The physical health status, service utilisation and barriers to accessing care for asylum seekers residing in the community: a systematic review of the literature
Asylum seekers appear to utilise health services at higher rates than the host population, yet face significant barriers to care. Studies that explore policy options, including cross-country comparisons, to foster equity of access and reduce health inequalities between asylum seekers and the host population are urgently required.
Asylum seekers residing in community settings while they await a decision on their refugee status have a disproportionate burden of physical morbidity, this review aimed to understand this disparity. Nine qualitative and 23 quantitative studies were identified. The quality and size of the studies was variable but 11 were judged to be of high quality. Asylum seekers have complex health profiles which include infectious diseases, chronic non-communicable conditions, and reproductive-health issues. Barriers to accessing health care include; affordability, literacy, perceived effectiveness and quality of health services, mistrust, discrimination, linguistic and cultural factors.
Adults, Both sexes, Cardiovascular diseases, Conflict, Displaced population, Extreme violence, Gastrointestinal infections, Health, HIV and sexually transmitted infections, Infections and infectious diseases (all), Injuries (all), Maternal and perinatal health, Mental health, Non-communicable diseases (all), Orthopedic injuries, Population displacement, Respiratory infections, Sexual and reproductive health, Skin infections, Vaccine-preventable infections, Viral fevers, Zoonotic and other parasitic infections