Identifying Gaps in Health Research among Refugees Resettled in Canada

While the global number of resettled refugees rises annually, the summaries of research on refugee health needs in countries of asylum remain sparse. We conducted a systematic review of published research on refugee health in Canada in order to: (i) identify studies addressing health outcomes among refugees recently resettled in Canada; (ii) identify general trends in health research conducted in Canada among refugee populations; (iii) identify significant gaps in current knowledge of health‐related issues among refugees recently resettled in Canada; (iv) evaluate the quality and consistency of available information; (v) develop a summary of available research results; and (vi) identify priorities for future research. A search of several major citation indices resulted in the analysis of 196 research reports after reviewing more than 5,000 articles. This review is timely, systematic and inclusive; furthermore, potential biases in methodology are clearly assessed. The results indicate an immediate need to address specific gaps in health knowledge for refugee populations and lead us to draw five primary conclusions. First, mental health outcomes dominate the research landscape. Second, cross‐sectional studies are most commonly the study design of choice. Third, studies examining some aspect of health among refugees from Asia dominate the literature. Fourth, there is a notable lack of information on cardiovascular diseases and its antecedents. Fifth, indications show that screenings for pre‐existing conditions are biased towards communicable diseases. These findings have implications for health monitoring, evaluation and policy affecting the health of refugees resettled in Canada and elsewhere.     

Refugees of Turkish origin: "coerced immigrants" to Turkey since 1945

"While several studies (in both Turkish and English) have been made on migration to the Ottoman Empire from the Caucasus and the Balkans during the nineteenth century...very little systematic and comprehensive research on migration has been undertaken on the period since the establishment of the Turkish Republic. This article, which aims to partially fill the gap, is divided into three parts: the issue of national refugees (refugees of Turkish origin) in relation to Turkey's overall refugee policy; Turkey's policy towards national refugees; and the volume and causes of refugee migration to Turkey since 1945." (SUMMARY IN FRE AND SPA)     

Navigating a Hostile Terrain: Refugees and Human Rights in Southeast Asia

Countries in Southeast Asia serve as origins, transit routes, and destinations for an increasing number of refugees, asylum seekers, and other people displaced by conflict and persecution. In this article, I consider existing academic literature on refugees and forced migration and situate current trends and processes related to refugees in Southeast Asia within such work. I begin by surveying sociology material on refugees and forced migration processes in general, also drawing from related fields of human geography and interdisciplinary refugee studies. I then review current mixed migration trends and corresponding state responses in the context of globalization and contemporary conflict in Southeast Asia, placing refugee movements within this setting. Finally, using examples from the region, I consider two rough areas of inquiry in need of further sociological exploration – (i) purposive transnational refugee actions and processes and (ii) the dynamic social spaces created and developed out of refugee migration. Human rights implications of these issues are considered throughout, and suggestions to reconsider human rights protection beyond nation‐state‐focused models are given.     

Marginality and migration: cultural dimensions of the Afghan refugee problem

Given the duration of time that has passed since the Afghan refugee influx into Pakistan began and the absence of any immediate prospect for a political settlement which would allow the refugees to return home, it is necessary to consider what the long-term requirements of this population might be and the implications of permanent resettlement on both the refugees and the host country. For policy makers, these are urgent questions that must be confronted not only to help ensure the health, safety, and productive future of the refugees, but also to minimize the risks of even greater political instability in this troubled region. This article attempts to provide some basic insights into the society and culture of the Afghan refugees and will consider what impact dislocation and settlement have had specifically on tribally-organized Pakhtuns, who comprise approximately 50% of the Afghan population generally and perhaps 80-90% of the refugee population (author's).     

A comprehensive review of refugee and asylum studies in contemporary Hong Kong: Law,policies, and lived experiences

This review covers 46 research studies from 2007 to 2019, which examine the inflow of asylum seekers and refugees in Hong Kong after the Vietnamese refugee influx in the early 2000s. By analysing existing research studies, the authors summarise three themes, namely refugee law, asylum policies,¹ and lived experiences of refugees and asylum seekers, on refugee and asylum studies in contemporary Hong Kong. While further research is needed, scholars can examine the potential possibilities of the legal reform of statutory insufficiencies, the development trajectory of asylum policy instruments with a more appropriate framework, and the protection mechanism of refugees’ and asylum seekers’ children.     

"Active" and "Passive" Resettlement: The Influence of Support Services and Refugees' own Resources on Resettlement Style

This paper explores the process of resettlement among recent refugees in Perth, Western Australia. We propose four refugee resettlement styles created through the interaction of a number of factors. These factors can be clustered as: (1) the social features of refugees (their human, social, and cultural capital), and (2) the host society's responses to refugee settlers (Australia's resettlement policy and services and the broader influence of the host society's responses to refugees). We propose that refugees approach their resettlement in predominantly active (“achievers” and “consumers”) or passive (“endurers” and “victims”) ways and that these are differentially successful strategies. Medicalization of the refugee experience in Australia is a factor that may influence refugees to adopt a passive “victim role”, so we propose that a greater emphasis during early resettlement should be placed on refugees' own culturally defined priorities such as employment and stable housing. The argument developed in this paper is supported by data from two qualitative research projects conducted in Western Australia. The fieldwork consisted of interviews, focus groups, and participant observation, and targeted refugees from the former Yugoslavia and the Horn of Africa who arrived in Australia during the 1990s and 2000s, as well as resettlement service providers.     

Factors Affecting Australia's Refugee Policy: The Case of the Kosovars

This article seeks to explain Australia's refugee policy and to identify the various objectives and factors that influence the development of that policy.
Australia's refugee programme seeks to: provide a humanitarian response and protection to individual refugees; participate responsibly in the international community; honour its Convention obligations; further the interests of the people of Australia; meet high standards of administration and; acknowledge as much as possible changes in refugee populations.
In fulfilling these objectives, Australian governments must weigh and balance various competing factors. These include: humanitarian responsibility, international obligations, social, political, economic and foreign policy factors, as well as efficient administration.
In balancing the relative importance of these factors, the Federal government hopes to fulfil all its refugee and humanitarian objectives. However, the pluralistic nature of Australian society and the often conflicting ideals associated with protection of Australia's interests and the preservation of the rights of refugees, means that fulfilment of these objectives is difficult.
This article examines the Australian government's response to the Kosovar conflict, to assess the relative success Australia had in fulfilling its refugee policy objectives and identifying the various factors that produced the final result.     

The Asylum‐Integration Paradox: Comparing Asylum Support Systems and Refugee Integration in The Netherlands and the UK

This article explores the impact of asylum support systems on refugee integration focusing on the UK and the Netherlands. Both have adopted deterrent approaches to asylum support. The Dutch favour the use of asylum accommodation centres, segregating asylum seekers from the general population. The UK disperses asylum seekers to housing within deprived areas, embedding them within communities. Both countries have been criticized for these practices, which are viewed as potentially anti‐integrative: something of a paradox given that both promote the importance of refugee integration. We analyse national refugee integration surveys in both countries and provide original empirical evidence of negative associations between asylum support systems and refugees’ health, which differ in relation to mental and physical health. The integration and asylum policy implications of these findings are discussed.     

Fifty Years of Refugee Studies: From Theory to Policy

This article reviews the growth of the field of refugee studies, focusing on its links with, and impact on, refugee policy. The last fifty years, and especially the last two decades, have witnessed both a dramatic increase in academic work on refugees and significant institutional development in the field. It is argued that these institutions have developed strong links with policymakers, although this has often failed to translate into significant policy impacts. Areas in which future policy‐orientated work might be developed are considered.     

Lost in the System? Disabled Refugees and Asylum Seekers in Britain

This short paper calls for greater awareness of disabled refugees and asylum seekers living in Britain. Currently, policy makers, many refugee communities and the disability movement fail to consider disabled refugees and asylum seekers, perhaps because they constitute a minority about whom data are rarely available. Focussing on the particular combination of circumstances affecting disabled refugees and asylum seekers, this paper presents recent changes in support arrangements for refugees and asylum seekers. The paper also calls for greater involvement in refugee issues by the disability movement.     

Refugees and Elections: The Effects of Syrians on Voting Behavior in Turkey

In the wake of the Syrian civil war, more than three million people have fled to Turkey, which now hosts the largest refugee population on earth. Making up 4.42 per cent of the total population in Turkey as of February 2018, Syrian refugees are nevertheless spread unevenly within its borders. The ratio of refugees to the local population ranges from as high as 99per cent in the city of Kilis to as low as 0.05per cent in Sinop. This article presents findings from the empirical study of the effect of this geographical variation on election outcomes in Turkey, after the arrival of major refugee populations in 2012. Drawing on a unique subnational dataset and ordinary least squares (OLS), generalized least squares (GLS), and difference‐in‐differences (DiD) regressions, the study compares cities hosting few refugees (control group) with cities with large refugee populations (treatment group) to determine whether significant differences in voting patterns emerged. Our findings show a negative, but insignificant, impact on the incumbent party. The findings have policy implications for Turkey as well as any country that experiences a considerable flow of refugees.     

Iraqi refugees in Jordan: lessons for practice with refugees internationally

Asylum seekers, refugees who are resettled in third countries or those who are forced into refugee camps, present new challenges to social work practitioners. In an attempt to advance theory and develop specialised practice in the area of refugee studies within social work as an international profession, we argue that whatever the flight context, the country of asylum or of resettlement, there is a process underlying what Malkki referred to as refugeeness. This article focuses on the situation of Iraqi refugees in Jordan as an example of the challenges that confront today's refugees. We show that salient issues raised in a local community centre's needs assessment mirror those elements that are central to integration processes that have been discussed in much of the refugee studies literature across the world. We show how these concerns are closely linked to processes that resettled refugees and asylum seekers face, regardless of the country of resettlement. We introduce a framework for analysing an individual refugee's situation and show how an international phenomenon is linked to local practice.     

Is the Education of Local Children Influenced by Living near a Refugee Camp? Evidence from Host Communities in Rwanda

This article studies the extent to which educational services and schooling outcomes of local children are influenced by the presence of a refugee camp in or near their community. Investigating Congolese refugees in Rwanda and relying on a mixed‐method approach, we examine schooling rates and access to school‐based feeding programmes in communities closer to and further away from three refugee camps. We conduct cohort analyses to compare the schooling outcomes of Rwandans residing at different distances from each of these camps. Our results highlight that children residing closer to the camps have better schooling outcomes and that locals residing closer to the camps have mostly positive views regarding the effects of refugees on local education. These results contribute to the literature on the effects of refugees on host communities and inform policy debates on how refugees need not be a “burden” if a long‐term vision shapes educational investments.     

A Capture–Recapture Approach to Estimation of Refugee Populations

The debate over immigration continues to be one of the most politically charged policy issues in the United States (US). Given the charged nature of this topic, it is vitally important to have reliable data on not only the number of US foreign nationals but also the characteristics of this extremely heterogeneous group – a population comprised not only of immigrants but also of refugees. There exist a small number of data sources for informing policy and practice at the national level. However, such data are often lacking for smaller geographical areas. This paper describes a recent effort to generate serviceable data on the immigrant and refugee population for a medium‐sized metropolitan area in the US. The objectives of this research were twofold. Our first goal was to provide local stakeholders with information to assist them with resettling and obtaining funding for immigrants and refugees. The second aim was to develop better techniques for tabulating diverse refugees and immigrants in a medium‐sized community. By comparing and contrasting three data sources – that is, refugee services, public schools and a local health plan – we are able to generate estimates of the local refugee and immigrant population. During the period from 2005 to 2007, we estimate the total number of immigrants and refugees in the community to be somewhere between 10,938 and 13,282. Although perhaps a bit on the high end due to methodological assumptions, these estimates seem plausible, based on previously cited figures for the region. While such estimates are valuable, a number of shortcomings related to the data prevent us from painting a more complete picture of these populations. We conclude this paper with a number of recommendations that will assist others in planning research designed to inform migration policy and practice in medium‐sized metropolitan areas.     

Refugee Women in Europe: Some Aspects of the Legal and Policy Dimensions

This article presents an overview of the legal and policy issues affecting refugee and asylum-seeking women in European host societies. First, it explores the unique types of persecution experienced by women and shows that the asylum determination process, along with the status of women relative to men, mitigates against the effective protection of women. The legal basis for asylum, the evidential requirements and the procedural norms all reduce the protection which is likely to be conferred upon asylum-seeking women. Second, the article provides an overview of responses to female refugees and asylum-seekers in European countries of asylum. Although there are differences between countries, there is also a large degree of uniformity. For example, there is a lack of recognition and understanding of the diversity and the range of experiences which refugees bring with them, including different social and cultural norms. Moreover, European policies do not provide special provisions to facilitate the settlement of refugee women and instead place barriers to their social and economic participation. Third, the article examines policies for family reunion in different countries and shows that such unfavourable and unsympathetic policies mitigate against the settlement of refugee women. Finally, the article argues that if refugee and asylum-seeking women are to have their cases recognized and to be successfully settled, then there needs to be a complete rethink of legislation and policy in Europe.     

Refugee resettlement,social media and the social organization of difference

Social media platforms allow refugees separated by distance to share information, provide support and exchange resources across borders. This connection has the potential to transform resettlement experiences as people maintain significant and ongoing relationships with transnational networks. Yet, since refugee resettlement programmes generally only scale up to the national imagination, integration remains a normative framework in most policy spheres. This article presents a 12‐month digital ethnography of 15 refugees settled in New Zealand with a view to examining their transnational practices of social media and its influence on integration and belonging. Drawing on a conceptual framework based on the social organization of difference, it contains a discussion on how online global networks increasingly inform the domains of encounters, representations and configurations. The role of social media for refugee resettlement futures and its implications for integration at times of rapid political, technological and social change concludes the article.     

Žumberak: A Sixteenth-Century Refugee Settlement Zone

This article examines the movement of Orthodox Christian refugees from Bosnia to the Habsburg Monarchy in the 1530s and their settlement in a district called ?umberak. The movement of these Uskoks has never been examined in the context of refugee studies. This study of a refugee movement and settlement over a five-century period offers the possibility of reaching a better understanding of the long-term outcome of refugee movements. Ultimately, this article suggests that the refugees affected the land they settled as much as the settlement zone affected them, and that, in this case, the refugees were able to define their own outcome.     

Repatriation: its role in resolving Africa's refugee dilemma

The literature on Africa's refugees has grown dramatically over the past decade. 2 issues, however, remain relatively unresearched and poorly understood - the plight of urban refugees and the problems associated with repatriation. This article examines the dimensions of the latter. After placing repatriation into the context of contemporary durable solutions applied to the African refugee dilemma, the article examines some of the problems, concerns and frustrations associated with African repatriation exercises in terms of cultural, economic, and political obstacles encountered in the process of repatriation and the concomitant rehabilitation of refugees in their areas of origin. The article is illustrated with examples drawn from the Southern Sudanese repatriation of the early 1970s.     

“We will Manage It” – Did Chancellor Merkel's Dictum Increase or Even Cause the Refugee Movement in 2015?

In public and scientific debates about the dynamics of the so-called refugee crisis of 2015, there are highly controversial positions concerning the statement on August 2015 by Chancellor Merkel: “We will manage it” Did this dictum actually increase or even unleash the refugee migration towards Europe in 2015? Was Germany's governmental policy against the legal European and national frame? Based on an analysis of legal documents and public statements, the article first reconstructs the development of refugee immigration into the EU, especially to Germany, in 2015 and reviews whether the German government violated law and opened one-sided borders. Based on survey data of 4,500 refugees in 2016, it then analyses whether the Merkel dictum significantly changed the volume and the reasons why refugees decided to flee to Germany. Finally, some conclusions are drawn.     

Asylum Policies, Trafficking and Vulnerability

This article is located at the intersection of three recent debates on asylum in Europe: the efficacy of asylum policies; the trafficking of asylum seekers, and their growing vulnerability. Most commentators agree that there are relationships between these three debates, but the nature of those relationships remain unclear. Yet the need properly to understand the nature of these links has become especially pressing in the context of a raft of new policy initiatives on both asylum and trafficking, and concerns for their consequences for asylum seekers. At least part of the reason for this lack of clear understanding is significant gaps in empirical research. This article begins to fill some of these gaps, and in so doing to unpick some of the relationships between asylum policies, trafficking and vulnerability. It focuses on the experiences of asylum seekers in Europe, thus presenting a "bottom up" perspective on trafficking and asylum policies. The findings are derived from research among Iranian asylum seekers in the Netherlands, conducted between 1994 and 1996. The article discusses some of the reservations that surround this approach, including methodological issues such as trust, and the difficulties of applying more widely a narrow case study. Within the context of these reservations, it draws three main conclusions. First, empirical evidence to support the view that increasing proportions of asylum seekers are being forced to turn to traffickers in order to negotiate restrictive asylum policies. Second, the ways in which trafficking is exposing asylum seekers – including at least some "genuine" refugees – to new forms of vulnerability. Third, that direct links exist between asylum policies, trafficking and vulnerability, and that the blame for growing vulnerability lies more with asylum policies than with traffickers or with asylum seekers themselves. Finally, these empirical conclusions are targeted on a series of policy implications.