{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T02:51:39Z","timestamp":1794019899924,"version":"4.8.0"},"reference-count":51,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Maryland Grant Challenges Award"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Immigrant Minority Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Scholars have not conventionally examined the COVID-19 pandemic and immigration enforcement together or as having similar dimensions. We use the framework of cascading crisis to assess the impact of the cascading pandemic-immigration enforcement crisis on Latine immigrants\u2019 health from the perspectives of community health workers (CHWs) deeply embedded in immigrant communities. This qualitative study was carried out in a large metropolitan region across two phases: December 2024-January 2025 (focused on the pandemic period, January 2020-May 2023) and April-May 2025 (focused after the official end of the public health emergency in May 2023). We conducted 41 semi-structured interviews with CHWs recruited from four local organizations and analyzed data using thematic analysis. We identified three themes highlighting how CHWs described immigration enforcement as an extension of the pandemic: immigrants\u2019 lockdown mentality and decreased access to services, elevated distrust of the government, and barriers with information-sharing. Although CHWs effectively forged trust-building strategies during the pandemic that carried forward beyond its official end, this trust is now being undermined. In response, CHWs have had to innovate to adapt to immigrants\u2019 new circumstances and reaffirm trust. A multi-faceted approach to addressing the pandemic-immigration enforcement cascading crisis will be necessary, including health care professional advocacy, health care delivery innovation, the passage of inclusionary state-local policies, and alternate models of community care.<\/jats:p>","DOI":"10.1007\/s10903-026-01967-z","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T07:52:55Z","timestamp":1786089175000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cWe\u2019re Worse off Now Than During COVID\u201d: Community Health Workers\u2019 Perspectives on Intensifying Immigration Enforcement as Cascading Crisis"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6330-4381","authenticated-orcid":false,"given":"Christina","family":"Getrich","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5052-6056","authenticated-orcid":false,"given":"David","family":"Liendo Uriona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Atwell Seate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Zelaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lahne","family":"Mattas-Curry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke Fisher","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"issue":"8","key":"1967_CR1","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.2105\/AJPH.2025.308158","volume":"115","author":"LN Borrell","year":"2025","unstructured":"Borrell LN, Kapadia F. The escalating war on immigrants is a public health crisis. Am J Public Health. 2025;115(8):1220\u20131. https:\/\/doi.org\/10.2105\/AJPH.2025.308158.","journal-title":"Am J Public Health"},{"key":"1967_CR2","unstructured":"American Immigration Council. Mass deportation: analyzing the Trump administration\u2019s attacks on immigrants, democracy, and America. 2025. https:\/\/www.americanimmigrationcouncil.org\/report\/mass-deportation-trump-democracy\/. Accessed 25 Sept 2025."},{"key":"1967_CR3","doi-asserted-by":"publisher","DOI":"10.1377\/forefront.20250801.69805","author":"MEDT Young","year":"2025","unstructured":"Young MEDT, Kline N, LeBr\u00f3n AMW, Lopez W, Michelen M, Novak NL. Deportation is violent; protests are not: What health care professionals can learn from immigrant organizers. Health Aff Forefr. 2025. https:\/\/doi.org\/10.1377\/forefront.20250801.69805.","journal-title":"Health Aff Forefr"},{"key":"1967_CR4","unstructured":"American Immigration Council. What\u2019s in the Big Beautiful Bill? Immigration and border security unpacked. 2025. https:\/\/www.americanimmigrationcouncil.org\/fact-sheet\/big-beautiful-bill-immigration-border-security\/. Accessed 20 Aug 2025."},{"key":"1967_CR5","unstructured":"Mascia J. How many people have been shot in ICE raids? 2026. https:\/\/www.thetrace.org\/2025\/12\/immigration-ice-shootings-guns-tracker\/ Accessed May 14, 2026."},{"key":"1967_CR6","unstructured":"Pillai A, Pillai D, Artiga S. Deaths and health care issues in ICE detention centers under the Second Trump Administration. 2026. https:\/\/www.kff.org\/racial-equity-and-health-policy\/deaths-and-health-care-issues-in-ice-detention-centers-under-the-second-trump-administration\/. Accessed 14 May 2026."},{"key":"1967_CR7","doi-asserted-by":"crossref","unstructured":"Casta\u00f1eda H. Borders of belonging: Struggle and solidarity in mixed-status immigrant families. 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