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Prevalence and causes of malnutrition in seasonal agricultural workers' children under the age of five

Yıl 2025, Cilt: 50 Sayı: 3, 673 - 682, 30.09.2025
https://doi.org/10.17826/cumj.1637711

Öz

Purpose: Children under the age of five are vulnerable to malnutrition, and those living in tents with seasonal agricultural workers are at an even greater risk. This study aimed to determine the prevalence of chronic malnutrition and its associated factors in children of seasonal agricultural workers under the age of five.
Materials and Methods: The study was conducted on seasonal agricultural land in Adana, Turkey. Data were collected through questionnaires and anthropometric measurements. Three logistic regression models (stunting, underweight and wasting) were adopted to identify nutritional risk factors.
Results: The prevalence of stunting, underweight and wasting among the study participants was 40.4%, 51.7% and 23.2%, respectively. Female gender, a history of diarrhoea, breastfeeding for less than six months and incomplete vaccination were found to be associated with an increased risk of stunting. A history of diarrhoea, lack of antenatal care, breastfeeding for less than six months and incomplete vaccination were found to be associated with being underweight. A history of diarrhoea and lack of antenatal care were associated with wasting.
Conclusion: Based on these results, national healthcare services should promote improvements to the living and working conditions of agricultural workers with children under the age of five. Access to health services is important during the 0–5 age group, as growth and development must be closely monitored during this period. In addition to raising public awareness of this issue, health authorities must monitor the population at risk.

Kaynakça

  • Guler C, Akin L. Public Health Basics. Ankara, Hacettepe University Publications. 2015;412-418.
  • UNİCEF. Child malnutrition, 2023. https://data.unicef.org/topic/nutrition/malnutrition/ (accessed April 2025).
  • WHO. WHO Guideline for Complementary Feeding of Infants and Young Children 6-23 Months of Age. Geneva, World Health Organization, 2023.
  • WHO. WHO Guideline On the Prevention and Management of Wasting and Nutritional Edema (Acute Malnutrition) in Infants and Children Under 5 Years. Geneva, World Health Organization. 2024.
  • UNICEF. Food Security and Nutrition in The World, 2024. https://openknowledge.fao.org/server/api/core/bitstreams/d5be2ffc-f191-411c-9fee-bb737411576d/content (accessed March 2025).
  • Tette EM, Sifah EK, Nartey ET. Factors affecting malnutrition in children and the uptake of interventions to prevent the condition. BMC Pediatr. 2015;15:1-11.
  • International Labor Organisation. Employment by sector, 2024. http://www.ilo.org/ilostat (accessed March 2025).
  • Selek Oz C, Bulut E. Mevsimlik tarım işçilerinin türk hukuk sistemi içerisindeki yeri. Çalışma Dünyası Dergisi. 2013;1:94-111.
  • Karaman K, Yılmaz AS. Mevsimlik tarım işçileri ve enformel ilişkiler ağı: giresun’da çalışan mevsimlik tarım işçileri üzerine bir araştırma. Zeitschrift für die Welt der Türken. 2011;3:211-26.
  • Bayraktar S. Adana İli Mevsimlik Gezici Tarım İşçilerinin Mevcut Durumu ve İhtiyaçları Raporu. Adana, Kalkınma Ajansı, 2019.
  • Tezcan S, Ertan A, Aslan D. Evaluation of malnutrition status in children under five years of age. Turk J Med Sci. 2003;23:420-29.
  • Waly MI. Nutrition assessment of preschool children using z-score analysis. Can J Clin Nutr. 2014;2:50-59.
  • World Health Organization. Child Growth Standards, 2009. Geneva, World Health Organization. 2009.
  • UNICEF. Types of undernutrition: Growth failure – Acute malnutrition, 2023. https://www.unicef.org/nutrition/training/2.3/13.html (accessed Dec 2024).
  • World Health Organization. WHO Child Growth Standards: Length/Height-For-Age, Weight-For-Age, Weight-For-Length, Weight-For-Height and Body Mass Index-For-Age. Geneva, World Health Organization, 2006.
  • Olack B, Burke H, Cosmas L, Bamrah S, Dooling K, Feikin DR et al. Nutritional status of under-five children living in an informal urban settlement in Nairobi, Kenya. J Health Popul Nutr. 2011;29:357-63.
  • Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Ankara, Hacettepe University Institute of Population Studies, 2019.
  • Ugochukwu EF, Onubogu CU, Edokwe ES, Okeke KN. Nutritional contents of lunch packs of primary school children in Nnewi, Nigeria. Ann Med Health Sci Res. 2014;4:108-14.
  • Islam MM, Kibria NMSJ, Kumar S, Roy DC, Karim MR. Prediction of undernutrition and identification of its influencing predictors among under-five children in Bangladesh using explainable machine learning algorithms. PloS one. 2024;19:22.
  • Meshram II, Arlappa N, Balakrishna N, Rao KM, Laxmaiah A, Brahmam GNV. Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India. Asia Pac J Clin Nutr. 2012;21:568-76.
  • Koruk İ, Simsek Z, Tekin Koruk S, Doni N, Gürses G. Intestinal parasites, nutritional status and physchomotor development delay in migratory farm worker's children. Child Care Health Dev. 2010;36:888-94.
  • Simsek Z, Koruk İ, Yentur Doni N. An operational study on implementation of mobile primary healthcare services for seasonal migratory farm workers. Matern Child Health J. 2012;16:1906-12.
  • Halidi AG, Yaran K, Aydemir S, Ekici A, Dilbilir Y. Prevalence of intestinal parasites in school-age children in Turkey: A systematic review and meta-analysis. PLoS Negl Trop Dis. 2025;19:28.
  • Steinhoff MC. Interactions of diarrhea, pneumonia, and malnutrition in childhood: recent evidence from developing countries. Physiol Behav. 2018;176:139-48.
  • Manetu WM, M'masi S, Recha CW. Diarrhea disease among children under 5 years of age: a global systematic review. Open J Epidemiol. 2021;11:207-21.
  • Reiner RC, Olsen HE, Ikeda CT, Echko MM, Ballestreros KE, Manguerra H et al. Diseases, injuries, and risk factors in child and adolescent health, 1990 to 2017: findings from the global burden of diseases, injuries, and risk factors 2017 study. JAMA pediatrics. 2019;173:1-17.
  • Tripathy SK, Das S, Malik A. Vaccine and malnutrition: A narrative review. Journal of family medicine and primary care. 2023;12:1808-13.
  • Choudhary M, Sharma D, Nagar RP, Gupta BD, Nagar T, Pandita A. Clinical profile of severe acute malnutrition in Western Rajasthan: A prospective observational study from India. J Pediatr Neonatal Care. 2015;2:57.
  • Tariq AS, Naik SA, Rafiq AW, Saleem R. Demographic, clinical profile of severe acute malnutrition and our experience of nutrition rehabilitation centre at children hospital Srinagar Kashmir. Int J Contemp Pediatr. 2015;2:233-7.
  • Lal RS, Lal BS, Meena P, Kumar N. Clinico-laboratory profile and outcome of edematous severe acute malnutrition in children aged 6 months to 5 years. Int J Contemp Pediatr. 2016;3:954-59.
  • Aguayo VM, Jacob S, Badgaiyan N, Chandra P, Kumar A, Singh K et al. Providing care for children with severe acute malnutrition in India: New evidence from jharkhand. Public Health Nutr. 2014;17:206-11.
  • Kumar R, Singh J, Joshi K, Singh HP, Bijesh S. Co-morbidities in hospitalized children with severe acute malnutrition. Indian Pediatr. 2014;51:125-7.
  • Shah RH, Javdekar BB. Management of children with severe acute malnutrition: Experience of nutrition rehabilitation centre at Baroda, Gujarat. Int J Contemp Pediatr. 2014;1:3-6.
  • Rasania SK, Sachdev TR. Nutritional status and feeding practices of children attending MCH centre. Indian J Community Med. 2001;26:145.
  • Ibrahim C, Bookari K, Sacre Y, Hanna-Wakim L, Hoteit M. Breastfeeding practices, infant formula use, complementary feeding and childhood malnutrition: an updated overview of the Eastern Mediterranean Landscape. Nutrients. 2022;14:4201.
  • Yekeler B, Şahin M. Göçmenlerin ülkemizdeki sağlık yüküne etkisi ve göçmenlere bakış açısı: Sağlık personeli aday örneği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2021;10:98-104.
  • Sato R. Association between uptake of selected vaccines and undernutrition among Nigerian children. Hum Vaccin Immunother. 2021;17:2630-8.
  • Gamal Y, Mahmoud AO, Mohamed SA, Mohamed J, Raheem YFA. Prevalence and impact of malnutrition on outcomes and mortality of under-five years children with pneumonia: A study from Upper Egypt. Eur J Paediatr. 2023;182:4583-93.
  • Ermiati E, Ardianti AS, Azizatunnisa AZ, Sihemran KK. The role of nurses and midwives in handling malnutrition among pregnant women and children: a scoping review. J Nurs Care. 2024;7:151-60

Mevsimlik tarım işçilerinin beş yaş altı çocuklarında yetersiz beslenmenin yaygınlık ve nedenleri

Yıl 2025, Cilt: 50 Sayı: 3, 673 - 682, 30.09.2025
https://doi.org/10.17826/cumj.1637711

Öz

Amaç: Beş yaş altı çocuklar yetersiz beslenmeye karşı savunmasız bir gruptur ve çadırlarda yaşayan mevsimlik tarım işçilerinin çocukları yetersiz beslenme açısından daha risklidir. Bu çalışmanın amacı, beş yaş altı mevsimlik tarım işçilerinin çocuklarında kronik yetersiz beslenmenin yaygınlığını ve ilişkili faktörleri belirlemektir.
Gereç ve Yöntem: Çalışma Adana-Türkiye'deki mevsimlik tarım arazilerinde gerçekleştirildi. Veriler anket ve antropometrik ölçümler yoluyla toplandı. Beslenmeyi etkileyen faktörleri belirlemek için üç farklı lojistik regresyon modeli (bodur, düşük kilolu, zayıf) benimsendi.
Bulgular: Çalışmaya katılanlarda bodurluk, düşük kiloluluk ve zayıflık prevalansı sırasıyla %40,4, %51,7 ve %23,2 idi. Kız cinsiyet, ishal öyküsü, altı aydan az emzirme, eksik aşılama bodurluk riskinin artmasıyla ilişkili bulundu. İshal öyküsü, doğum öncesi bakım eksikliği, altı aydan az emzirme, eksik aşılama düşük kiloyla ilişkili bulundu. İshal öyküsü, doğum öncesi bakım eksikliği zayıflıkla ilişkili bulundu.
Sonuç: Bu sonuçlara göre, ulusal sağlık hizmetleri beş yaş altı çocuklarıyla birlikte yaşayan tarım işçilerinin yaşam ve çalışma koşullarında iyileştirmeleri teşvik etmelidir. Büyüme ve gelişimin yakından izlenmesi gereken bir dönem olan 0-5 yaşları arasında sağlık hizmetlerine erişim önemlidir. Bu konuda kamuoyunun farkındalığına ek olarak, risk popülasyonu sağlık otoriteleri tarafından izlenmelidir.

Kaynakça

  • Guler C, Akin L. Public Health Basics. Ankara, Hacettepe University Publications. 2015;412-418.
  • UNİCEF. Child malnutrition, 2023. https://data.unicef.org/topic/nutrition/malnutrition/ (accessed April 2025).
  • WHO. WHO Guideline for Complementary Feeding of Infants and Young Children 6-23 Months of Age. Geneva, World Health Organization, 2023.
  • WHO. WHO Guideline On the Prevention and Management of Wasting and Nutritional Edema (Acute Malnutrition) in Infants and Children Under 5 Years. Geneva, World Health Organization. 2024.
  • UNICEF. Food Security and Nutrition in The World, 2024. https://openknowledge.fao.org/server/api/core/bitstreams/d5be2ffc-f191-411c-9fee-bb737411576d/content (accessed March 2025).
  • Tette EM, Sifah EK, Nartey ET. Factors affecting malnutrition in children and the uptake of interventions to prevent the condition. BMC Pediatr. 2015;15:1-11.
  • International Labor Organisation. Employment by sector, 2024. http://www.ilo.org/ilostat (accessed March 2025).
  • Selek Oz C, Bulut E. Mevsimlik tarım işçilerinin türk hukuk sistemi içerisindeki yeri. Çalışma Dünyası Dergisi. 2013;1:94-111.
  • Karaman K, Yılmaz AS. Mevsimlik tarım işçileri ve enformel ilişkiler ağı: giresun’da çalışan mevsimlik tarım işçileri üzerine bir araştırma. Zeitschrift für die Welt der Türken. 2011;3:211-26.
  • Bayraktar S. Adana İli Mevsimlik Gezici Tarım İşçilerinin Mevcut Durumu ve İhtiyaçları Raporu. Adana, Kalkınma Ajansı, 2019.
  • Tezcan S, Ertan A, Aslan D. Evaluation of malnutrition status in children under five years of age. Turk J Med Sci. 2003;23:420-29.
  • Waly MI. Nutrition assessment of preschool children using z-score analysis. Can J Clin Nutr. 2014;2:50-59.
  • World Health Organization. Child Growth Standards, 2009. Geneva, World Health Organization. 2009.
  • UNICEF. Types of undernutrition: Growth failure – Acute malnutrition, 2023. https://www.unicef.org/nutrition/training/2.3/13.html (accessed Dec 2024).
  • World Health Organization. WHO Child Growth Standards: Length/Height-For-Age, Weight-For-Age, Weight-For-Length, Weight-For-Height and Body Mass Index-For-Age. Geneva, World Health Organization, 2006.
  • Olack B, Burke H, Cosmas L, Bamrah S, Dooling K, Feikin DR et al. Nutritional status of under-five children living in an informal urban settlement in Nairobi, Kenya. J Health Popul Nutr. 2011;29:357-63.
  • Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Ankara, Hacettepe University Institute of Population Studies, 2019.
  • Ugochukwu EF, Onubogu CU, Edokwe ES, Okeke KN. Nutritional contents of lunch packs of primary school children in Nnewi, Nigeria. Ann Med Health Sci Res. 2014;4:108-14.
  • Islam MM, Kibria NMSJ, Kumar S, Roy DC, Karim MR. Prediction of undernutrition and identification of its influencing predictors among under-five children in Bangladesh using explainable machine learning algorithms. PloS one. 2024;19:22.
  • Meshram II, Arlappa N, Balakrishna N, Rao KM, Laxmaiah A, Brahmam GNV. Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India. Asia Pac J Clin Nutr. 2012;21:568-76.
  • Koruk İ, Simsek Z, Tekin Koruk S, Doni N, Gürses G. Intestinal parasites, nutritional status and physchomotor development delay in migratory farm worker's children. Child Care Health Dev. 2010;36:888-94.
  • Simsek Z, Koruk İ, Yentur Doni N. An operational study on implementation of mobile primary healthcare services for seasonal migratory farm workers. Matern Child Health J. 2012;16:1906-12.
  • Halidi AG, Yaran K, Aydemir S, Ekici A, Dilbilir Y. Prevalence of intestinal parasites in school-age children in Turkey: A systematic review and meta-analysis. PLoS Negl Trop Dis. 2025;19:28.
  • Steinhoff MC. Interactions of diarrhea, pneumonia, and malnutrition in childhood: recent evidence from developing countries. Physiol Behav. 2018;176:139-48.
  • Manetu WM, M'masi S, Recha CW. Diarrhea disease among children under 5 years of age: a global systematic review. Open J Epidemiol. 2021;11:207-21.
  • Reiner RC, Olsen HE, Ikeda CT, Echko MM, Ballestreros KE, Manguerra H et al. Diseases, injuries, and risk factors in child and adolescent health, 1990 to 2017: findings from the global burden of diseases, injuries, and risk factors 2017 study. JAMA pediatrics. 2019;173:1-17.
  • Tripathy SK, Das S, Malik A. Vaccine and malnutrition: A narrative review. Journal of family medicine and primary care. 2023;12:1808-13.
  • Choudhary M, Sharma D, Nagar RP, Gupta BD, Nagar T, Pandita A. Clinical profile of severe acute malnutrition in Western Rajasthan: A prospective observational study from India. J Pediatr Neonatal Care. 2015;2:57.
  • Tariq AS, Naik SA, Rafiq AW, Saleem R. Demographic, clinical profile of severe acute malnutrition and our experience of nutrition rehabilitation centre at children hospital Srinagar Kashmir. Int J Contemp Pediatr. 2015;2:233-7.
  • Lal RS, Lal BS, Meena P, Kumar N. Clinico-laboratory profile and outcome of edematous severe acute malnutrition in children aged 6 months to 5 years. Int J Contemp Pediatr. 2016;3:954-59.
  • Aguayo VM, Jacob S, Badgaiyan N, Chandra P, Kumar A, Singh K et al. Providing care for children with severe acute malnutrition in India: New evidence from jharkhand. Public Health Nutr. 2014;17:206-11.
  • Kumar R, Singh J, Joshi K, Singh HP, Bijesh S. Co-morbidities in hospitalized children with severe acute malnutrition. Indian Pediatr. 2014;51:125-7.
  • Shah RH, Javdekar BB. Management of children with severe acute malnutrition: Experience of nutrition rehabilitation centre at Baroda, Gujarat. Int J Contemp Pediatr. 2014;1:3-6.
  • Rasania SK, Sachdev TR. Nutritional status and feeding practices of children attending MCH centre. Indian J Community Med. 2001;26:145.
  • Ibrahim C, Bookari K, Sacre Y, Hanna-Wakim L, Hoteit M. Breastfeeding practices, infant formula use, complementary feeding and childhood malnutrition: an updated overview of the Eastern Mediterranean Landscape. Nutrients. 2022;14:4201.
  • Yekeler B, Şahin M. Göçmenlerin ülkemizdeki sağlık yüküne etkisi ve göçmenlere bakış açısı: Sağlık personeli aday örneği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2021;10:98-104.
  • Sato R. Association between uptake of selected vaccines and undernutrition among Nigerian children. Hum Vaccin Immunother. 2021;17:2630-8.
  • Gamal Y, Mahmoud AO, Mohamed SA, Mohamed J, Raheem YFA. Prevalence and impact of malnutrition on outcomes and mortality of under-five years children with pneumonia: A study from Upper Egypt. Eur J Paediatr. 2023;182:4583-93.
  • Ermiati E, Ardianti AS, Azizatunnisa AZ, Sihemran KK. The role of nurses and midwives in handling malnutrition among pregnant women and children: a scoping review. J Nurs Care. 2024;7:151-60
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Bebek ve Çocuk Sağlığı
Bölüm Araştırma
Yazarlar

Didem Yüzügüllü 0000-0001-6731-6155

Ferdi Tanır 0000-0001-7408-8533

Yayımlanma Tarihi 30 Eylül 2025
Gönderilme Tarihi 11 Şubat 2025
Kabul Tarihi 3 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 50 Sayı: 3

Kaynak Göster

MLA Yüzügüllü, Didem ve Ferdi Tanır. “Prevalence and causes of malnutrition in seasonal agricultural workers’ children under the age of five”. Cukurova Medical Journal, c. 50, sy. 3, 2025, ss. 673-82, doi:10.17826/cumj.1637711.