title: Health of adolescent refugees resettling in high-income countries.
abstract: Adolescent refugees are a vulnerable population with complex healthcare needs that are distinct from younger and older age groups. Physical health problems are common in this cohort with communicable diseases being the focus of attention followed by an emphasis on nutritional deficiencies and other chronic disorders. Adolescent refugees have also often experienced multiple traumatic stressors and are at a heightened risk of developing mental health problems. Navigating these problems at the time of pubertal development adds further challenges and can exacerbate or lead to the emergence of health risk behaviours. Educational difficulties and acculturation issues further compound these issues. Adolescents who have had experiences in detention or are unaccompanied by parents are particularly at risk. Despite a constantly growing number of adolescent refugees resettling in high-income countries, knowledge regarding their specific healthcare needs is limited. Research data are largely extrapolated from studies conducted within paediatric and adult cohorts. Holistic management of the medical and psychological issues faced by this group is challenging and requires an awareness of the socioeconomic factors that can have an impact on effective healthcare delivery. Legal and ethical issues can further complicate their management and addressing these in a culturally appropriate manner is essential. Early identification and management of the healthcare issues faced by adolescent refugees resettling in high-income countries are key to improving long-term health outcomes and future healthcare burden. This review article aims to increase knowledge and awareness of these issues among paediatricians and other health professionals.
authors.affiliation: Department of Adolescent Medicine and Eating Disorders, Princess Margaret Hospital for Children, Perth, Western Australia, Australia School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
authors.forename: Kajal
authors.initials: K
authors.lastname: Hirani
authors.affiliation: Department of Adolescent Medicine and Eating Disorders, Princess Margaret Hospital for Children, Perth, Western Australia, Australia School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
authors.forename: Donald
authors.initials: D
authors.lastname: Payne
authors.affiliation: Telethon Kids Institute, Western Australia, Australia Refugee Health Service, Department of General Paediatrics, Princess Margaret Hospital for Children, Perth, Western Australia, Australia.
authors.forename: Raewyn
authors.initials: R
authors.lastname: Mutch
authors.affiliation: School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia Refugee Health Service, Department of General Paediatrics, Princess Margaret Hospital for Children, Perth, Western Australia, Australia.
authors.forename: Sarah
authors.initials: S
authors.lastname: Cherian
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000067697:Adolescent Health / Q000706:statistics & numerical data*; D003141:Communicable Diseases / Q000453:epidemiology; D006801:Humans; D007182:Income; D008603:Mental Health; D012036:Refugees / Q000523:psychology; D012959:Socioeconomic Factors
keywords: Adolescent Health; General Paediatrics; developed nations; refugee health; resettlement