Distribution of child health indicators according to internal migration and various social variables in Turkey
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Gulcan Santas1, Mehmet Ali Eryurt2
1Health Management, Yozgat Bozok University, Turkey gulcan.santas@bozok.edu.tr.
Insights
Internal migration and socioeconomic factors impact child health indicators in Turkey. Rural areas show higher rates of low birth weight and stunting, while urban areas have more overweight/obese children.
Area of Science:
- Child Health Indicators
- Demography
- Public Health
Background:
- Birth weight, stunting, and overweight/obesity are critical child health indicators globally.
- Sociodemographic and socioeconomic factors, alongside migration, can influence these outcomes.
- Internal migration patterns may affect child health status in Turkey.
Purpose of the Study:
- To determine the distribution of internal migration and its association with child health indicators in Turkey.
- To analyze sociodemographic and socioeconomic factors influencing birth weight, stunting, and overweight/obesity in children under five.
- To investigate the trends of these indicators between 1993 and 2013.
Main Methods:
- Utilized data from five nationally representative Turkey Demographic and Health Surveys (1993-2013).
- Employed logistic regression analysis to assess the impact of migration, sociodemographic, and socioeconomic factors.
- Analyzed child health outcomes including birth weight, stunting, and overweight/obesity.
Main Results:
- Inadequate birth weight and stunting were higher in rural and urban-to-rural migrant children compared to urban children.
- Overweight/obesity was more prevalent in urban children than in rural children.
- Maternal education, birth order, prenatal care, age, gender, and residential area significantly affected child health indicators.
Conclusions:
- Regional disparities create disadvantages for children in vulnerable areas.
- Policymakers must address these disparities to improve child health outcomes.
- Targeted interventions are needed for children in disadvantaged regions.
Introduction:
Birth weight, stunting and overweight/obesity of children are among the most important child health indicators that cause concerns all over the world. Based on international literature findings, birth weight, stunting and overweight/obesity of children may differ according to the various sociodemographic and socioeconomic factors. In addition, migration status of women and their children (within urban areas, within rural areas, urban to rural and rural to urban) may influence the birth outcomes and health status of children aged less than 5 years. The aim of this study is to determine the distribution of internal migration and the sociodemographic and socioeconomic factors on birth weight, stunting and overweight/obesity in children aged less than 5 years in Turkey. Another purpose of this study is to investigate the course of birth weight, stunting and overweight/obesity in children between 1993 and 2013 in Turkey.
Methods:
The source of data for this study was the nationally representative five Turkey Demographic and Health Surveys (1993, 1998, 2003, 2008, 2013 TNSA). Surveys were conducted by Hacettepe University Institute of Population Studies. Logistic regression analysis was used in order to determine the impact of migration status, sociodemographic and socioeconomic factors on birth weight, stunting and overweight/obesity of children.
Results:
Compared to children living in urban areas, inadequate birth weight was found to be higher in children living in rual areas and in children who had migrated from urban areas to rural areas. Stunting was found to be higher in rural areas and urban to rural areas compared to urban areas. Unlike birth weight and stunting in children, overweight/obesity was higher in children living in urban areas compared to children living in rural areas. Moreover, it was revealed that sociodemographic factors (maternal education, birth order, receiving prenatal care, age, gender) and socioeconomic factors (residential area and childhood residential area) affected the birth weight, stunting and overweight/obesity of children in this study.
Conclusion:
There is a need for policymakers to take steps to overcome the regional disparities that create disadvantages for children aged less than 5 years in disadvantaged areas.
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