Evidence map›Paper›PMID 40504633›Full record

SynthesisThe American journal of orthopsychiatry2026

Refugee and asylum seeker child and adolescent mental health: A systematic review of racial, ethnic, and contextual disparities.

Diab A Ali, Bronwyn C Olstein, Laura Vargas, Elijah W Hale, Ahmad Adi, Daniel Savin, C Neill Epperson

Abstract readSystematic Review
In one paragraph

Synthesis in The American journal of orthopsychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Diab A AliDepartment of Psychiatry, University of Colorado School of Medicine.ORCID 0000-0002-0450-3305
Bronwyn C OlsteinDepartment of English, University of Colorado.
Laura VargasDepartment of Psychiatry, University of Colorado School of Medicine.
Elijah W HaleSchool of Medicine, University of Colorado.
Ahmad AdiDepartment of Psychiatry, University of Colorado School of Medicine.
Daniel SavinDepartment of Psychiatry, University of Colorado School of Medicine.
C Neill EppersonDepartment of Psychiatry, University of Colorado School of Medicine.

Funding

Pathways for Physician Scientist Training in Psychiatric ResearchR25MH125758 · NIMH · UNIVERSITY OF COLORADO DENVER · PI C. Neill EPPERSON, Susan Kay Mikulich-Gilbertson · 2021 to 2026
$980k
VERBAL AND PERCEPTUAL PROCESSING OF DEGRADED IMAGESF32MH012578 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHREIBER, CHARLES A · 2000 to 2004
$120k
NIH HHSNIMH NIH HHS F32 MH012578NIMH NIH HHS R25 MH125758
6 · The paper itself

Abstract

Recent research indicates that sociostructural factors affect mental health and care across racial and ethnic groups differently. The mental health and care access of refugee and asylum-seeking youth has been studied in various populations and host countries. Yet, despite the increasing numbers of such children, their poor outcomes, and underuse of care, little is known about racial, ethnic, and context-based disparities in these outcomes. To our knowledge, this is the first systematic review to identify the progress and shortcomings in the research of such disparities among refugee and asylee youth, emphasizing ecological dimensions affecting health and care. Using rigorous search and inclusion criteria across the MEDLINE, APA PsycInfo, CINAHL, and Web of Science databases and following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, we evaluated the findings and limitations of 63 included studies. These studies compared children or adolescents of distinct racial or ethnic refugee or asylum-seeking populations to each other or to other populations across 30 countries, investigating child and adolescent mental health outcomes (including disorders, symptoms, and mental health care access-related outcomes). We identify specific disparities in outcomes based on racial, ethnic, and contextual differences, with results organized by ecological systems theory dimensions and timescales. Our review highlights that generally, Middle Eastern youth may experience worse outcomes across contexts, that there is a gap in research inclusive of youth from the Americas, and that the mechanisms of sex differences, acculturative stress, and intergenerational transmission may vary by population. We propose actionable steps for research on disparities and interventions in migrant child and adolescent populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

EthnicityHealthcare DisparitiesHealth Services AccessibilityMental DisordersMental HealthRefugeesAdolescentChildHumans

Identifiers

PMID40504633
PMCPMC12590491

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.