abstract: 'OBJECTIVE: The United States benefits economically and socially from the

  diverse skill-set and innovative contributions of immigrants. By

  applying a socioecological framework with an equity lens, we aim to

  provide an overview of the health of children in immigrant families

  (CIF) in the United States, identify gaps in related research, and

  suggest future areas of focus to advance health equity.

  METHODS: The literature review consisted of identifying academic and

  gray literature using a MeSH Database, Clinical Queries, and relevant

  keywords in 3 electronic databases (PubMed, Web of Science, and

  BrowZine). Search terms were selected with goals of: 1) conceptualizing

  a model of key drivers of health for CIF; 2) describing and classifying

  key drivers of health for CIF; and 3) identifying knowledge gaps.

  RESULTS: The initial search produced 1120 results which were screened

  for relevance using a meta-narrative approach. Of these, 224 papers were

  selected, categorized by topic, and reviewed in collaboration with the

  authors. Key topic areas included patient and family outcomes,

  institutional and community environments, the impact of public policy,

  and opportunities for research. Key inequities were identified in health

  outcomes; access to quality health care, housing, education, employment

  opportunities; immigration policies; and inclusion in and funding for

  research. Important resiliency factors for CIF included strong family

  connections and social networks.

  CONCLUSIONS: Broad structural inequities contribute to poor health

  outcomes among immigrant families. While resiliency factors exist,

  research on the impact of certain important drivers of health, such as

  structural and cultural racism, is missing regarding this population.

  More work is needed to inform the development and optimization of

  programs and policies aimed at improving outcomes for CIF. However,

  research should incorporate expertise from within immigrant communities.

  Finally, interventions to improve outcomes for CIF should be considered

  in the context of the socioecological model which informs the upstream

  and downstream drivers of health outcomes.'
affiliation: 'Linton, JM (Corresponding Author), UofSC Sch Med Greenville, 607 Grove
  Rd, Greenville, SC 29605 USA.

  Ayalew, Betlihem; Linton, Julie M., UofSC Sch Med Greenville, 607 Grove Rd, Greenville,
  SC 29605 USA.

  Dawson-Hahn, Elizabeth, Univ Washington, Harborview Med Ctr, Seattle Childrens Res
  Inst, 325 9Th Ave, Seattle, WA 98104 USA.

  Cholera, Rushina, Duke Univ, Duke Sch Med, Dept Pediat, Natl Clinician Scholars
  Program, Durham, NC 27706 USA.

  Cholera, Rushina, Duke Univ, Margolis Ctr Hlth Policy, Durham, NC USA.

  Falusi, Olanrewaju, George Washington Univ, Sch Med \& Hlth Sci, Childrens Natl
  Hosp, Child Hlth Advocacy Inst, Washington, DC 20052 USA.

  Falusi, Olanrewaju, George Washington Univ, Sch Med \& Hlth Sci, Childrens Natl
  Hosp, Div Gen \& Community Pediat, Washington, DC 20052 USA.

  Haro, Tamar Magarik, Amer Acad Pediat, Fed \& State Advocacy, North Washington,
  DC USA.

  Montoya-Williams, Diana, Childrens Hosp Philadelphia, Roberts Ctr Pediat Res 2714,
  Div Neonatol, Philadelphia, PA 19104 USA.

  Linton, Julie M., Prisma Hlth Childrens Hosp, Greenville, SC USA.'
author: Ayalew, Betlihem and Dawson-Hahn, Elizabeth and Cholera, Rushina and Falusi,
  Olanrewaju and Haro, Tamar Magarik and Montoya-Williams, Diana and Linton, Julie
  M.
author-email: Julie.linton@prismahealth.org
author_list:
- family: Ayalew
  given: Betlihem
- family: Dawson-Hahn
  given: Elizabeth
- family: Cholera
  given: Rushina
- family: Falusi
  given: Olanrewaju
- family: Haro
  given: Tamar Magarik
- family: Montoya-Williams
  given: Diana
- family: Linton
  given: Julie M.
da: '2023-09-28'
eissn: 1876-2867
files: []
issn: 1876-2859
journal: ACADEMIC PEDIATRICS
keywords: 'children in immigrant families; health equity; immigration policy;

  prefers language other than English; socioecological model'
keywords-plus: 'LIMITED ENGLISH PROFICIENCY; MENTAL-HEALTH; EPIDEMIOLOGIC PARADOX;

  DEPRESSIVE SYMPTOMS; CARE; DISPARITIES; COMMUNITY; LANGUAGE; NEEDS;

  ADOLESCENTS'
language: English
month: JUL
number: '5'
number-of-cited-references: '164'
pages: 777-792
papis_id: e5fde64711056de926361145cd59b854
ref: Ayalew2021healthchildren
times-cited: '10'
title: 'The Health of Children in Immigrant Families: Key Drivers and Research Gaps
  Through an Equity Lens'
type: Article
unique-id: WOS:000669630200004
usage-count-last-180-days: '1'
usage-count-since-2013: '9'
volume: '21'
web-of-science-categories: Pediatrics
year: '2021'