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Dreams deferred: Contextualizing the health and psychosocial needs of undocumented Asian and Pacific Islander young adults in Northern California

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  • Sudhinaraset, May
  • Ling, Irving
  • To, Tu My
  • Melo, Jason
  • Quach, Thu

Abstract

There are currently 1.5 million undocumented Asians and Pacific Islanders (APIs) in the US. Undocumented API young adults, in particular, come of age in a challenging political and social climate, but little is known about their health outcomes. To our knowledge, this is the first study to assess the psychosocial needs and health status of API undocumented young adults. Guided by social capital theory, this qualitative study describes the social context of API undocumented young adults (ages 18–31), including community and government perceptions, and how social relationships influence health. This study was conducted in Northern California and included four focus group discussions (FGDs) and 24 in-depth interviews (IDIs), with 32 unique participants total. FGDs used purposeful sampling by gender (two male and two female discussions) and education status (in school and out-of-school). Findings suggest low bonding and bridging social capital. Results indicate that community distrust is high, even within the API community, due to high levels of exploitation, discrimination, and threats of deportation. Participants described how documentation status is a barrier in accessing health services, particularly mental health and sexual and reproductive health services. This study identifies trusted community groups and discusses recommendations for future research, programs, and policies.

Suggested Citation

  • Sudhinaraset, May & Ling, Irving & To, Tu My & Melo, Jason & Quach, Thu, 2017. "Dreams deferred: Contextualizing the health and psychosocial needs of undocumented Asian and Pacific Islander young adults in Northern California," Social Science & Medicine, Elsevier, vol. 184(C), pages 144-152.
    • Handle: RePEc:eee:socmed:v:184:y:2017:i:c:p:144-152
    DOI: 10.1016/j.socscimed.2017.05.024
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    References listed on IDEAS

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    1. Whetten, K. & Leserman, J. & Whetten, R. & Ostermann, J. & Thielman, N. & Swartz, M. & Stangl, D., 2006. "Exploring lack of trust in care providers and the government as a barrier to health service use," American Journal of Public Health, American Public Health Association, vol. 96(4), pages 716-721.
    2. Abe-Kim, J. & Takeuchi, D.T. & Hong, S. & Zane, N. & Sue, S. & Spencer, M.S. & Appel, H. & Nicdao, E. & Alegría, M., 2007. "Use of mental health-related services among immigrant and US-born Asian Americans: Results from the National Latino and Asian American Study," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 91-98.
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    1. Pollie Bith-Melander & Nagia Chowdhury & Charulata Jindal & Jimmy T. Efird, 2017. "Trauma Affecting Asian-Pacific Islanders in the San Francisco Bay Area," IJERPH, MDPI, vol. 14(9), pages 1-21, September.

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