EFFECTS OF IMMIGRATION POLICY, IMMIGRATION SURVEILLANCE, AND RACIALIZED POLICING

Literature on immigration-policy spillover effects documents the decline in health-care utilization and Medicaid participation where local police coordinate enforcement operations with federal immigration authorities or where deportation concerns are high (Rhodes et al. Reference Rhodes, Mann, Simán, Song, Alonzo, Downs and Lawlor2015; Watson Reference Watson2014). Related studies indicate past cooperation between welfare-program officials and immigration authorities, highlighting why people might be cautious about engaging with public officials (Fox Reference Fox2012). With immigrant policing fostering distrust or disapproval of authorities in Latino communities (Rocha, Knoll, and Wrinkle Reference Rocha, Knoll and Wrinkle2015; Sanchez et al. Reference Sanchez, Pedraza and Vargas2015), regardless of citizenship status, many Latinos have learned to exercise caution in navigating institutional relationships in daily life (Pedraza, Cruz Nichols, and LeBrón Reference Pedraza, Cruz Nichols and LeBrón2017). These studies suggest paths of indirect influence from restrictive immigration policies to health by way of deterring engagement with institutions that provide access to health-promoting resources. Restrictive immigration policies reinforce definitions of national belonging—conflating citizenship status and race—thereby transferring stigma and racialized stressors associated with unauthorized immigration to entire groups of people (Viruell-Fuentes, Miranda, and Abdulrahim Reference Viruell-Fuentes, Miranda and Abdulrahim2012).

Research about the health implications of immigrant policing indicates that self-reported mental health is poorer among Latinos who fear they, or people they care about, will be deported (Cavazos-Rehg, Zayas, and Spitznagel Reference Cavazos-Rehg, Zayas and Spitznagel2007; Vargas, Sanchez, and Juarez Reference Vargas, Sanchez and Juarez2017), and recent studies have documented a decline in the health of Latinos following immigration raids (Lopez et al. Reference Lopez, Kruger, Delva, Llanes, Ledon, Waller and Harner2016; Novak, Geronimus, and Martinez-Cardoso Reference Novak, Geronimus and Martinez-Cardoso2017). By conceptualizing racialized policing as a “sense of ‘being hunted’ by law-enforcement officials” (Cavazos-Rehg, Zayas, and Spitznagel Reference Cavazos-Rehg, Zayas and Spitznagel2007, 1130), these studies trace poor health outcomes to psychological distress, chronic activation of stress-response systems, and restricted access to health-promoting resources rooted in systems of structural racism.

Whereas an emerging literature documents the effects of racism (Paradies et al. Reference Paradies, Ben, Denson, Elias, Priest, Pieterse, Gupta, Kelaher and Gee2015) and immigration raids on health (Lopez et al. Reference Lopez, Kruger, Delva, Llanes, Ledon, Waller and Harner2016; Novak, Geronimus, and Martinez-Cardoso Reference Novak, Geronimus and Martinez-Cardoso2017), limited scholarship considers the health implications of observed (at the county level) and perceived effects of being targeted by local police and federal immigration agencies, whose activities are increasingly linked by technology and permitted by restrictive immigration policies. We drew on data and a study design that provided a larger sample size, wider geographic scope, and more contemporary metrics than existing research on immigration policies and health consequences. Thus, this study addresses major themes in the 2016 presidential campaign, including issues about immigration enforcement, border-security debates, and health care.

Specifically, we examined two research questions that address gaps in the literature. First, we merged data from the 2015 Latino National Health and Immigration Survey (LNHIS)^{Footnote 2} with the publicly available deportation data provided by Immigration and Customs Enforcement (ICE)^{Footnote 3} to evaluate the association of county-level deportations under SComm and mental-health needs. The observable deportations available from the SComm data allowed us to create a proxy for the fear of “being hunted” and accompanying processes that reify the production of social inequalities inimical for individual and community well-being—a unique methodological contribution to the literature on immigrant-policing effects. Using this same large LNHIS sample, we also examined the independent effect of associations with someone who has been deported. We hypothesized that both higher levels of SComm deportations (H1) and knowing someone who has been deported (H2) are associated with greater mental-health needs. Second, drawing on data from the 2016 Collaborative Multiracial Post-Election Survey (CMPS),^{Footnote 4} we examined the association of perceptions of racialized policing with self-rated physical health after the presidential election. We hypothesized that greater perceptions of racialized policing are associated with worse self-rated physical health (H3). Finally, we expected that a close relationship with someone who is undocumented is associated with worse self-rated physical health (H4). Together, these 2015 and 2016 datasets allowed us to test whether observable restrictive immigration-policy enforcements and a perception of a racialized policing environment were linked to adverse health outcomes during the 2016 presidential cycle.

DEPENDENT VARIABLES

Our analysis focuses on two outcomes of interest. In the LNHIS, the outcome measure is self-reported mental-health needs, a subset of psychological distress, assessed by the question: “In the past 12 months, did you think you needed help for emotional or mental-health problems, such as feeling sad, anxious, or nervous?” (yes = 1; no = 0) (Wells, Sturm, and Burnam Reference Wells, Sturm and Burnam2004). In the CMPS, the outcome variable was self-rated physical health, using a five-point scale: Poor (1), Fair (2), Good (3), Very Good (4), and Excellent (5), ordered to assess optimal health (Idler and Benyamini Reference Idler and Benyamini1997).

EXPLANATORY VARIABLES

Explanatory variables in the LNHIS analyses included deportations under SComm and a personal connection to someone who has been deported. Using county-level identifiers, we merged the LNHIS data with the total number of deportations reported under SComm for each US county (as of December 2014). We divided total SComm deportations by US Census 2010 estimates of Latinos in each county because we expected Latinos would be cognizant of deportations that have differentially affected their communities. The average number of SComm deportations per 1,000 Latinos in the LNHIS sample was 7.3 (SD = 6.7/1,000). More than half of the LNHIS sample resided in a county with 5.8 deportations per 1,000 Latinos. The second explanatory variable was whether participants personally knew someone who was deported (yes = 1; no = 0)—a factor conceptually distinct from local deportations.

For the CMPS analysis, key explanatory variables were perceptions of racialized policing and a social connection to undocumented immigrants. Perceptions of racialized policing were measured by the sum of responses to the three-item index assessing likelihood that “people like me” will be stopped by the police, arrested, or sent to prison. Response options ranged from strongly disagree (0) to strongly agree (4); higher scores indicated a stronger belief that Latinos are likely to be stopped, arrested, or sent to prison (range: 0–12; Cronbach’s alpha: 0.95). The dichotomous measure of a close relationship to someone undocumented was assessed by a two-part question: “Do you happen to know somebody who may be an undocumented immigrant?” and, if yes, “Is that a family member or a friend, who is undocumented, or do you know both?” (i.e., 1 = knows the family or knows both family and friends; 0 = only knows a friend, does not know relationship to them, or does not know anyone undocumented). Analyses included several common control variables that measure demographic and political characteristics.^{Footnote 5} Summary statistics for these variables are available in the online appendix.

DISCUSSION AND CONCLUSION

This article addresses a considerable gap in understanding the effects of immigrant policing and restrictive immigration policies on Latinos’ mental and physical health, and it argues that restrictive immigration policies negatively impact Latinos’ health. Analyses indicated three main findings. First, deportations under the SComm program are associated with greater mental-health needs, suggesting a decline in the mental health of Latinos. Second, the association of deportations with mental-health needs also is correlated with knowing someone who has been deported. Third, Latinos who reported that “people like me” are more likely to be stopped by police, arrested, or sent to prison were less likely than their counterparts to report favorable physical health. These findings elucidate multiple mechanisms by which observable and perceived aspects of the lived experience of immigrant policing adversely affect health, including through systems of surveillance, deportation, and a social connection to undocumented immigrants.

This study offers several methodological contributions. It leveraged two national datasets with robust measures of social connections to immigrant policing, perceptions of policing, and individual-level health. Additionally, these data were merged with a unique administrative dataset that included county-level measures of deportations reported under SComm. The 2015 LNHIS and 2016 CMPS allowed for examination of how twenty-first-century restrictive immigration policies shape daily life for Latinos within a sociopolitical context in which immigration discourse conflates Latinos with immigrants and nativity with documentation status (Viruell-Fuentes, Miranda, and Abdulrahim Reference Viruell-Fuentes, Miranda and Abdulrahim2012). The inclusion of data from 2015 and 2016 allowed the capture of this shifting and dynamic context of structural racism toward Latinos to shed light on the health implications of observed and perceived aspects of immigrant policing, including two important components of immigrant policing: racialized policing and deportations.

The analyses drew on data collected at the beginning of the 2016 presidential campaign and following the election. These findings contribute to understanding the experiences of Latinos after the election and for considering the health implications of future immigration policies. Although he is mercurial about the future of Deferred Action for Childhood Arrivals, President Trump continues to demand a border wall, increase deportations, and heighten enforcement policing practices towards immigrants and racial minorities. These study findings, embedded within a context of high levels of immigrant policing, suggest that the escalation in immigrant policing practices and rhetoric following the change in presidential administrations exacerbates the risks for a decline in health for Latinos, the youngest and largest US racial/ethnic minority population (Passel, Cohn, and Lopez Reference Passel, Cohn and Lopez2011).

SUPPLEMENTARY MATERIAL

To view supplementary material for this article, please visit https://doi.org/10.1017/S1049096517002384