What can psychologists do to address social determinants of health and promote health equity among America's approximately 20 million children in immigrant families (CIF)? This article identifies gaps in current research and argues for a stronger role for psychologists. Psychologists can advocate for and enact changes in institutional systems that contribute to inequities in social determinants of health and promote resources and services necessary for CIF to flourish. We consider systemic exclusionary and discriminatory barriers faced by CIF, including a heightened anti-immigrant political climate, continued threat of immigration enforcement, restricted access to the social safety net, and the disproportionate health, economic, and educational burden of the COVID-19 pandemic. We highlight the potential role of psychologists in (a) leading prevention that addresses stressors such as poverty and trauma; (b) changing systems to mitigate risk factors for CIF; (c) expanding workforce development across multiple disciplines to better serve their needs; (d) identifying mechanisms, such as racial profiling, that contribute to health inequity, and viewing them as public health harms; and (e) guiding advocacy for resources at local, state, and federal levels, including by linking discriminatory policies or practices with health inequity. A key recommendation to increase psychologists' impact is for academic and professional institutions to strengthen relationships with policymakers to effectively convey these findings in spaces where decisions about policies and practices are made. We conclude that psychologists are well positioned to promote systemic change across multiple societal levels and disciplines to improve the well-being of CIF and offer them a better future. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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解决移民家庭儿童的健康不平等问题：心理学家作为领导者和跨系统的联系。

心理学家可以做些什么来解决健康的社会决定因素并促进美国大约 2000 万移民家庭 (CIF) 儿童的健康公平？本文指出了当前研究中的差距，并主张心理学家发挥更大的作用。心理学家可以提倡和制定制度体系的变革，这些制度体系会导致健康问题社会决定因素的不平等，并促进 CIF 蓬勃发展所需的资源和服务。我们考虑了 CIF 面临的系统性排斥和歧视性障碍，包括反移民政治气氛加剧、移民执法的持续威胁、社会安全网的使用受限以及 COVID-19 大流行带来的不成比例的健康、经济和教育负担. 我们强调心理学家在以下方面的潜在作用：（a）领导预防以解决贫困和创伤等压力源；(b) 改变系统以减轻 CIF 的风险因素；(c) 扩大跨多个学科的劳动力发展，以更好地满足他们的需求；(d) 确定导致健康不公平的机制，例如种族定性，并将其视为公共健康危害；(e) 在地方、州和联邦各级指导资源宣传，包括将歧视性政策或做法与健康不公平联系起来。增加心理学家影响的一个关键建议是学术和专业机构加强与政策制定者的关系，以在制定政策和实践决策的空间有效地传达这些发现。我们的结论是，心理学家完全有能力促进跨多个社会层面和学科的系统性变革，以改善 CIF 的福祉并为他们提供更美好的未来。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。