Immigration Reporting Laws: Ethical Dilemmas in Pediatric Practice

Objectives. This study assessed the potential impact of immigration reporting requirements on pediatricians' referrals to child protective services.Methods.A random sample of 200 Massachusetts pediatricians were surveyed. Chi-square and logistic regression analyses were performed.Results.Asked whether potential deportation of the family would cause them to question or alter a decision to refer, 50% of the respondents said yes.Conclusions.Pediatricians, as mandated reporters of child abuse, will face ethical dilemmas if laws requiring reporting of immigration status are enacted. (Am J Public Health. 1998;88:967-968)