Dawson Angela, Adjei-Mensah Evelyn, Hayen Andrew, Nathan Sally, Heywood Anita, Mahimbo Abela, Merrington Heidi, Rogers Claire
School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.
Department of Community Health, University of Ghana Medical School and Korle-Bu Teaching Hospital, Accra, Ghana.
BMC Public Health. 2025 Jan 6;25(1):45. doi: 10.1186/s12889-024-20915-w.
A health assets-based approach seeks to identify health-promoting or protective factors across multiple levels. Evidence of the health assets of refugees at the individual, family, and community levels in Australia is scarce. We aimed to synthesise current evidence from Australia to identify refugee health assets and explore how they influence health and well-being. We explored existing strengths that can be harnessed to ensure sustainable, equitable, and culturally responsive health interventions.
We systematically reviewed qualitative and quantitative observational and experimental Australian studies. We searched MEDLINE/PubMed, EMBASE, CINAHL, psych INFO, Web of Science Core Collection and SCOPUS, and used Covidence software for screening and collating articles. We adapted a health assets model for this study using four intersectoral domains and applied it to data extraction and qualitative content analysis.
Twenty-nine observational studies were included in this review. Studies reported a relationship between health assets and improved physical, mental, and social well-being of refugees resettled in Australia. A sense of belonging and identity, resilience, acculturation, and well-being most frequently intersect with social capital. This was built through engagement with family and friend networks, participation within cohesive and friendly cultural and host communities, and involvement with religious and educational organisations. Access to education, employment, and community-based activities positively impacted the well-being of refugees.
A health assets model is a valuable approach to examining protective factors. Refugee social capital and connectedness are strongly linked to resilience, acculturation, health, and well-being. Further research is needed using participatory assets mapping to examine the effects of co-produced interventions that harness the assets of diverse refugee groups to improve health and well-being.
基于健康资产的方法旨在识别多个层面上促进健康或具有保护作用的因素。在澳大利亚，关于难民在个人、家庭和社区层面的健康资产的证据很少。我们旨在综合澳大利亚目前的证据，以确定难民的健康资产，并探讨这些资产如何影响健康和福祉。我们还探索了可以利用的现有优势，以确保实施可持续、公平且具有文化适应性的健康干预措施。
我们系统地回顾了澳大利亚的定性和定量观察性及实验性研究。我们检索了MEDLINE/PubMed、EMBASE、CINAHL、心理信息数据库、科学引文索引核心合集和Scopus，并使用Covidence软件筛选和整理文章。我们为本研究采用了一个包含四个跨部门领域的健康资产模型，并将其应用于数据提取和定性内容分析。
本综述纳入了29项观察性研究。研究报告了健康资产与在澳大利亚重新安置的难民的身体、心理和社会福祉改善之间的关系。归属感和身份认同、复原力、文化适应和福祉最常与社会资本相互交织。这是通过与家庭和朋友网络的互动、在有凝聚力且友好的文化和东道社区中的参与以及与宗教和教育组织的参与建立起来的。获得教育、就业和社区活动对难民的福祉产生了积极影响。
健康资产模型是检验保护因素的一种有价值的方法。难民的社会资本和联系与复原力、文化适应、健康和福祉密切相关。需要进一步开展研究，采用参与式资产绘图来检验共同制定的干预措施的效果，这些措施利用不同难民群体的资产来改善健康和福祉。
