New Hispanic Migration and HIV Risk in New York

Abstract

This paper reports on research designed to assess access to care by Latino immigrant populations in the New York area. A qualitative approach and methods were employed, involving focus groups with PWAs and affected men and women from Mexico, the Dominican Republic and Central America to explore the perceptions, beliefs, experience and knowledge of HIV care issues and the issues affecting health-seeking behavior. Among the data collected to provide context, depth and detail to the issue of access and utilization of services, was the detailed information on migration and HIV risk reported here.

A total of 57 men and women participated, ranging in age from 19-61. Results included information on migration patterns, obstacles for Latino immigrants living in the U.S., social networks, community resources, knowledge of HIV/AIDS, risk behavior and access to information. Data support the conclusion that to be effective in reaching and providing services to these immigrant groups, it is crucial to understand the environment from which they come and the impact of immigration. Poverty; repressive governments; lack of education/literacy; ethnicity, class; color-based stigma; and cultural norms are crucial factors in determining their attitudes, motivations, decisions and behavior. The key elements for the provision of services to this population appear to be those which build on cultural norms and which network human and institutional resources.     

Disparities in Infant Mortality Rates Among Immigrant Caribbean Groups in New York City

SUMMARY

This study examined infant mortality rates (IMR) in New York City (NYC) to identify those groups reporting higher IMR concentrations in recent years and to determine what factors and explanations are associated with this new trend.

Analysis of data from NYC Department of Health (DOH) identified infant mortality patterns throughout the City by both maternal birthplace and NYC Health Districts. In addition, infant mortality rates for those NYC populations with the highest concentrations were compared to the most recently available IMR data from their countries of origin. Focus group sessions were conducted with women in the identified groups in New York City in an effort to obtain their perspectives on causality and other factors associated with the new trend.

Strong patterns emerged from this study pointing to a concentration of the City's highest IMR among groups from the circum-Caribbean region. Results of focus group sessions with women in the identified population groups yielded a list of specific barriers faced by this population in the utilization of perinatal care services. In addition, the study resulted in some clearly delineated program and policy approaches that can help to address the disparities in IMR.

Myriad causative factors contribute to the high rates of IMR among Caribbean immigrant groups. Expanding the availability of both successful program models and promising practices is critical to decreasing infant mortality in immigrant communities. Specific recommendations are for the development of a strategic set of interventions designed to eliminate this most serious challenge to the health of new immigrant groups in NYC.

Any references to comparisons between data from NYC and data from the countries of origin were merely to serve as a reference point as it is not often possible to determine the level of scientific rigor applied to the collection and analysis of data external to the United States (U.S.).

Implications for social work practice with immigrant populations include the need for delivery of culturally competent services in general and for cultural sensitivity to health beliefs surrounding maternal child health issues in particular.     

Quiet Casualties: An Analysis of U Non-Immigrant Status of Undocumented Immigrant Victims of Intimate Partner Violence

Although immigration policy is a key component of public administration scholarship in the United States, research into Intimate Partner Violence (IPV) for both documented and particularly undocumented immigrants has been tangential in focus. This exploratory study questions 1. the effect of immigration reform on U.S. undocumented immigrant women of IPV and

2. how changes in the number of undocumented immigrants affect IPV victimization rates and the regulations concerning U non-immigrant status.

A least-square trend line suggests that the 10,000 U visa applications permitted annually will not cover the undocumented female population of IPV let alone the victims qualified under the U non-immigrant status. Based on a review of the laws and policies regarding the U-Visa we provide several recommendations to reform immigration laws directed toward immigrant victims of IPV. This study adds to the growing, but still weak body of knowledge on abused immigrant female populations in the United States and how federal legislation toward immigration reform and policy will help these women become valuable contributors to our society.     

Immigration and the Remaking of New York

Abstract

The 1965 Immigration and Nationality Act abolished quotas that favored European immigrants, and for the first time placed all countries on an equal footing. The law resulted in increased overall immigration, and altered the sources of immigrants to the U.S. Since 1970, New York City has absorbed 2.6 million immigrants, primarily from non-European sources, who have dramatically altered the City's racial/Hispanic mix. Using immigration and birth records, as well as data from decennial censuses, this paper examines immigration to New York and assesses the demographic impact of these flows on the City's population.

Current immigrant flows have noticeably increased the ethnic diversity within the major race/Hispanic groups. This is largely due to increases in refugee flows, and to recent changes in immigration law that allow for “diversity” visas, which are aimed at countries that are under-represented in immigration flows to the U.S. Diversity immigration has provided New York with a continuing flow of new groups, most recently from Bangladesh, Mexico, Ghana, Nigeria, and Senegal, who have established enclaves in many of the City's neighborhoods. The increasing diversity poses serious challenges for social service and health care professionals, who need to devise new strategies to deal with the disparate socioeconomic backgrounds, cultures, and belief systems of new ethnic groups. This is especially important given that New York's ethnic mix will continue to be churned, especially by way of diversity immigration and refugee flows from all parts of the globe.     

Mexican Immigrants

Abstract

Social Work's history is embedded in this profession's service and commitment to immigrant populations. This new century presents itself with a new mixture of immigrants who come to United States (U.S.) shores seeking a better life. The challenge to social workers is to be well-versed in social policy, human behavior, and practice realms related to serving these immigrants. Schools of social work must insure that curriculum reflects the needs and situations of this new mix of immigrants. One of the largest groups in this mix are those immigrants from Mexico. Of particular concern is the adaptation of Mexican and other Latino immigrants who come to this country without documentation. Social workers have an ethical responsibility to serve these clients in a culturally competent and informed manner. They must keep updated on immigration policy and entitlement or eligibility issues that mitigate these immigrants' ability to survive.     

Understanding Immigration and Psychological Development

Abstract

Approximately one in five children in the U.S. are born to immigrant families in which at least one parent is foreign-born. Existing theoretical frameworks suggest that immigration experiences can increase acculturative stress and lead to developmental psycholopathology in immigrant children. These models, however, do not account for levels in the environment that trigger this stress and/or serve as forms of resilience. Drawing from Bronfenbrenner's multilevel, bioecological model of development, this paper presents a framework that charts environmental processes which generate or buffer acculturative stress and, therefore, mediate the impact of immigration on psychological well-being. Empirical research shows that Mexican immigrants, on the whole, fare better than U.S.-born groups in terms of mental health outcomes. These results are explained in the context of the presented theoretical model. Though further research is needed, preliminary evidence suggests that encouraging “enculturation,” as opposed to “acculturation,” has positive mental health repercussions for Mexican American children. Further research using the presented theoretical framework as well as policies and practices that incorporate and leverage the cultural strengths of Mexican immigrant children should be pursued.     

An East-West Approach to Serving Chinese Immigrants in a Mental Health Setting

Abstract

This article discusses the unique design of a community day treatment program that addresses the issues of loss and acculturation for a Chinese American immigrant population who suffers from chronic mental illness. The program utilizes an integrated, multi-cultural milieu of staff and clients to create a microcosm of the diversity of American society, and reflects the agency's belief in the affirmation of the clients' cultural heritage as a more effective way of supporting clients in their recovery process. Case vignettes are used to illustrate the importance of helping immigrant clients who are marginalized in society to feel accepted, empowered and hopeful in their lives in a new country.     

Chapter 3. Mental Health Care of Hispanic Immigrant Children

Abstract

This chapter addresses the mental health care of Hispanic immigrant children within a school-based context. The school system is presented as a natural support agent that is psychologically, culturally and geographically accessible for the delivery of culturally competent mental health services. The development of a multifaceted New York City public school-based program created, by the first author of this chapter, in response to the psychosocial needs of Hispanic immigrant children is discussed as a viable approach that may be used in the provision of ethnic-sensitive mental health care.     

International terrorism

In this article, it is argued that the U.S. ICBM force has no strategic value and should be dismantled. The article outlines a post‐cold war U.S. strategic nuclear force and proposes how this dyad force fits a strategy rather than offering a strategy to fit within the force. Deterrence theory anchors the analysis here. Second, this article asserts that U.S. security will be enhanced in the next century with Russian‐American cooperation on nuclear issues. Moving to a dyad now is step one in that direction, which in turn changes the perception of U.S. strategic weapons.

As weapons proliferate, deterrence against renegade nations and groups must become the cornerstone of U.S. doctrine. A dyad force and Russian‐American cooperation, both steps that restructure U.S. doctrine, will begin a process that deters these nations or groups.

This article depicts how each leg of the U.S. triad that remains following the START II treaty is a continuation of START I logic and planning. In other words, the article attempts to show how the rationale for a START II treaty force does not mirror a changed world. The purpose of this evidence is not to be dogmatic or critical but to strengthen the argument that U.S. nuclear strategy is still reflective of a bygone era.     

Paan and Gutka Use in the United States

Abstract

Smokeless tobacco and areca nut are popular with South Asians and South Asian immigrants, most commonly used as paan and gutka. Their regular use leads to oral cancer. The South Asian community in the U.S. is rapidly growing, where paan and gutka are readily available. The study was the first exploration of the migration of the paan and gutka habits, and their use in the U.S.

A 108-item questionnaire on paan and gutka usage and beliefs was administered to 138 first-generation Bangladeshi and Indian-Gujarati immigrant adults at community sites in the New York metropolitan area. Forty-five percent Indian-Gujaratis reported ever-regular paan use; of which 5% are current users. Thirty-one percent reported ever-regular gutka use; of which 77% are current users. Thirty-five percent Bangladeshis reported ever-regular paan use; of which 70% are current users. Nine percent reported ever-regular gutka use; of which 67% are current users. Bangladeshis are more likely to identify paan as causing oral cancer. Indian-Gujaratis are more likely to identify gutka as causing oral cancer.

Between the two communities, there were significant differences in paan and gutka usage, migration effects, and oral cancer risk perception. There is a need for comprehensive migration studies on the determinants of usage, and for community-specific interventions for these carcinogenic products.     

Social Justice Advocacy by and for Tibetan Immigrants

Abstract

Advocacy for immigrants empowers them to fight for social justice. For Tibetan immigrants this struggle for justice inside their home country has been part of their U.S. immigration experience. They have also been part of New York City immigrant coalitions that are advocating for basic services lost during the 1996 Welfare Reform. The need for more equable access to education is also addressed. Finally, the harshness of expedited removal of asylum seekers needs to be supplanted by procedures that safeguard human rights.     

Assassination and the law: A policy memorandum

Normally, assassination is a crime under international law. Yet there are rare, residual circumstances where it may be not only permissible but law enforcing. Insofar as international law is part of United States law, assassination might—in these very extraordinary circumstances—not be unlawful. Drawing on the explicit expectations of international law and the natural law foundations of U.S. municipal law, this article acknowledges that assassination must always be impermissible as an instrument of Realpolitik, but that in a world that continues to confront innocent populations with terrible harms (terrorism, war, genocide) assassination does have a proper place. Throughout this examination, philosophical and jurisprudential perspectives are fused with both pertinent tactical considerations and utilitarian calculations.     

Asylum Seekers Along the U.S.-Canada Border

Abstract

Given the large numbers of people fleeing their homelands, social workers are likely to encounter refugees from all over the world. Although the social work profession has a mandate to work with disenfranchised populations, limited attention has been paid to providing services to refugees. Residents of the largest refugee shelter in the U.S. were interviewed about their claims. These findings can help social workers understand the situations refugees come from as well as processes they go through in applying for legal status. With this information, it is possible to identify roles social workers can play with this vulnerable population.     

Health Care Versus Border Care: Justification and Hypocrisy in the Multilevel Negotiation of Irregular Migrants’ Access to Fundamental Rights and Services

Abstract

Providing—and also not providing—public services to unlawful residents implies a certain cost for host societies, and both inclusion and exclusion involve localized renegotiations of fundamental rights, legitimate needs, and social membership. Based on original qualitative research data, this article compares how, why, and under which conditions irregular migrants are granted or denied access to healthcare services provided in London and Barcelona. From a multi-level perspective and by drawing on organization theory, I highlight key differences in how the responsible governments deal with the underlying contradictions and thereby either help or hinder effective policy implementation.     

The Strategy of Exclusion in American Counterterrorism

ABSTRACT

While garnering heightened attention following the Trump administration's travel restrictions, exclusionary tactics in counterterrorism have a much lengthier history. Given that some terrorism studies scholars identify social and political exclusion as an explanation for the resort to terrorist violence, the selection of a strategy of exclusion is significant. In this article, I identify the elements of a strategy of exclusion and the logic behind this strategy. In particular, I examine the origins and persistence of this strategy in the U.S. context. Rather than a contemporary anomaly, exclusion was among the first strategies the United States added to its counterterrorist tool-kit, and has remained among the most consistent strategies relied on. I trace the history of this strategy from its origins in immigration restrictions passed following the assassination of President McKinley by an anarchist through the contemporary War on Terror. Controversy surrounding this strategy, its negative effects on nonviolent immigrant populations, and its failure to prevent further acts of terrorism suggest it was historically ineffective and may also be so today.     

Chapter 7. Mental Health Intervention with Dominican Immigrants

Abstract

Dominicans are a significant force in the changing composition of Hispanic immigration in the United States, and all indications are that they will continue to be in the years to come. A framework has been applied in which Dominican culture, psychosocial strengths and risks, and treatment implications are explored in the context of how Dominicans appear to be similar to and different from other Hispanic groups in the U.S. Much more needs to be done in terms of elaborating this combination of homogeneity and heterogeneity. Mental health practitioners who are open to such inquiry, and to keeping an open mind regarding the possibilities of modifications in therapeutic techniques and modality choices, will find Dominicans to be a clinically responsive, and an enjoyable population to work with.     

Traumatic Events and Symptoms Among Mexican Deportees in a Border Community

Research on traumatic events experienced among Mexicans deported from the United States is scant. Using clinical interviews, this study assessed the frequency of traumatic events and symptoms of post-traumatic stress disorder (PTSD) among 47 Mexican deportees in a U.S.-Mexico border community. The majority of participants (98%) reported having experienced one or more traumatic events (M = 9, SD = 5) and nearly half met DSM-IV-TR criteria for PTSD. Meeting criteria for PTSD was associated with a higher number of traumatic events. Results suggest that prevention, intervention, and policy efforts are necessary to improve the well-being of this understudied immigrant subgroup.     

Re-Conceptualization of Literature in Marketing on the Measurement of Differences within Immigrant/Ethnic Populations

Abstract

First, the importance of understanding what the key differences are between individuals in any ethnic population is highlighted. Next, the concept of assimilation is introduced as a construct by which these differences may be accounted for. Following this, the literature on the measurement of differences within ethnic markets is surveyed and classified in light of the assimilation construct and a set of conclusions based on this survey are drawn up. Finally, based on these conclusions, a set of recommendations is developed to guide researchers in the future who might wish to rigorously measure the major differences within any ethnic population group.     

Working with Caribbean Immigrants After the World Trade Center Tragedy

SUMMARY

Caribbean immigrants were among those transfixed by the destruction and human suffering caused by the World Trade Center tragedy. An emergent cliché is that life will never be the same after September 11th. This study explores the issues that impact the health and well-being of English-speaking Caribbean immigrants and challenges social workers to reassess their intervention with immigrant populations in the Post 9/11 era.     

A Failure of Imagination (Intelligence,WMDs, and “Virtual Jihad”)

Intelligence estimates based on models keyed to frequency and recency of past occurrences make people less secure even if they predict most harmful events. The U.S. presidential commission on WMDs, the 9/11 commission, and Spain's comisión 11-M have condemned the status quo mentality of the intelligence community, which they see as being preoccupied with today's “current operations” and tactical requirements, and inattentive to tomorrow's far-ranging problems and strategic solutions. But the overriding emphasis in these commissions' recommendations is on further vertically integrating intelligence collection, analysis, and operations. Such proposals to further centralize intelligence and unify command and control are not promising given recent transformations in Jihadist networks to a somewhat “leaderless resistance” in the wake of Al Qaeda's operational demise. To defeat terrorist networks requires grasping novel relations between an englobing messianic moral framework, the rootless intellectual and physical mobility of immigrant and diaspora communities, and the overarching conceptual, emotional, and logistical affordances of the Internet. Britain's WWII experience provides salutary lessons for thinking creatively with decentralized expertise and partially autonomous approaches.