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A systematic review of qualitative research on the physical and mental health impacts of immigration detention on asylum seekers and refugees

Dados Bibliográficos

ID19592159
AutoresBafreen Sherif (0009-0009-7302-3813), Debbie C Hocking (0000-0003-0313-3637), Susan Ree (0000-0003-2845-6547), Letizia M Affaticati (0009-0000-8464-1080), Suresh Sundram (0000-0002-9674-0227)
EditoresClaire J Standley Claire J Standley
Ano2025
Volume5
Fascículo10
Páginase0005196
Data de publicação2025-10-29
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPLOS Global Public Health (JOURNAL)
Identificadores do periódicoISSN: 2767-3375 • E-ISSN: 2767-3375
EditoraPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0005196
IdiomaEN
Referências citadas67

Globally, the number of refugees and asylum seekers has reached unprecedented levels, prompting many host countries to adopt immigration detention as a strategy to deter unauthorised arrivals. While previous studies have largely used quantitative methods to examine the consequences of detention, this is the first qualitative systematic review synthesising evidence on the impact of immigration detention on the mental and physical health of adult and child asylum seekers and refugees (ASR) in middle- to high-income host countries. A systematic search of medical, allied health, and social science databases and grey literature was conducted between December 2021 and October 2024 (Embase, MEDLINE, PsycINFO, CINAHL Plus, Global Health, APA PsycARTICLES, Social Policy and Practice, Cochrane Library, Scopus, and Open Grey). Reference lists of included studies were also screened. The review was registered with PROSPERO (CRD42022328867). Study selection, critical appraisal, and data extraction were performed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Of 2,512 records identified, 564 full texts were assessed, and 20 studies met the inclusion criteria, comprising 374 adults and 139 children with current or past detention experiences, with detention durations ranging from two weeks to 38 months. Thematic synthesis revealed five overarching themes: human rights violations within detention; systemic failures of healthcare provision and resultant vulnerability; adverse health impacts of detention; changes in self-concept, relationships, and worldview after release; and enduring negative consequences for mental and physical health. Findings highlight that immigration detention uniformly undermines the health and well-being of ASR, with effects persisting long after release. This review underscores the urgent need for health and human rights to be central considerations in migration policy and practice

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