Type of refugee accommodation and health of residents: cross-sectional cluster analysis in German federal state

Few studies have assessed whether refugees health is associated with accommodation characteristics. We aimed to devise a typology of refugee accommodation based on number of inhabitants, degree of housing deterioration and remoteness (distance to amenities) and assess the association with health in multivariate analyses. Accommodations with a moderate occupation, lowest levels of deterioration, and a central urban location showed the best health outcomes in terms of subjective general health status, depression, and general anxiety disorder (GAD). Associations were strongest for GAD and weakest for depression. Our findings inform policymakers on layout and location of refugee collective accommodation centres.