{"title":"图尔基耶杜兹采市的难民和寻求庇护儿童与健康问题。","authors":"Hatice Mine Cakmak, Kenan Kocabay, Ramazan Cahit Temizkan, Sevim Turay, Sukriye Ozde, Fatih Kurt, Nadide Melike Sav, Muferet Erguven, Emel Coşkun","doi":"10.1111/cch.13295","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>This study examines the health problems and healthcare needs of refugee and asylum-seeker children and aims to develop strategies for improvement.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Based on quantitative data from 448 refugee and asylum-seeker children and 222 non-refugee local children, this study was conducted at Düzce University, Department of Paediatrics, between 2010 and 2021. The refugee children originated from three countries: Iraq (<i>n</i> = 304), Syria (<i>n</i> = 101) and Afghanistan (<i>n</i> = 43). The data were analysed using the SPSS data analysis program. Ethical clearance was obtained from the Ethics Committee of Düzce Üniversity.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The results suggest that refugee and asylum-seeker children have significantly higher rates of acute illness or infection, malnutrition (<i>p</i> < 0.001) and anaemia (<i>p</i> < 0.001) than local children as a result of living in overcrowded families (<i>p</i> = 0.017) and unhealthy conditions. Adolescent pregnancy (<i>p</i> = 0.049) emerges as an important social problem as a result of child marriage among refugee children, mostly in the form of consanguineous marriages (<i>p</i> < 0.001). The rate of having at least two adolescent pregnancies (under 18) was highest among Syrian refugee girls (<i>p</i> = 0.01). Although refugee and asylum-seeker children have higher rates of health insurance (between 74% and 95%), they have lower rates of insurance compared to local children. This research also compares the data from three nationalities, including Syria, Afghanistan and Iraq children; Iraqi and Afghan children under the international protection (IP) system with limited social support and rights had worse health conditions compared to other groups. Although Iraqi children had the highest rates of health insurance on admission (<i>p</i> < 0.001), they also had higher rates of chronic diseases (<i>p</i> = 0.001), infections (<i>p</i> = 0.004), allergic rhinitis (<i>p</i> = 0.001) and malnutrition (<i>p</i> < 0.001). The youngest age of admission (<i>p</i> = 0.006) and the shortest length of stay (<i>p</i> = 0.004) were for Afghan children who also had higher rates of upper respiratory infections (<i>p</i> = 0.021).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This study highlights the urgent need for improved screening programmes and the importance of collaborative efforts to address the specific health needs of these populations. Addressing the health status of child refugees is a complex and multifaceted task that requires the active participation of healthcare professionals, policymakers and researchers, each of whom has a crucial role to play.</p>\n </section>\n </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"50 4","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Refugee and asylum-seeker children and health problems in the city of Duzce, Türkiye\",\"authors\":\"Hatice Mine Cakmak, Kenan Kocabay, Ramazan Cahit Temizkan, Sevim Turay, Sukriye Ozde, Fatih Kurt, Nadide Melike Sav, Muferet Erguven, Emel Coşkun\",\"doi\":\"10.1111/cch.13295\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>This study examines the health problems and healthcare needs of refugee and asylum-seeker children and aims to develop strategies for improvement.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Based on quantitative data from 448 refugee and asylum-seeker children and 222 non-refugee local children, this study was conducted at Düzce University, Department of Paediatrics, between 2010 and 2021. The refugee children originated from three countries: Iraq (<i>n</i> = 304), Syria (<i>n</i> = 101) and Afghanistan (<i>n</i> = 43). The data were analysed using the SPSS data analysis program. Ethical clearance was obtained from the Ethics Committee of Düzce Üniversity.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The results suggest that refugee and asylum-seeker children have significantly higher rates of acute illness or infection, malnutrition (<i>p</i> < 0.001) and anaemia (<i>p</i> < 0.001) than local children as a result of living in overcrowded families (<i>p</i> = 0.017) and unhealthy conditions. Adolescent pregnancy (<i>p</i> = 0.049) emerges as an important social problem as a result of child marriage among refugee children, mostly in the form of consanguineous marriages (<i>p</i> < 0.001). The rate of having at least two adolescent pregnancies (under 18) was highest among Syrian refugee girls (<i>p</i> = 0.01). Although refugee and asylum-seeker children have higher rates of health insurance (between 74% and 95%), they have lower rates of insurance compared to local children. This research also compares the data from three nationalities, including Syria, Afghanistan and Iraq children; Iraqi and Afghan children under the international protection (IP) system with limited social support and rights had worse health conditions compared to other groups. Although Iraqi children had the highest rates of health insurance on admission (<i>p</i> < 0.001), they also had higher rates of chronic diseases (<i>p</i> = 0.001), infections (<i>p</i> = 0.004), allergic rhinitis (<i>p</i> = 0.001) and malnutrition (<i>p</i> < 0.001). The youngest age of admission (<i>p</i> = 0.006) and the shortest length of stay (<i>p</i> = 0.004) were for Afghan children who also had higher rates of upper respiratory infections (<i>p</i> = 0.021).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>This study highlights the urgent need for improved screening programmes and the importance of collaborative efforts to address the specific health needs of these populations. Addressing the health status of child refugees is a complex and multifaceted task that requires the active participation of healthcare professionals, policymakers and researchers, each of whom has a crucial role to play.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55262,\"journal\":{\"name\":\"Child Care Health and Development\",\"volume\":\"50 4\",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Child Care Health and Development\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/cch.13295\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Care Health and Development","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cch.13295","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Refugee and asylum-seeker children and health problems in the city of Duzce, Türkiye
Introduction
This study examines the health problems and healthcare needs of refugee and asylum-seeker children and aims to develop strategies for improvement.
Methods
Based on quantitative data from 448 refugee and asylum-seeker children and 222 non-refugee local children, this study was conducted at Düzce University, Department of Paediatrics, between 2010 and 2021. The refugee children originated from three countries: Iraq (n = 304), Syria (n = 101) and Afghanistan (n = 43). The data were analysed using the SPSS data analysis program. Ethical clearance was obtained from the Ethics Committee of Düzce Üniversity.
Results
The results suggest that refugee and asylum-seeker children have significantly higher rates of acute illness or infection, malnutrition (p < 0.001) and anaemia (p < 0.001) than local children as a result of living in overcrowded families (p = 0.017) and unhealthy conditions. Adolescent pregnancy (p = 0.049) emerges as an important social problem as a result of child marriage among refugee children, mostly in the form of consanguineous marriages (p < 0.001). The rate of having at least two adolescent pregnancies (under 18) was highest among Syrian refugee girls (p = 0.01). Although refugee and asylum-seeker children have higher rates of health insurance (between 74% and 95%), they have lower rates of insurance compared to local children. This research also compares the data from three nationalities, including Syria, Afghanistan and Iraq children; Iraqi and Afghan children under the international protection (IP) system with limited social support and rights had worse health conditions compared to other groups. Although Iraqi children had the highest rates of health insurance on admission (p < 0.001), they also had higher rates of chronic diseases (p = 0.001), infections (p = 0.004), allergic rhinitis (p = 0.001) and malnutrition (p < 0.001). The youngest age of admission (p = 0.006) and the shortest length of stay (p = 0.004) were for Afghan children who also had higher rates of upper respiratory infections (p = 0.021).
Conclusions
This study highlights the urgent need for improved screening programmes and the importance of collaborative efforts to address the specific health needs of these populations. Addressing the health status of child refugees is a complex and multifaceted task that requires the active participation of healthcare professionals, policymakers and researchers, each of whom has a crucial role to play.
期刊介绍:
Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.