Search Results (250)

The global population of forcibly displaced persons (FDPs), including refugees and asylum seekers, surpassed 120 million in 2024. Understanding research trends on FDP health is essential for addressing their complex needs. To characterize trends in health research focused on these populations, we conducted a bibliometric analysis of PubMed-indexed publications from 2000 to 2024 using the title and abstract-based search terms “refugee,” “asylum seeker,” “asylee,” and “forcibly displaced.” A total of 1590 relevant publications were included. Research output grew modestly from 2000 to 2013, surged between 2013 and 2017, and slowed from 2017 to 2024. Review articles dominated (64%), followed by comparative studies (13%) and randomized controlled trials (8%). Mental and psychosocial health was the most common theme (31%), followed by health policy (26%) and children/youth (22%). Non-communicable diseases (9%) and climate-related health (1.5%) were underrepresented. Geographic focus shifted from Southeast Asia and East Africa in the early 2000s, to Syria post-2016, then with emerging attention to Rohingya and Ukrainian refugees in the early 2020s. This study provides an updated overview of Pubmed-indexed research trends, and highlights thematic and geographic gaps that warrant further investigation. Full article

Introduction: Inequities in access to medicines persist for asylum seekers, refugees, and undocumented migrants in Europe. For vaccines, access gaps not only exist for these groups in childhood routine immunization, but also for life-course and catch-up vaccinations. As part of a broader project examining access to medicines and vaccines for migrants across all stages of the migration cycle, this scoping review synthesizes evidence on the determinants of access to vaccines. Methods: We conducted a scoping review across PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Database of Systematic Reviews, Scopus, and grey literature sources, covering the period 2000–2024. Sources were eligible if they addressed access to vaccines among migrants. We examined access to vaccines along the life course, and across phases of the migratory cycle, including departure, transit, reception and settlement, and return or deportation. Results: A total of 47 research studies and grey literature reports were included. Most studies focused on migrants in reception and settlement (destination) settings, with only twelve sources addressing other phases of the migratory cycle. Across European countries, migrants were frequently reported to have lower uptake of routine vaccines (e.g., measles–mumps–rubella (MMR), polio, diphtheria–tetanus–pertussis (DTP), and human papillomavirus (HPV)) and COVID-19 vaccines than host populations. The most frequently reported barriers were related to migrants’ legal status, administrative requirements, and lack of documentation, alongside poor affordability of vaccination, limited awareness of their rights, and mistrust in the health system. Conclusions: Health systems need to adopt innovative approaches to expand vaccine access for migrant populations. Further, protecting confidentiality is essential for building trust and reducing ethical and legal risks. Flexible and coordinated vaccination strategies are required to address migrants’ mobility across the different migration stages and settings. Our findings appeal for sustained improvements in access to vaccines among migrants in Europe, contingent on strong policy commitments to equity, data protection, and the adoption of life-course and catch-up vaccination strategies. Full article

While South Africa’s Constitution guarantees the right to healthcare for all who live in the country, there are still inequities that affect vulnerable groups. Based on migration status, this paper examines how discrimination intersects with structural and institutional practices to produce unequal access to healthcare services for black foreign migrants and asylum seekers in South Africa. Desk reviews of policy frameworks, relevant academic literature, and documented case reports were used to analyze the disconnect that exists in South Africa’s rights-based legal commitments and the lived realities of foreigners in the country. Adopting a theoretical framework that integrates structural violence, intersectionality, and bureaucratic discretion, the findings are discussed by conceptualizing discrimination as a structural and interpersonal determinant of health. The findings suggest that the experiences of foreign nationals regarding access to healthcare services are not incidental but embedded within complex socio-political dynamics of scarce resources, institutional practices, and institutional ambiguity. The consequences of these inequities involve delayed care-seeking and increased vulnerability to preventable diseases among black immigrants, with a broader public health risk. Drawing from the study, policy clarity is recommended, and the strengthening of accountability mechanisms to ensure equitable access to healthcare in the country. Full article

Whilst all asylum seekers find themselves in a difficult position while trying to be recognised as refugees, some are in more perilous situations than others. Those asylum seekers that are unaccompanied (UAS) children are manifestly in greater need of care and protection than most adult asylum seekers, given their minority (under 18) and being without the protection of a primary carer. Any child who is in the care of the state should always be placed in age-appropriate and safe accommodation and in the care of staff who are properly trained; UAS children are no different. Typically, these functions are performed by local authorities through their social work departments. However, the UK’s previous Conservative government’s practice of using hotels to accommodate UAS children in England from 2021–2024 fell short of its human rights obligations towards UAS children. This paper argues that through this and related policies, the government was actively involved in compounding the victimisation of already susceptible children who had fled their country of origin thinking (mistakenly) that their human rights would be respected here. Full article

This paper discusses emerging findings from a large-scale, ongoing UKRI-funded study (2024–2027) undertaken in twelve diverse areas of England. While the main project focuses on reducing health inequalities for refugees, asylum seekers and migrant populations, this interim paper focuses on emerging evidence related to the question of how perceptions of deservingness and route of entry link to access to housing and support services available to the four main refugee, asylum seeking and migrant groups who are the predominant focus within the wider research study. We argue that the level and type of support received and access to housing have a direct impact on the wellbeing of the populations. Housing is one of the key social determinants of health, with impacts on both mental health and broader wellbeing. Our findings show that nationality, together with route of entry, legal status and eligibility for statutory support (or lack thereof), clearly affects housing pathways. This, in turn, impacts on the likelihood of being housed in temporary/dispersal accommodation, as well as experiencing homelessness and longer-term housing precarity. These are factors which are widely recognised as affecting mental health and wellbeing, as well as the ability to receive uninterrupted health care for other conditions. This study explores how vulnerability, desirability, and deservingness shape different trajectories of refugee housing and resettlement and the resultant impacts on different migrant populations. Full article

Hepatitis C virus (HCV) infection is still a major worldwide health concern. It is distinguished by a high degree of genetic variation that affects the course of the illness and the effectiveness of treatment. The epidemiological profile of HCV is prone to rapid change in areas where there is significant human migration, like Turkey. The purpose of this study was to evaluate the impact of long-term migration on local viral diversity by analyzing the distribution and temporal trends of HCV genotypes among Turkish citizens and asylum seekers in Kayseri, Turkey, over an eight-year period. From January 2014 to December 2021. 1173 HCV RNA-positive patients at Kayseri City Training and Research Hospital were the subject of a retrospective analysis. Genotypes were determined using the Abbott RealTime HCV Genotype II assay and Montania 4896 assay (Anatolia Geneworks, Türkiye). The most prevalent genotypes were Genotype 1b (48.3%, 95% CI: 45.5–51.2%), Genotype 4 (25.0%, 95% CI: 22.5–27.5%), and Genotype 1a (10.3%, 95% CI: 8.6–12.1%). Turkish patients exhibited the highest prevalence of Genotype 1b (98.2%), while asylum seekers demonstrated greater relative burdens of Genotype 4 (8.5% of total GT4) and Genotype 5 (83.3% of total GT5). Genotype 3a emerged in 2018, with a predominance in males (73.9%). The Cochran–Armitage trend test revealed statistically significant increasing trends for Genotype 3 (Z = 3.572, p = 0.0004) and Genotype 3a (Z = 2.600, p = 0.009). This eight-year retrospective study demonstrates that the HCV genotype distribution in Kayseri has undergone significant changes in the context of migration and demographic shifts. The statistically significant increasing trends of Genotypes 3 and 3a, particularly among younger male populations, suggest evolving transmission dynamics. These findings underscore the necessity of demographically targeted and culturally appropriate screening and treatment strategies for both resident and migrant populations to achieve HCV elimination goals. Full article

The article is based on On the Move a holistic, playful movement intervention with children in Red Cross asylum centers in Denmark. Children in asylum centers in Denmark have diverse backgrounds, challenges, and resources. Common challenges due to their life situations can include potential trauma stemming from flight, migration, and/or war experienced by the children and their parents. Furthermore, they live with uncertainty regarding future relocation. These conditions may induce a state of alert, as the children’s foundations feel insecure. These circumstances can also affect the children’s emotional, cognitive, motor, and relational developmental processes. On the Move is a practice-based research project focused on examining how participation in a long-term holistic, playful movement intervention can support children in asylum centers regarding connectedness. The research project is inspired by a phenomenological understanding of body and movement, hermeneutic–phenomenological research, practitioner research, and Arts-Based Research. The data presented here is derived from scenic descriptions and interviews collected during the research project. The theoretical framework is based on the concepts of ontological security, movement philosophy and movement psychology. The article illuminates one of the main practice-based thematic findings from the research project: “Children sway—movement processes”. The article highlights challenges faced by the children due to their life situations and shows how teachers can support the children’s participation in the intervention. The article focuses both on the children’s life situations viewed by professionals and on the children’s movement processes during the intervention. In the movement processes, the children can enter a state in which they are described as being in harmony with the movements, with themselves, and with others. In this way, participating in a holistic, playful movement intervention can support the connectedness of children in asylum centers. Full article

Refugees and asylum seekers (RASs) are among the most marginalised, vulnerable, and economically disadvantaged groups worldwide. As a result, many government and non-government organizations, including migrant-led community organizations (MLCOs), support RASs to improve their lives in their host countries. However, there is a lack of research on the role and challenges of MLCOs supporting RASs. Therefore, informed by the concepts of grassroots humanitarianism and ethnic capital, and based on data collected through focus group discussions, this article explores the rationale, activities, and challenges of Eritrean MLCOs in England. The findings indicate that MLCOs help fill some gaps left by government agencies by providing RASs with strong advocacy and support systems to protect their rights and meet their needs. Although volunteers with limited funding run these organizations, they utilise ethnic capital to provide knowledge, raise awareness, and deliver culturally sensitive services to RASs in their own language. This article advances understanding of MLCOs’ work and improves their services to better meet the needs of RASs. It also contributes to knowledge by highlighting MLCOs’ role as sites of learning and education. Full article

The COVID-19 pandemic exacerbated structural, social, economic, and racial inequalities affecting immigrant, refugee, and asylum-seeking men—vulnerable populations often overlooked in men’s health research. This study investigated the health conditions of immigrant, refugee, and asylum-seeking men during the COVID-19 pandemic. A scoping review was conducted following Joanna Briggs Institute guidance, and a qualitative lexical analysis (text-mining of standardized study syntheses) was performed in IRaMuTeQ using similarity analysis, descending hierarchical classification, and factorial correspondence analysis. We identified 93 studies published between 2020 and 2023 across 35 countries. The evidence highlighted vaccine hesitancy, high epidemiological risks (infection, hospitalization, and mortality), barriers to accessing services and information, socioeconomic vulnerabilities, psychological distress (e.g., anxiety and depression), and structural inequalities. Findings were synthesized into four integrated thematic categories emphasizing the role of gender constructs in help-seeking and gaps in governmental responses. Most studies focused on immigrants, with limited evidence on refugees and especially asylum seekers; therefore, conclusions should be interpreted cautiously for these groups. Overall, the review underscores the urgency of multisectoral interventions, universal access to healthcare regardless of migration status, culturally and linguistically appropriate outreach, and gender-sensitive primary care strategies to support inclusive and resilient health systems. Full article

Historically, the number of United Kingdom (UK) emigrants has exceeded the number of immigrants, but this trend began to change in the early 1970s. The UK government has been enforcing strict immigration controls to reduce the number of immigrants, especially asylum seekers. The country even left the European Union to better control its borders and consider new arrivals based on their skills. However, despite tighter immigration policies, long-term international migration to the UK has continued to grow. The ongoing, and to some extent gendered and racialised, migration fix has not provided a sustainable solution for the country. Instead, it has increased the vulnerability and anxiety of refugees, asylum seekers, and other migrants. Informed by a scoping review and the concept migration fix, this article examines UK immigration policies since World War II. This article is important for understanding the migration fix in UK immigration and asylum policies and their effects on asylum seekers, refugees, and other migrants. Full article

Refugees often face significant barriers to healthcare access and integration, contributing to poor health outcomes. Although perceptions of health are known predictors of self-reported health status, little is known about how refugees themselves conceptualize health. This study employed a community-engaged, transformative mixed-methods design to explore refugee health perceptions in the Denver-metro area. Data collection included 149 surveys and 27 interviews with refugees and asylum seekers conducted between November 2018 and March 2019. Hierarchical linear regression was used to assess associations between social determinants of health (SDoH) and self-reported health, while qualitative data were analyzed using a constant comparative approach. The final regression model explained 75.8% of the variance in self-reported health (R² = 0.758, p < 0.001). Significant predictors included country of origin (Burma: −3.419, p = 0.030; Somalia: −9.155, p < 0.001), age (1.901, p < 0.001), sex (male: −3.252, p < 0.001), and education level (−0.999, p < 0.001). Qualitative findings revealed themes such as health as the ability to live life and health as happiness, each shaped by cultural context, community connectedness, and perceptions of safety. Integrating these findings highlights how structural conditions and culturally rooted understandings of well-being intersect to shape refugee health after resettlement. This study underscores the need for public health and clinical interventions that center refugee-defined priorities and suggests future research should incorporate constructs, such as happiness and culturally grounded notions of safety, that emerged as central to health in this study. Full article

Women seeking asylum experience markedly poorer health outcomes than refugees, other migrants, and host populations, with sexual and reproductive health (SRH) needs that are complex and multidimensional. This qualitative study explored the barriers to and enablers of accessing preventive SRH care among women seeking asylum in Australia. Between March 2022 and September 2023, semi-structured interviews were conducted with twelve women from eight countries. Using a socioecological framework, analysis revealed that access to preventive SRH care is shaped by intersecting factors at individual, interpersonal, community, and policy levels. Key barriers included limited knowledge of preventive care, psychosocial and financial constraints, fragmented health services, and restrictive immigration policies. Enabling factors included culturally concordant care, continuity with trusted general practitioners, and supportive community and social relationships. The findings underscore how structural and relational factors intersect to influence SRH access and highlight the need for coordinated, multi-level strategies to promote equitable SRH care for women seeking asylum in Australia. Full article

This article examines the development of Islamic education in Islamic primary schools in the Netherlands from 1988 to 2025. Since the early 1970s, the Muslim population in the Netherlands has grown significantly—initially due to labor migrants from Turkey and Morocco, and later as a result of asylum seekers from countries such as Somalia, Iraq, and Syria. The desire to practice and pass on their faith led to the establishment of mosques, educational centers, boarding schools, and eventually Islamic primary schools. In 1987, some of the founders of Islamic primary schools aspired to establish institutions similar to Madrasas, focusing heavily on Islamic instruction such as Qur’an recitation and Hadith studies. However, these ambitions could not be realized due to funding requirements. Others were inspired by the Imam Hatip schools in Turkey, which offer religious subjects such as Qur’an, Hadith, and Sira (the life of the Prophet Muhammad) alongside the national curriculum. Ultimately, a Dutch model of Islamic education emerged—partly influenced by the Imam Hatip concept, yet possessing a distinct identity. This study investigates how Islamic education has evolved in practice through semi-structured interviews, school observations, document analysis, and a national survey of religion teachers. The findings indicate that the desire to provide Islamic religious education was the primary motive behind the founding of the first Islamic primary school in 1988. Since then, this objective has remained central to school boards and parents alike. Religious education has progressed from fragmented teaching materials rooted in Arabic and Turkish contexts to coherent, Dutch-language curricula. By 2025, the teaching materials of Worden wie je bent (“Becoming Who You Are”) and the Amana have become dominant. Instruction encompasses not only religious knowledge and Qur’an recitation but also social-emotional development, citizenship, and sexuality education within an Islamic framework. Full article

Introduction: Building a life in an asylum country poses specific challenges for women, who often face compounded barriers in healthcare, language acquisition, economic independence, childcare, education, cultural adaptation, and legal processes. This study examines the experiences of asylum-seeking women in Portugal, focusing on discrimination perpetrated by professionals within reception and integration institutions. Methods: Drawing on 24 semi-structured interviews with women from the Middle East (n = 14) and Africa (n = 10), this research adopts a criminological and gender lens and employs a narrative paradigm informed by constructivist Grounded Theory and an abductive approach. Results: The analysis reveals that institutional discrimination, manifested through neglect, hostility, and cultural insensitivity, reinforces feelings of abandonment and fear, obstructs integration, and perpetuates cycles of marginalization and vulnerability. These dynamics are intensified by gender-based and structural violence embedded in asylum procedures and professional practices. The findings highlight the emotional and relational dimensions of institutional encounters, showing how empathy, trust, and intercultural awareness among professionals are crucial for effective inclusion. Conclusions: This study concludes that addressing institutional discrimination requires systemic change, professional training in gender-sensitive and intercultural competencies, and the promotion of equitable, inclusive, and human rights-based reception practices in Portugal. Full article

The UNHCR reported that over 123.2 million people were forcibly displaced worldwide by the end of 2024, with the mental health of refugees emerging as a critical issue. In the UK, asylum seekers and refugees make up around 13% of immigrants and the number is increasing year on year. The Immigration and Asylum Act 1999 aimed to ensure that most cases of asylum seekers would be decided fairly, and within six months. However, it has been argued that long wait times and systemic inequalities and inequities within the asylum system have contributed to heightened mental health problems among refugees even once they gain refugee status. The present study aimed to examine the factors that refugees perceive as limiting their ability and willingness to access mental health services in the UK. A systematic review of 15 relevant articles followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Results highlight intersecting perceived limitations to accessing mental health services, such as language difficulties, cultural disconnection regarding mental health including stigma and prejudice, mistrust of services as well as structural barriers including general service limitations and the involuntary transient nature of many refugees’ lives. Policy recommendations emphasize integrating ethnic minority organizations into services, developing culturally adapted services that take into consideration the views of refugees, and ensuring holistic approaches to address socio-economic determinants. Full article