Interplay of sociocultural factors, health literacy and well-being among African asylum seekers and refugees in Asia: A systematic review

Background: There are many African asylum seekers and refugees (AAR) in Asia. However, little research has been conducted on their well-being within the sociocultural milieu. This systematic review explores the characteristics of AAR's psychological and mental well-being and how their accultura...

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Main Authors: Padmore Adusei Amoah, Edward Kwabena Ameyaw, Genevieve Ataa Fordjour
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Journal of Migration and Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666623524000515
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author Padmore Adusei Amoah
Edward Kwabena Ameyaw
Genevieve Ataa Fordjour
author_facet Padmore Adusei Amoah
Edward Kwabena Ameyaw
Genevieve Ataa Fordjour
author_sort Padmore Adusei Amoah
collection DOAJ
description Background: There are many African asylum seekers and refugees (AAR) in Asia. However, little research has been conducted on their well-being within the sociocultural milieu. This systematic review explores the characteristics of AAR's psychological and mental well-being and how their acculturation practices, social networks and support (i.e. social capital), health-related knowledge and skills (i.e., health literacy) influence their psychological and mental well-being. Methods: The study included relevant peer-reviewed articles from any Asian country/region, published in English. No date restriction was applied. Five databases (i.e. Scopus, PubMed, Web of Science, PsycINFO, and CINAHL) were searched for studies conducted about AAR from any of the 54 African countries and residing in any of the 51 Asian countries. Following a predefined inclusion criteria and quality assessment, nine articles were included in this study. Narrative synthesis approach was used to analyse the articles. Results: It was found that AARs face significant challenges that culminate in poor psychological and mental well-being, including conditions such as depression and discontent with their lives. Notwithstanding, being in a safe place made some of them optimistic about their future. However, many AARs had difficulties adjusting to the host culture. They had limited awareness of the prevailing health system and services and faced restrictions on their rights to social services, partly because of difficulty obtaining appropriate information. The few social bonds and bridges they possessed enabled them to develop a sense of belonging and protected them from psychological distress. However, problematic social relationships increased the chances of poor health-related outcomes. Conclusion: The psychological and mental well-being of AAR in Asia is concerning. Hence, more research on how critical health determinants (i.e. social capital, health literacy and acculturation processes from this study) directly and interactively influence their well-being across age cohorts. Given their roles in promoting AAR's well-being, appropriate interventions to improve those critical health determinants are also sorely needed.
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spelling doaj-art-acb5d72c1eec47758ea54c9d593a9a012025-08-20T02:20:33ZengElsevierJournal of Migration and Health2666-62352024-01-011010026210.1016/j.jmh.2024.100262Interplay of sociocultural factors, health literacy and well-being among African asylum seekers and refugees in Asia: A systematic reviewPadmore Adusei Amoah0Edward Kwabena Ameyaw1Genevieve Ataa Fordjour2Department of Psychology, School of Graduate Studies, Institute of Policy Studies, Lingnan University, Tuen Mun, Hong Kong SAR; Corresponding author.Institute of Policy Studies and School of Graduate Studies, Lingnan University, Hong KongDepartment of Psychology, The Education University of Hong Kong, Tai Po, Hong Kong SARBackground: There are many African asylum seekers and refugees (AAR) in Asia. However, little research has been conducted on their well-being within the sociocultural milieu. This systematic review explores the characteristics of AAR's psychological and mental well-being and how their acculturation practices, social networks and support (i.e. social capital), health-related knowledge and skills (i.e., health literacy) influence their psychological and mental well-being. Methods: The study included relevant peer-reviewed articles from any Asian country/region, published in English. No date restriction was applied. Five databases (i.e. Scopus, PubMed, Web of Science, PsycINFO, and CINAHL) were searched for studies conducted about AAR from any of the 54 African countries and residing in any of the 51 Asian countries. Following a predefined inclusion criteria and quality assessment, nine articles were included in this study. Narrative synthesis approach was used to analyse the articles. Results: It was found that AARs face significant challenges that culminate in poor psychological and mental well-being, including conditions such as depression and discontent with their lives. Notwithstanding, being in a safe place made some of them optimistic about their future. However, many AARs had difficulties adjusting to the host culture. They had limited awareness of the prevailing health system and services and faced restrictions on their rights to social services, partly because of difficulty obtaining appropriate information. The few social bonds and bridges they possessed enabled them to develop a sense of belonging and protected them from psychological distress. However, problematic social relationships increased the chances of poor health-related outcomes. Conclusion: The psychological and mental well-being of AAR in Asia is concerning. Hence, more research on how critical health determinants (i.e. social capital, health literacy and acculturation processes from this study) directly and interactively influence their well-being across age cohorts. Given their roles in promoting AAR's well-being, appropriate interventions to improve those critical health determinants are also sorely needed.http://www.sciencedirect.com/science/article/pii/S2666623524000515Psychological and mental well-beingHealth literacyAcculturationAfricansAsylum seekersRefugees
spellingShingle Padmore Adusei Amoah
Edward Kwabena Ameyaw
Genevieve Ataa Fordjour
Interplay of sociocultural factors, health literacy and well-being among African asylum seekers and refugees in Asia: A systematic review
Journal of Migration and Health
Psychological and mental well-being
Health literacy
Acculturation
Africans
Asylum seekers
Refugees
title Interplay of sociocultural factors, health literacy and well-being among African asylum seekers and refugees in Asia: A systematic review
title_full Interplay of sociocultural factors, health literacy and well-being among African asylum seekers and refugees in Asia: A systematic review
title_fullStr Interplay of sociocultural factors, health literacy and well-being among African asylum seekers and refugees in Asia: A systematic review
title_full_unstemmed Interplay of sociocultural factors, health literacy and well-being among African asylum seekers and refugees in Asia: A systematic review
title_short Interplay of sociocultural factors, health literacy and well-being among African asylum seekers and refugees in Asia: A systematic review
title_sort interplay of sociocultural factors health literacy and well being among african asylum seekers and refugees in asia a systematic review
topic Psychological and mental well-being
Health literacy
Acculturation
Africans
Asylum seekers
Refugees
url http://www.sciencedirect.com/science/article/pii/S2666623524000515
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