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Clark, Emily, Sweeting, Anna, Ahmadi, Ali and Hanson, Sarah 
ORCID: https://orcid.org/0000-0003-4751-8248
(2026)
What makes people seeking asylum and refugees well? A qualitative scoping review using an asset-based approach.
Perspectives in Public Health.
ISSN 1757-9139
(In Press)
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Microsoft Word (OpenXML) (EC SR for PURE Sept 26)
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Abstract
Introduction: Asylum seekers and those with refugee status (ASR) often face worse health outcomes compared to host populations, including higher rates of communicable diseases and mental health conditions such as PTSD. Despite this, ASR are underserved in both healthcare and research, resulting in a gap in knowledge about what promotes their health and resilience. Methods: A scoping review of peer reviewed papers documenting patient-centred holistic health, wellbeing and social outcomes in community-based research with asylum seekers and refugees. Results: In total 24 papers met the inclusion criteria. Findings were categorized underpinned by the theory of Salutogenesis (what makes people well) categorised into: on “head” (knowledge), “hands” (skills), and “heart” (passion). Key factors contributing to wellbeing among ASR, included knowledge of services, social connections, meaningful activities, physical health, and family and cultural ties. Wellbeing was primarily defined by safety, empowerment, and a sense of purpose. Participants emphasized the importance of social networks, cultural connectedness, and spirituality. Physical health was less prioritized but still crucial, with diet and self-care practices linked to overall wellbeing. Conclusion: The study demonstrates that wellbeing for ASR is multifaceted, encompassing psychological, social, and cultural dimensions. The Salutogenesis framework provides a holistic approach to understanding these factors. To better support ASR, healthcare professionals must offer culturally sensitive, trauma-informed care, and research must prioritize ASR's own definitions of health. Including ASR in research and healthcare design is essential to ensure that interventions are relevant, effective, and empowering. Patient or Public Contribution: We worked with members of the public throughout this review. The third author, has lived experience of the asylum process and is a refugee currently in the UK . He was crucial to the interpretation of the findings.
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