Methods:
Respondents were non-citizens recruited from a temporary shelter in Phoenix, Arizona, who were immediately released by federal immigration authorities between February 2022 and August 2022. Participants completed a self-administered survey in either English or Spanish and were assessed for knowledge of COVID-19 risk behaviors, attitude toward mask-wearing, and economic challenges during the pandemic. We identified asylum seekers from Central and South Americas by two proxies: 1) the language of survey completed in Spanish group (SS group) or English (ES group), and 2) self-identified as Latinx over other racial and ethnic groups. Covariates included gender, age, educational attainment, and asylum status. To address missing values, we conducted a multiple imputation approach that aggregated estimates from 20 imputed datasets, resulting in 538 cases used for analyses. We used SPSS version 28.0 for multiple regression analyses with a 0.05 alpha level.
Results: Of the respondents, 87.9% completed the survey in Spanish (SS group) and 55.6% identified as Latinx, with non-Latinx Whites comprising 26.0% and other races comprising 18.4%. The average age was 33.4 year-old, 52.2% were female, and 93.1% identified as asylum seekers. Unadjusted analyses showed significant differences between groups by language used for the survey: the SS group (N=473) had a significantly higher proportion of female (57.9%), Latinx (62.8%), and those reporting seeking asylum (96.4%). Adjusted analyses showed that the SS group had significantly higher knowledge of COVID-19 risk behaviors (p<.001), more positive attitudes toward mask-wearing (p<.05), and more economic challenges during the pandemic (p<.001) compared to the ES group. However, no differences between Latinx and non-Latinx respondents were observed.
Conclusion and Implications: This study highlights additional economic challenges among non-citizens, particularly asylum seekers from Central and South America, and sheds light on their resiliency to mitigate the risk of COVID-19 infection. The findings address a research gap by studying non-citizens released by federal immigration authorities before they move to various communities. One limitation is that we lacked a question asking the country of origin and had to proxy the language used to identify those from Central and South Americas. Findings highlights significance of social workers who can play a critical role in addressing the economic, social, and emotional challenges faced by these individuals and promoting their health and well-being.