in understanding healthcare utilization impacts.

Purpose of the Study:

  • To examine the impact of the Secure Communities program on healthcare utilization among older, lawfully present Hispanic immigrants and citizens.
  • To quantify the effect of immigration enforcement on healthcare-seeking behavior in a vulnerable population.

Main Methods:

  • Utilized restricted geographic data from the Health and Retirement Study (HRS).
  • Employed a staggered difference-in-differences model comparing Hispanic citizens/immigrants to non-Hispanic citizens.
  • Assessed the probability of office visits with a healthcare provider as the primary outcome.

    • Main Results:

    • Secure Communities program enrollment was associated with a 16.9% decline in healthcare provider visits for likely authorized Hispanic immigrants.
    • Declines in utilization were not linked to health insurance status.
    • The negative impact on healthcare access was more pronounced in individuals with poorer health and lower educational attainment.

    Conclusions:

    • Immigration enforcement can significantly reduce healthcare access for lawfully present immigrants through indirect
    • chilling effects,
    • even when individuals are not at immediate risk of deportation.
    • Fear of indirect consequences deters healthcare utilization, necessitating measures to protect access.
    • Further efforts are crucial to ensure continued healthcare access for immigrant populations amidst increasing enforcement.