We are excited to share Conversations with Margarita!
Margarita Alegría, PhD, is Chief of the Disparities Research Unit within the Mongan Institute at Mass General. Her research is focused on testing new models of care and interventions for improving health care and eliminating health care disparities for diverse populations.
Dr. Alegría recently started a monthly email series, and we loved it so much we wanted to share each month’s email on Bench Press. If you want to receive Dr. Alegría’s monthly email, be sure to sign up!
Disparities Research Unit
Mongan Institute
Harry G. Lehnert, Jr. and Lucille F. Cyr Lehnert Endowed MGH Research Institute Chair
Mass General Research Institute
Professor of Psychiatry
Harvard Medical School[/ultimate_heading]
As a researcher, I often discuss how data are a wealth of information. One of the crown jewels of our country’s data infrastructure—the U.S. Census—made headlines back in April with part one of its long-awaited release. Since 1790, our country has taken this once-a-decade headcount to understand who makes up America.
One major takeaway from the 2020 Census: our population is growing really slowly. This doesn’t bode well for our growth as a nation. If you look at countries like Japan that are ahead of us on this journey, a “graying” population—one with a large proportion of people of retirement age who aren’t in the workforce—hurts economic strength and weakens the social safety net for all.
What can we do to change our course? One idea is to value immigrants who live here and ensure they have opportunities to prosper. In 2015, Pew Research Center projected immigrants would make up 88 percent of the country’s population growth for the next 50 years. Though the new census data show a slowdown in immigration, it’s still set to become the main means of population growth over the next decade. And because this will be an extremely diverse population representing countries around the world, it’s important we recognize that the immigrant experience is not a singular story. We need to appreciate this diversity.
As many, many others have said before me, the United States is a nation of immigrants, and our economy would drastically suffer without them. One-quarter of the economic value of innovations in public companies are linked to immigrants. On top of that, 1 in 5 business owners are immigrant entrepreneurs.
While they drive our economy and society forward, people who immigrate to the United States also have to navigate new systems, cultural norms, and sometimes a new language. It’s a stressful process. My colleagues and I have found that even in the face of these challenges, many immigrant groups generally exhibit better mental health outcomes than expected. But these outcomes vary greatly depending on factors like race, ethnicity, income, country of origin, where one lives, and how old they were when they immigrated.
Supporting immigrant youth and first-generation Americans is essential to ensuring we all prosper. But our current systems—immigration, social, educational, and economic—are not well-designed to support them.
For instance, if a child is a U.S. citizen but their parents are not then the family can’t receive the child tax credit because there are eligibility restrictions based on immigration status. As my colleague Dolores Acevedo-Garcia recently wrote, these exclusions disproportionately hurt Latinx children. Also, 4 out of 5 immigrant children live in poverty, compared to about half of children born in the United States. These children are being left behind because of our public policies.
Some important steps are being taken to address these challenges, like the White House recently announcing that some DACA recipients would qualify for federal pandemic aid. We must continue to expand these opportunities so no one is left behind.
If the past year has taught me anything, it’s that the only way we all will prosper is if everyone has what they need to thrive. If we embrace and support all people—whether they were born in Sacramento or San Salvador, whether they speak English or Cantonese or Arabic—I’m confident that our future will be prosperous.
Cariños,
Margarita
Spotlight
Building Trust to Build Better Help
Like many organizations, the Greater Boston Chinese Golden Age Center had to get creative when COVID-19 began. The center offers a network of culturally and linguistically appropriate programs and services to Asian elders in Boston to help them maintain their independence and wellness at home. As social distancing became the norm, the center shifted their programs to be virtual, providing counseling support to seniors experiencing depression from the pandemic isolation and setting up virtual senior centers, outreach sites, and a wellness clinic.
In a small city in South Carolina, local groups have come together to make sure their immigrant community has what it needs to thrive. Greenville’s immigrant community is largely Hispanic and many live along a 12-mile stretch of road called the White Horse Road Corridor. LiveWell Greenville and the Hispanic Alliance lead the Build Trust, Build Health (BUILD) program, a nationally funded initiative that improves health and access to healthy food for Hispanic youth. The program promotes trust as a central pillar of its work. BUILD met with community members to understand exactly what they needed and found that barriers to healthy eating and activity ranged from access to transportation to language barriers. During the pandemic, the program has worked to meet residents’ needs, providing culturally appropriate food baskets and resources in multiple languages, among other efforts. I appreciate that the BUILD program has rallied a community together and is focused on building relationships and trust.
What I'm Reading
Foster and migrant kids shut out from COVID vaccinations (POLITICO)
In a country where the COVID-19 vaccine is so widely available, it’s disgraceful that some children—many of whom are already at risk for chronic health issues—could be last in line to receive their shots.
Learn about the hurdles some children will face to get vaccinated >
For Migrants, A Hopeful Journey Out of Darkness (U.S. News & World Report)
I am so encouraged that mental health counseling is starting to be treated as more of a priority for migrants at the U.S. border. We need to normalize this kind of support.
Hear about how mental health services are being prioritized >
Family Outreach is a Key Pillar of Support as English Learners Transition Back to In-person Instruction Amid Pandemic Concerns (New America)
As our schools reopen and return to in-person learning, we must continue to support English Learners and children of immigrants. I’m inspired by some school districts in California that are engaging families to ensure English Learners are supported in their education.
Read about strategies that are supporting English Learners >
Take Action
Listen…
To this podcast from the Commonwealth Fund about why immigrants should have fair access to health care.
Explore…
The Child Opportunity Index’s new interactive map to understand what kids in your neighborhood are experiencing and identify opportunities for targeting investments.
Read…
“Americanah” by Chimamanda Ngozi Adichie, a powerful story about identity and one view on the immigrant experience.
About the Mass General Research Institute
Massachusetts General Hospital is home to the largest hospital-based research program in the United States. Our researchers work side-by-side with physicians to develop innovative new ways to diagnose, treat and prevent disease.
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