Objective

Children of undocumented mothers with Deferred Action for Childhood Arrivals (DACA) have better mental health outcomes than children of DACA-ineligible mothers. This study explored the intergenerational health effects of DACA on undocumented parents and their children in families with mixed immigration status.

Methods

Forty-eight semistructured interviews were selected from a study on life transitions of 50 undocumented immigrants. Prevalent themes related to the intergenerational health effects of DACA on undocumented immigrants were identified through thematic analysis of the transcripts, and quotes were selected to illustrate themes in the participants’ own words.

Results

Thirty-three of the 48 respondents were DACA recipients. Twenty-six respondents were parents with a total of 61 children, 73.8% of whom were US-born. Four themes were identified: 1) DACA recipients reported decreased familial stress because of protection from deportation and increased access to health care, 2) both DACA and DACA-ineligible parents prioritized regular pediatrician visits for their children, but DACA-ineligible parents suffered from poor health because of decreased access to health care, 3) adults with DACA mirror the health behaviors of their DACA-ineligible parents, and 4) the poor health access of DACA-ineligible family members appeared to stress DACA recipients and US-born children in these families.

Conclusions

DACA decreases children's fear of parental deportation and loss. However, the suffering of DACA-ineligible parents and family members may stress their children and influence their health-seeking behavior in adulthood. Health care access for all members of immigrant families needs to be examined, since their well-being impacts the well-being of their children.

中文翻译：

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儿童入境延期行动计划对混合移民身份家庭的代际健康影响

客观的

接受儿童入境延期行动 (DACA) 的无证母亲的孩子比不符合 DACA 资格的母亲的孩子有更好的心理健康结果。本研究探讨了 DACA 对混合移民身份家庭中无证父母及其子女的代际健康影响。

方法

从一项关于 50 名无证移民的生活转变的研究中选择了 48 次半结构化访谈。通过对成绩单的主题分析，确定了与 DACA 对无证移民的代际健康影响相关的流行主题，并选择了引用以用参与者自己的话来说明主题。

结果

48 名受访者中有 33 名是 DACA 接受者。26 名受访者为父母，共有 61 名子女，其中 73.8% 为美国出生。确定了四个主题：1) DACA 接受者报告说，由于免遭驱逐和增加获得医疗保健的机会，家庭压力减轻了，2) DACA 和不符合 DACA 资格的父母都优先考虑为他们的孩子定期看儿科医生，但不符合 DACA 资格的父母遭受贫困健康，因为获得医疗保健的机会减少，3) 患有 DACA 的成年人反映了他们不符合 DACA 资格的父母的健康行为，以及 4) 不符合 DACA 资格的家庭成员的健康状况不佳似乎给这些 DACA 接受者和美国出生的儿童带来了压力家庭。

结论

DACA 减少了孩子对父母驱逐和失去的恐惧。然而，不符合 DACA 资格的父母和家庭成员的痛苦可能会给他们的孩子带来压力，并影响他们成年后的寻求健康的行为。需要检查移民家庭所有成员的医疗保健服务，因为他们的福祉会影响其子女的福祉。