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PLANNING AHEAD

Day 147 MCAT Practice Question

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Passage 5

Migrants detained and held in immigration and other detention settings in the U.S.

have faced increased risk of COVID-19 infection…this study sought to estimate

rates of COVID-19 testing, infection, care seeking, and vaccination among Mexican

migrants detained by U.S. immigration authorities and forcibly returned to Mexico.



We conducted a cross-sectional probability survey of Mexican migrants deported

from the U.S. to three Mexican border cities: Tijuana, Ciudad Juárez, and Matamoros (N

= 306)...survey measures included self-reported history of COVID-19 testing, infection,

care seeking, vaccination, intentions to vaccinate, and other prevention and risk factors.

Weighted data were used to estimate population-level prevalence rates. Bivariate tests

and adjusted logistic regression models were estimated to identify associations between

these COVID-19 outcomes and demographic, migration, and contextual factors.

Age, English fluency, and length of detention were positively associated with testing

and vaccination history, whereas detention in an immigration center and length of

time living in the U.S. were negatively related to testing, infection, and vaccination

history. Survey city and survey quarter also showed adjusted associations with

testing, infection, and vaccination history, reflecting potential variations in access to

services across geographic regions and over time as the pandemic unfolded.



This study provides insights into the extent of COVID-19 testing, infection, care, and

vaccination among Mexican migrants deported from the U.S., an underserved and

understudied migrant population. The results show that at least a third had a history

of diagnosed or suspected infection, and over 44% were held in crowded conditions.

The study also demonstrates insufficient access to testing and care for COVID-19,

but higher-than-expected levels of vaccination and willingness to get vaccinated

among those not yet immunized. As we prepare for future waves of the pandemic

and potentially more transmissible and/or deadly variants, decarceration and other

measures aimed at reducing COVID-19 risk and increasing access to preventive

services and treatment among detained migrants must be planned and implemented.



Figure 1: COVID-19 testing, infection, and vaccination among deported Mexican

migrants: Results from a survey on the Mexico-U.S. border. Adapted from MartínezDonate et al. (2022).
Which statement about social stratification is incorrect?

A) Intersectionality increases the chance that someone is able to experience

social reproduction

B) Without a true meritocracy, horizontal mobility is often more feasible than

vertical mobility

C) Privilege tends to be positively correlated with social power

D) Disparities in social and cultural capital exacerbate class consciousness
Click to reveal answer
Correct answer is A

Intersectionality refers to the concept that individuals who identify with multiple

minority groups (e.g. someone who is both an ethnic and a religious minority, in

comparison to the dominant majority of their community) tend to experience an

even greater level of discrimination. As a result of the enhanced discrimination, they

are less, rather than more, likely to experience social reproduction, or the ability to

experience the same level of socioeconomic success that their parents enjoyed

as there may be more obstacles and hurdles that they must overcome simply to

maintain their current socioeconomic status. For this reason, Answer A is correct.
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