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Türk Çocuklarında Çok Boyutlu Yoksulluk Göstergeleri ile Sağlık Davranışları Arasındaki İlişki

Year 2023, Volume: 13 Issue: 2, 160 - 184, 20.06.2023
https://doi.org/10.12658/M0697

Abstract

Bu çalışmanın amacı, Türk çocuklarında çok boyutlu yoksulluk göstergeleri ile sağlık davranışları arasındaki ilişkiyi araştırmaktır. Araştırmanın örneklemi, Türkiye’nin Ankara ilindeki sosyo-ekonomik duruma göre dört grupta sınıflandırılan ilçelerinden her gruptan en az bir okul olacak şekilde belirlenip, veriler 10-14 yaş aralığındaki 2145 erkek 2136 kız çocuğu olmak üzere toplam 4.276 çocuğa anket formları uygulanarak toplanmıştır. Veriler, PASW İstatistiklerinde tanımlayıcı istatistikler, ki-kare testi ve ikili lojistik regresyon ile analiz edilmiştir. Analizlerin en etkileyici sonuçları, kız çocuklarının; 5, 6 ve 7. sınıf öğrencilerinin; sağlıklarını iyi olarak değerlendirenlerin; yüksek ve orta düzeyde aile zenginliği olanların; çocuk yoksunluğu endeksine göre yoksun olmayanların; aile gelir düzeyini yüksek ve orta olarak değerlendirenlerin ve hiç açlık çekmemiş olanların sağlıklı davranışlar sergileyen grupta olma olasılıkları daha yüksektir. Sonuç olarak, özellikle yoksulluk içinde yaşayan çocukların sağlıklı davranışlarını geliştirmek için aile hekimliği sisteminde uygulanacak okul temelli bazı müdahaleler ve politikalar önerilmiştir.

References

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Relationship between Multidimensional Poverty Indicators and Health Behaviors among Turkish Children

Year 2023, Volume: 13 Issue: 2, 160 - 184, 20.06.2023
https://doi.org/10.12658/M0697

Abstract

The aim of the study is to investigate the relationship between multidimensional poverty indicators and health behaviors among Turkish children. The sample of the study was determined to include at least one school from each socioeconomic status group in the districts of Ankara, which are classified into four socioeconomic groups, and the data were collected by applying face-to-face questionnaires to a total of 4,276 children, 2145 boys and 2136 girls, between the ages of 10 and 14. The data were analyzed using descriptive statistics, chi-squared test and binary logistic regression in the PASW Statistics program. The most striking results of the analysis showed that the female children, 5th, 6th, and 7th grade students, those who rated their health as good, those with a high or medium family affluence levels, those who were not deprived according to the Child Deprivation Index, those who rated their family income level as high or medium, and those who never suffered from hunger were more likely to be in the group with healthy behaviors (p<0.05). Accordingly, some school-based interventions and policies to be implemented in the family medicine system are recommended to promote the healthy behaviors of children, especially those living in poverty.

References

  • Asaka, Y., Sekine, M., Yamada, M., & Tatsuse, T. (2020). Associations of socioeconomic status and lifestyle factors with dental neglect of elementary school children: the MEXT Super Shokuiku School Project. Environmental Health and Preventive Medicine, 25(73), 1-7. doi:10.1186/s12199-020-00916-y.
  • Aue, K., Roosen, J., & Jensen, H.H. (2016). Poverty dynamics in Germany: Evidence on the relationship between persistent poverty and health behavior. Social Science and Medicine, 153, 62–70. doi:10.1016/j.socscimed.2016.01.040.
  • Basha, S., Mohammad, R.N., Swamy, H. S., & Sexena, W. (2015). Association between traumatic dental injury, obesity, and socioeconomic status in 6- and 13-year-old schoolchildren. Social Work and Public Health, 30(4), 1-9. doi:10.1080/19371918.2014.1002598.
  • Belvin, C., Britton, J., Holmes, J., & Langley, T. (2015). Parental smoking and child poverty in the UK: an analysis of national survey data. BMC Public Health, 15(1), 507. doi:10.1186/s12889-015-1797-z.
  • Borodulin, K., Zimmer, C., Sippola, R., Mäkinen, T.E., Laatikainen T., & Prättälä, R. (2012). Health behaviours as mediating pathways between socioeconomic position and body mass index. Int J Behav Med, 19, 14-22. doi:10.1007/s12529-010-9138-1.
  • Buonomo, E., Moramarco, S., Tappa, A., Palmieri, S., Michele S., Biondi, G., Agosti, G., Alessandroni C., Caredda, E., & Palombi, L. (2020). Access to health care, nutrition and dietary habits among school- age children living in socio-economic inequality contexts: results from the “For Good: Sport is Well-Being” program. International Journal of Food Sciences and Nutrition, 71(3), 352-361. doi:10.1080/09637486.2019.1655714.
  • Caburnay, C.A., Kreuter, M.W., Luke, D.A., Logan, R.A., Jacobsen, H.A., Reddy V.C., Vempaty, A.R., & Zayed, H.R. (2003). The news on health behaviors: Coverage of diet, activity, and tobacco in local newspapers. Health Education and Behavior, 30(6), 709-722.
  • Cole, H.P. (1997). Stories to live by: A narrative approach to health behavior research and injury prevention. In D. S. Gochman (Ed.), Handbook of health behavior research IV: Relevance for professionals and issues for the future (pp. 325-349). New York: Plenum.
  • Conner, M., & Norman, P. (2017). Health behavior: current issues and challenges. Psychology and Health, 32(8), 895-906. doi:10.1080/08870446.2017.1336240.
  • Contoyannis, P., & Jones, A. (2004). Socio-economic status, health and lifestyle. Journal of Health Economics, 23(5): 965-995. doi:10.1016/j.jhealeco.2004.02.001.
  • Cottrell, L., Zatezalo, J., Bonasso, A., Lattin, J., Shawley, S., Murphy, E., Lilly, C., & Neal, W.A. (2015). The relationship between children’s physical activity and family income in rural settings: A cross- sectional study. Preventive Medicine Reports, 2, 99-114. doi:10.1016/j.pmedr.2015.01.008.
  • Dinsa, G.D., Goryakin, Y., Fumagalli, E., & Suhrcke, M. (2012). Obesity and socioeconomic status in developing countries: A systematic review. Obesity Reviews, 13(11), 1067-1079. doi:10.1111/j.1467- 789X.2012.01017.x.
  • Dorri, M., Sheiham, R.H., & Watt, R. (2010). The relationship between sense of coherence and toothbrushing behaviours in Iranian adolescents in Mashhad. J Clin Periodontol, 37, 46-52. doi:10.1111/j.1600- 051X.2009.01497.x.
  • Drewnowski, A., & Specter, S.E. (2004). Poverty and obesity: The role of energy density and energy costs. Am J Clin Nutr, 79, 6-16. doi:10.1093/ajcn/79.1.6.
  • Dye, B.A., & Thornton-Evans, G. (2010). Trends in oral health by poverty status as measured by Healthy People 2010 objectives. Public Health Rep, 125(6), 817-30. doi:10.1177/003335491012500609.
  • Elgar, F.J., Pförtner, T.K., Moore, I., de Clercq B., Stevens., G.W.J.M., & Currie, C. (2015). Socioeconomic inequalities in adolescent health 2002-2010: a time-series analysis of 34 countries participating in the health behaviour in school-aged children study. Lancet, 385(9982):2088-2095.
  • Finkelstein, D.M., Petersen, D.M., & Schottenfeld, L.S. (2017). Promoting children’s physical activity in Low-income communities in Colorado: What are the barriers and opportunities? Prev Chronic Dis, 14(14), E134. doi:10.5888/pcd14.170111.
  • Fonseca, M. (2012). The effects of poverty on children’s development and oral health. Podiatry Dent, 34(1), 32-38.
  • Hoare, E., Crooks, N., Hayward, J., Allender S., & Strugnell, C. (2019). Associations between combined overweight and quality of life among Australian regional school children: baseline findings of the Gulburn Valley health behaviours monitoring study. Health and Quality of Life Outcomes, 17(1),16. doi:10.1186/s12955-019-1086-0.
  • Inchley, J.C., Stevens, G.W., Samdal, O., & Currie, D.B. (2020). Enhancing understanding of adolescent health and well-being: The health behavior in school-aged children study. Journal of Adolescent Health, 66(6), S3-S5. doi:10.1016/j.jadohealth.2020.03.014.
  • Jarvis, M.J., & Wardle, J. (2006). Social patterning of individual health behaviours: the case of cigarette smoking. In Marmot M, Wilkinson RG, (Eds). Social determinants of health (pp. 224-37). New York: Oxford University Press.
  • Kahraman, F., & Gül, S.S. (2015). Child Poverty in Turkey: A Research on Gaziantep. Hitit University Journal of Social Sciences Institute, 8, 339–366 [in Turkish].
  • Keddell, E. (2017). The vulnerable child in neoliberal contexts: the construction of children in the Aotearoa New Zealand child protection reforms. Childhood, 25(1):93-108.
  • Kovács, K.E., & Nagy, B.E. (2017). Adolescents’ health behaviour according to sport and family structure. Különleges Bánásmód, III. évf. 2017/1. szám, 27-37. doi:10.18458/KB.2017.1.27.
  • Köktaş, A.M., Gölçek, G.A., & Selçuk, I.Ş. (2019). Socioeconomic characteristics of obese individuals in Turkey: 2016 Example. Artvin International Congress on Social Sciences (AICOSS 19) 17-19 April 2019. [in Turkish]
  • Lampert, T., & Kuntz, B. (2019). Effects of poverty for health and health behavior of children and adolescents: Results from KiGGS Wave 2. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 62(10), 1263-1274. doi:10.1007/s00103-019-03009-6.
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There are 69 citations in total.

Details

Primary Language English
Subjects Urban Sociology and Community Studies
Journal Section Research Articles
Authors

Emre Özcan This is me 0000-0002-0877-2457

Fikriye Yılmaz This is me 0000-0002-4884-3803

Early Pub Date June 23, 2023
Publication Date June 20, 2023
Published in Issue Year 2023 Volume: 13 Issue: 2

Cite

APA Özcan, E., & Yılmaz, F. (2023). Relationship between Multidimensional Poverty Indicators and Health Behaviors among Turkish Children. İnsan Ve Toplum, 13(2), 160-184. https://doi.org/10.12658/M0697