TY  - JOUR
T1  - Impact of refugee status and maternal age on pregnancy outcomes: a comparative study from Turkiye
TT  - Mülteci statüsü ve anne yaşının gebelik sonuçları üzerindeki etkisi: Türkiye'den karşılaştırmalı bir çalışma
AU  - Balkaş, Gülay
AU  - Çelen, Şevki
PY  - 2025
DA  - September
Y2  - 2025
DO  - 10.32322/jhsm.1746967
JF  - Journal of Health Sciences and Medicine
JO  - J Health Sci Med /JHSM /jhsm
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2636-8579
SP  - 871
EP  - 878
VL  - 8
IS  - 5
LA  - en
AB  - Aims: This study aimed to elucidate sociodemographic, obstetric, and neonatal outcomes among Syrian refugee and native Turkish adolescents compared with adult women, to determine whether adverse maternal and neonatal outcomes are primarily attributable to young maternal age or exacerbated by Syrian refugee status. Methods: This retrospective cohort study analyzed 23,832 deliveries at a tertiary care center in Turkiye’s state-funded healthcare system from January 2015 to December 2018, with 5,720 singleton pregnancies meeting inclusion criteria. The study population comprised 2,235 adolescent pregnant women aged 15-19 years (985 Syrian refugees and 1,250 Turkish natives) and 3,485 adult pregnant women aged 20-35 years. Sociodemographic characteristics, obstetric and neonatal outcomes were compared between the groups.  Results: Refugee adolescents were younger, had a lower body mass index, insufficient weight gain during pregnancy and had inadequate antenatal care compared to other groups (p
KW  - Adolescent pregnancy
KW  - adverse pregnancy outcomes
KW  - antenatal care
KW  - health disparities
KW  - native adolescents
KW  - refugee adolescents
N2  - Amaç: Bu çalışmanın amacı, Suriyeli mülteci ve yerli Türk adölesan gebelerin sosyodemografik, obstetrik ve neonatal sonuçlarını erişkin kadınlarla karşılaştırmalı olarak inceleyerek olumsuz maternal ve neonatal sonuçların esas olarak genç anne yaşından mı kaynaklandığını yoksa Suriyeli mülteci statüsü ile daha da mı kötüleştiğini ortaya koymaktır.Yöntem: Bu retrospektif kohort çalışmasında, Türkiye’nin devlet destekli sağlık sistemine bağlı üçüncü basamak bir merkezde Ocak 2015 ile Aralık 2018 tarihleri arasında gerçekleşen 23.832 doğum analiz edilmiş olup, dahil edilme kriterlerini karşılayan 5.720 tekil gebelik değerlendirmeye alınmıştır. Çalışma grubu, 15–19 yaş aralığında 2.235 adölesan gebeyi (985 Suriyeli mülteci, 1.250 Türk vatandaşı) ve 20–35 yaş aralığında 3.485 erişkin gebeyi kapsamaktadır. Gruplar arasında sosyodemografik özellikler ile obstetrik ve neonatal sonuçlar karşılaştırılmıştır.Bulgular: Mülteci adölesanlar, diğer gruplara kıyasla daha genç yaşta olup, vücut kitle indeksleri daha düşüktü, gebelik süresince yetersiz kilo alımı gösterdiler ve antenatal bakım hizmetlerinden daha az faydalandılar (p
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UR  - https://doi.org/10.32322/jhsm.1746967
L1  - https://dergipark.org.tr/en/download/article-file/5073801
ER  -