Research Article

Social determinants of child mortality among Syrian migrants and the host community in Türkiye: Equality in disadvantage

Number: 1 April 20, 2026

Social determinants of child mortality among Syrian migrants and the host community in Türkiye: Equality in disadvantage

Abstract

Objective: Child mortality is a critical indicator of population health and inequality. Despite Türkiye’s progress in reducing under-five mortality, disparities persist, especially among Syrian migrants. This study compares the social determinants of child mortality between Turkish host community and Syrian migrants using the World Health Organization’s Social Determinants of Health framework.

Method: Data come from the 2018 Turkey Demographic and Health Survey (TDHS), including 5,141 ever-married Turkish women and 1,847 Syrian migrant women aged 15-49. A Child Mortality Index (CMI), adjusted for marital duration, served as the dependent variable. Descriptive statistics and binary logistic regression were applied separately for each group to identify key predictors.

Results: Both structural and cultural factors significantly influence child mortality, but patterns differ. Among Turkish women, maternal education, traditional gender norms, and exceeding the ideal number of children were the strongest predictors. For Syrian migrants, region of residence, partner’s employment, and fertility preferences were most significant. The Syrian sample showed more uniform disadvantage, with less subgroup variation and slightly lower model explanatory power (Nagelkerke R² = 17%) compared to Türkiye (21%).

Conclusion: Results emphasize the need for targeted, group-specific policies. For the host population, priorities include educational investment and family planning. For Syrian migrants, strengthening regional health infrastructure and addressing economic vulnerability are critical. Overall, the study supports integrated policy approaches aimed at moving from “equality in disadvantage” to “equality in opportunity” for all populations in Türkiye.

Keywords

Child Mortality, Demographic and Health Surveys, Public Health, Migrants, Social Determinants of Health

Supporting Institution

The authors received no financial support or funding for this study.

Ethical Statement

This study is based on secondary analysis of publicly available survey data and did not involve any direct interaction with human or animal subjects. Therefore, ethical approval was not required. The authors declare that all ethical standards of research and publication have been observed.

Thanks

This study was presented as an oral presentation at the Sociology Conference organized by Mimar Sinan Fine Arts University, held in İstanbul, Türkiye, on 5-7 December 2024.

References

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APA
Göktürk, B., Saraç, M., & Koç, İ. (2026). Social determinants of child mortality among Syrian migrants and the host community in Türkiye: Equality in disadvantage. Turkish Journal of Public Health, 1. https://doi.org/10.20518/tjph.1766410
AMA
1.Göktürk B, Saraç M, Koç İ. Social determinants of child mortality among Syrian migrants and the host community in Türkiye: Equality in disadvantage. TJPH. 2026;(1). doi:10.20518/tjph.1766410
Chicago
Göktürk, Büşra, Melike Saraç, and İsmet Koç. 2026. “Social Determinants of Child Mortality Among Syrian Migrants and the Host Community in Türkiye: Equality in Disadvantage”. Turkish Journal of Public Health, no. 1. https://doi.org/10.20518/tjph.1766410.
EndNote
Göktürk B, Saraç M, Koç İ (April 1, 2026) Social determinants of child mortality among Syrian migrants and the host community in Türkiye: Equality in disadvantage. Turkish Journal of Public Health 1
IEEE
[1]B. Göktürk, M. Saraç, and İ. Koç, “Social determinants of child mortality among Syrian migrants and the host community in Türkiye: Equality in disadvantage”, TJPH, no. 1, Apr. 2026, doi: 10.20518/tjph.1766410.
ISNAD
Göktürk, Büşra - Saraç, Melike - Koç, İsmet. “Social Determinants of Child Mortality Among Syrian Migrants and the Host Community in Türkiye: Equality in Disadvantage”. Turkish Journal of Public Health. 1 (April 1, 2026). https://doi.org/10.20518/tjph.1766410.
JAMA
1.Göktürk B, Saraç M, Koç İ. Social determinants of child mortality among Syrian migrants and the host community in Türkiye: Equality in disadvantage. TJPH. 2026. doi:10.20518/tjph.1766410.
MLA
Göktürk, Büşra, et al. “Social Determinants of Child Mortality Among Syrian Migrants and the Host Community in Türkiye: Equality in Disadvantage”. Turkish Journal of Public Health, no. 1, Apr. 2026, doi:10.20518/tjph.1766410.
Vancouver
1.Büşra Göktürk, Melike Saraç, İsmet Koç. Social determinants of child mortality among Syrian migrants and the host community in Türkiye: Equality in disadvantage. TJPH. 2026 Apr. 1;(1). doi:10.20518/tjph.1766410