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MÜLTECİ/SIĞINMACI VE TÜRK ADÖLESANLARIN BEDEN KÜTLE İNDEKSLERİ, FİZİKSEL AKTİVİTE TUTUMLARI VE BESLENME ALIŞKANLIKLARININ KARŞILAŞTIRILMASI

Year 2025, Volume: 35 Issue: 3, 462 - 470, 30.06.2025
https://doi.org/10.54005/geneltip.1617724

Abstract

ÖZ
Amaç: Bu tanımlayıcı karşılaştırmalı çalışma, bir ortaokulda öğrenim gören mülteci adölesanlar ile Türk adölesanların vücut kitle indekslerini, beslenme alışkanlıklarını ve fiziksel aktivite tutumlarını karşılaştırmak amacıyla yapılmıştır.
Gereç ve Yöntemler: Araştırmaya toplam 345 öğrenci katılmıştır. Veriler Anket Formu, Aile Refahı Ölçeği, Fiziksel Aktivite Tutum Ölçeği ve Adölesan Öğrencilerde Beslenme Alışkanlıklarını Değerlendirme İndeksi kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler (ortalama, standart sapma, sayı ve yüzde), Ki-kare testi, bağımsız gruplar t testi, çoklu regresyon analizi ve ANCOVA analizi uygulanmıştır.
Bulgular: Mülteci adölesanlar ile Türk adölesanların Beslenme Alışkanlıklarını Değerlendirme İndeksi puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmuştur. Mülteci adölesanların BKİ düzeyleri ile yaş, kardeş sayısı ve annenin çalışma durumu arasında istatistiksel olarak anlamlı bir ilişki olduğu ortaya çıkmıştır. Ayrıca aile refah düzeyinin etkisi kontrol edildiğinde mülteci veya Türk olmanın Beslenme Alışkanlıklarını Değerlendirme İndeksi puanı üzerinde anlamlı bir etkiye sahip olduğu bulunmuştur.
Sonuç: Adölesanlarda sağlıklı beslenme alışkanlıklarının geliştirilmesi önemlidir.
Anahtar Kelimeler: Adölesan sağlığı, Egzersiz, Beslenme, Mülteci, Okul sağlığı

References

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  • 2. IOM. International Organization for Migration, Dictionary of Migration Terms 2015 [Available from: https://publications.iom.int/system/files/pdf/iml31_turkish_2ndedition.pdf (19.11.2020).
  • 3. Block K, Warr D, Gibbs L, Riggs E. Addressing ethical and methodological challenges in research with refugee-background young people: Reflections from the field. J Immigr Refug Stud 2013;26(1):69-87.
  • 4. Pavli A, Maltezou H. Health problems of newly arrived migrants and refugees in Europe. JTravMed 2017;24(4).
  • 5. UNHCR. United Nations High Commissioner for Refugees. Global Trends Report 2021 [Available from: https://www.unhcr.org/tr/24189-dunyadaki-insanlarin-1i-yerinden-edilmis- durumda-unhcr-kuresel-egilimlerraporu.html
  • 6. Hanta NI. Education in multicultural schools in Turkey as a country of immigration: The example of Polatlı. Anadolu University (Turkey); 2021.
  • 7. Elmas SC. Securitization of migration through discourses: Syrian refugee women in Turkey. HJEP 2022;2:1.
  • 8. Lee D, Weinberg M, Benoit S. Evaluation of measles-mumps-rubella vaccination among newly arrived refugees. AJPH 2017;107(5):684-6.
  • 9. Akpınar T. Problems experienced by Syrian refugee children and women in Turkey in the context of social policy. JBNES 2017; 3(3):16-29.
  • 10. Demir Özdenk G. Developing a new scale to determine the food and nutrition literacy levels of late adolescents: food and nutrition literacy scale - validity and reliability study. Malatya: İnönü University; 2021.
  • 11. Harake E, Diab M, Kharroubi S, Hamadeh SK, Jomaa L. Impact of a pilot school-based nutrition intervention on dietary knowledge, attitudes, behavior and nutritional status of Syrian refugee children in the Bekaa, Lebanon. Nutrients 2018;10(7):913.
  • 12. Yüksel E, Akıl M. Examination of adolescents' physical activity levels, obesity awareness levels and nutritional behaviors. J Sport Health Sci 2019;13(3):185-93.
  • 13. Karataş H, Erdemir F. Roles and functions of the pediatric nurse in the care of immigrant children. Turkey Clinics Child Health and Diseases Nursing-Special Topics 2018;4(1):81-6.
  • 14. Pehlivantürk-Kızılkan M, Özmert EN, Derman O, Okur İ, Kaynak MO, Adıgüzel A, et al. Nutritional status of Syrian refugees in early adolescence living in Turkey. J Immigr Minor Health 2020;22(6):1149-54.
  • 15. Rodriguez PI, Dean J, Kirkpatrick S, Berbary L, Scott S. Exploring experiences of the food environment among immigrants living in the Region of Waterloo, Ontario. CPHA 2016;107(1):eS53-eS9.
  • 16. Blanchet R, Sanou D, Nana CP, Pauzé E, Batal M, Giroux I. Strategies and challenges in recruiting black immigrant mothers for a community-based study on child nutritional health in Ottawa, Canada. J Immigr Minor Health 2017;19(2):367-72.
  • 17. Yasin NA. Nutritional Status and Food Behavior among Primary School Students in Duhok City. Journal for Nursing Sciences 2017;7(1).
  • 18. Hrafnkelsdottir SM, Brychta RJ, Rognvaldsdottir V, Gestsdottir S, Chen KY, Johannsson E, et al. Less screen time and more frequent vigorous physical activity are associated with a lower risk of reporting negative mental health symptoms among Icelandic adolescents. PloS one 2018;13(4):e0196286.
  • 19. Atalı L. Examining the services provided to Syrians in Turkey from a sports perspective. JSHSR 2018;5(31):4532-7.
  • 20. Fazel M, Reed R, Stein A. Refugee, asylum‐seeking and internally displaced children and adolescents. Rutter's child and adolescent psychiatry 2015:573-85.
  • 21. Frounfelker RL, Miconi D, Farrar J, Brooks MA, Rousseau C, Betancourt TS. Mental health of refugee children and youth: epidemiology, interventions, and future directions. Annual Review of Public Health 2020;41:159-76.
  • 22. Özer S, Sirin SR, Oppedal B. Bahçeşehir study of Syrian refugee children in Turkey: Bahcesehir University, İstanbul; 2016.
  • 23. Jabbara SA, Zazab HI. Impact of conflict in Syria on Syrian children at the Zaatari refugee camp in Jordan. Abuse and Violence Towards Young Children: Perspectives on Research and Policy. 2017.
  • 24. Soykoek S, Mall V, Nehring I, Henningsen P, Aberl S. Post-traumatic stress disorder in Syrian children of a German refugee camp. The Lancet 2017;389(10072):903-4.
  • 25. Braun-Lewensohn O, Al-Sayed K. Syrian adolescent refugees: How do they cope during their stay in refugee camps? Frontiers in psychology 2018;9:1258.
  • 26. Yayan EH, Düken ME, Özdemir AA, Çelebioğlu A. Mental health problems of Syrian refugee children: post-traumatic stress, depression and anxiety. Journal of pediatric nursing. 2020;51:e27-e32.
  • 27. Erdoğan S, Nahcivan N, Esin N. Analysis and interpretation of data. Book: Research Book in Nursing, Istanbul; 2014.
  • 28. Mycek MK, Hardison-Moody A, Bloom JD, Bowen S, Elliott S. Learning to eat the “right” way: examining nutrition socialization from the perspective of immigrants and refugees. Food, Culture & Society 2020;23(1):46-65.
  • 29. Currie CE, Elton RA, Todd J, Platt S. Indicators of socioeconomic status for adolescents: the WHO Health Behaviour in School-aged Children Survey. Health education research 1997;12(3):385-97.
  • 30. Ercan O, Alikaşifoğlu M, Erginöz E, Uysal Ö, Kaymak DA. Health behavior survey of school-age children. Turkish Pediatrics Archive 2011;46(11):15-8.
  • 31. Duman E. Primary education 7th-8th. Correlation of nutritional status, anthropometric measurements and academic achievements of classes: Pamukkale University Institute of Health Sciences; 2012.
  • 32. Demirezen E, Coşansu G. Evaluation of nutritional habits in adolescent students. Journal of CME 2005;14(8):174-8.
  • 33. Yıldızer G, Bilgin E, Korur EN, Yüksel Y, Demirhan G. Development of the Physical Activity Attitude Scale for Secondary School Students. Journal of Sports Sciences 2019;30(2):63-73.
  • 34. Sönmüş M. Evaluation of nutrition, exercise status and BMI levels of early adolescence boys playing football between the ages of 11-14. Graduate Education Institute, Istanbul: Haliç University; 2020.
  • 35. Akan M. The relationship between nutrition exercise behaviors and body mass index in adolescents: Trakya University Health Sciences Institute; 2019.
  • 36. Daştan İ, Çetinkaya V, Delice ME. Prevalence of obesity and overweight among students aged 7-18 in Izmir. Bakırköy Medical Journal 2014;10(4):139-46.
  • 37. Belau MH, Bassil M, Laukamp A, Kraemer A. Body mass index and associated factors among refugees living in North Rhine-Westphalia, Germany: a cross-sectional study. BMC Nutrition 2021;7(1):1-12.
  • 38. Amr RA, Al-Smadi AM, Akasheh RT, Deiranieh RA, Gammoh OS, Hammouh FG, et al. Mood and demographical factors as predictors of body mass index among Syrian and Iraqi refugees in Jordan. Journal of Health Psychology 2021;26(11):1988-98.
  • 39. Hosseini SM, Latifi S, Kelishadi R. Analysis of factors affecting the body mass index in a national sample of Iranian children and adolescents: bootstrapping regression. Advanced biomedical research 2017;6.
  • 40. Manal Ibrahim AK, Mousa Ali AH, Erika Sivarajan F. Predictors of obesity in school‐aged Jordanian adolescents. International journal of nursing practice 2010;16(4):397-405.
  • 41. Fraiwan M, Almomani F, Hammouri H. Body mass index and potential correlates among elementary school children in Jordan. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity 2021;26(2):629-38.
  • 42. Yavuz CM, Özer BK. Eating habits and nutrition in adolescent school children. Journal of Tourism and Gastronomy Studies 2019;225:243.
  • 43. Mandre J, Kaindi DWM, Kogi-Makau W. Nutrition status of refugee and host-country children: Negotiating for equal distribution of relief food during emergencies in Uganda. J Immigr Minor Health 2022:1-11.
  • 44. Alsayed R, Kahraman EM. Determination of nutrition and food security status of children of Syrian refugee families "Istanbul-Avcılar example". Journal of Anadolu Bil Vocational School 2019;16(61):99-132.
  • 45. Degarege D, Degarege A, Animut A. Undernutrition and associated risk factors among school-age children in Addis Ababa, Ethiopia. BMC Public Health 2015;15(1):1-9.
  • 46. Mead C, Tindall R, Charlton K. Evaluation of a nutrition education resource for refugees and newly arrived migrants to Australia. Health Promotion Journal of Australia; 2022

The Comparison Of Body Mass Indexes, Dietary Habits, And Physical Activity Attitudes Of Refugee And Turkish Adolescents

Year 2025, Volume: 35 Issue: 3, 462 - 470, 30.06.2025
https://doi.org/10.54005/geneltip.1617724

Abstract

ABSTRACT
Aims: This descriptive comparative study was conducted to compare the body mass indexes, dietary habits, and physical activity attitudes of refugee adolescents and Turkish adolescents studying at a secondary school.
Materials and Methods: A total of 345 students participated in the study. Data were collected using the Questionnaire Form, the Family Welfare Scale, the Physical Activity Attitude Scale, and the Index for the Evaluation of Dietary Habits in Adolescent Students. Descriptive statistics (mean, standard deviation, number, and percentage), the Chi-square test, the independent groups t test, the multiple regression analysis, and the ANCOVA analysis were performed to analyze the data.
Results: A statistically significant difference was found between the mean Index for the Evaluation of Dietary Habits score of refugee adolescents and Turkish adolescents. It was revealed that there was a statistically significant relationship between the BMI levels of the refugee students and their age, number of siblings and the working status of the mother. In addition, it was found that when the effect of family welfare level was controlled, being a refugee or being Turkish had a significant effect on the Index for the Evaluation of Dietary Habits score.
Conclusion: It is important to develop healthy dietary habits in adolescents.
Keywords: Adolescent health, Exercise, Nutrition, Refugee, School health

References

  • 1. De Haas H, Castles S, Miller MJ. The age of migration: International population movements in the modern world: Bloomsbury Publishing; 2019.
  • 2. IOM. International Organization for Migration, Dictionary of Migration Terms 2015 [Available from: https://publications.iom.int/system/files/pdf/iml31_turkish_2ndedition.pdf (19.11.2020).
  • 3. Block K, Warr D, Gibbs L, Riggs E. Addressing ethical and methodological challenges in research with refugee-background young people: Reflections from the field. J Immigr Refug Stud 2013;26(1):69-87.
  • 4. Pavli A, Maltezou H. Health problems of newly arrived migrants and refugees in Europe. JTravMed 2017;24(4).
  • 5. UNHCR. United Nations High Commissioner for Refugees. Global Trends Report 2021 [Available from: https://www.unhcr.org/tr/24189-dunyadaki-insanlarin-1i-yerinden-edilmis- durumda-unhcr-kuresel-egilimlerraporu.html
  • 6. Hanta NI. Education in multicultural schools in Turkey as a country of immigration: The example of Polatlı. Anadolu University (Turkey); 2021.
  • 7. Elmas SC. Securitization of migration through discourses: Syrian refugee women in Turkey. HJEP 2022;2:1.
  • 8. Lee D, Weinberg M, Benoit S. Evaluation of measles-mumps-rubella vaccination among newly arrived refugees. AJPH 2017;107(5):684-6.
  • 9. Akpınar T. Problems experienced by Syrian refugee children and women in Turkey in the context of social policy. JBNES 2017; 3(3):16-29.
  • 10. Demir Özdenk G. Developing a new scale to determine the food and nutrition literacy levels of late adolescents: food and nutrition literacy scale - validity and reliability study. Malatya: İnönü University; 2021.
  • 11. Harake E, Diab M, Kharroubi S, Hamadeh SK, Jomaa L. Impact of a pilot school-based nutrition intervention on dietary knowledge, attitudes, behavior and nutritional status of Syrian refugee children in the Bekaa, Lebanon. Nutrients 2018;10(7):913.
  • 12. Yüksel E, Akıl M. Examination of adolescents' physical activity levels, obesity awareness levels and nutritional behaviors. J Sport Health Sci 2019;13(3):185-93.
  • 13. Karataş H, Erdemir F. Roles and functions of the pediatric nurse in the care of immigrant children. Turkey Clinics Child Health and Diseases Nursing-Special Topics 2018;4(1):81-6.
  • 14. Pehlivantürk-Kızılkan M, Özmert EN, Derman O, Okur İ, Kaynak MO, Adıgüzel A, et al. Nutritional status of Syrian refugees in early adolescence living in Turkey. J Immigr Minor Health 2020;22(6):1149-54.
  • 15. Rodriguez PI, Dean J, Kirkpatrick S, Berbary L, Scott S. Exploring experiences of the food environment among immigrants living in the Region of Waterloo, Ontario. CPHA 2016;107(1):eS53-eS9.
  • 16. Blanchet R, Sanou D, Nana CP, Pauzé E, Batal M, Giroux I. Strategies and challenges in recruiting black immigrant mothers for a community-based study on child nutritional health in Ottawa, Canada. J Immigr Minor Health 2017;19(2):367-72.
  • 17. Yasin NA. Nutritional Status and Food Behavior among Primary School Students in Duhok City. Journal for Nursing Sciences 2017;7(1).
  • 18. Hrafnkelsdottir SM, Brychta RJ, Rognvaldsdottir V, Gestsdottir S, Chen KY, Johannsson E, et al. Less screen time and more frequent vigorous physical activity are associated with a lower risk of reporting negative mental health symptoms among Icelandic adolescents. PloS one 2018;13(4):e0196286.
  • 19. Atalı L. Examining the services provided to Syrians in Turkey from a sports perspective. JSHSR 2018;5(31):4532-7.
  • 20. Fazel M, Reed R, Stein A. Refugee, asylum‐seeking and internally displaced children and adolescents. Rutter's child and adolescent psychiatry 2015:573-85.
  • 21. Frounfelker RL, Miconi D, Farrar J, Brooks MA, Rousseau C, Betancourt TS. Mental health of refugee children and youth: epidemiology, interventions, and future directions. Annual Review of Public Health 2020;41:159-76.
  • 22. Özer S, Sirin SR, Oppedal B. Bahçeşehir study of Syrian refugee children in Turkey: Bahcesehir University, İstanbul; 2016.
  • 23. Jabbara SA, Zazab HI. Impact of conflict in Syria on Syrian children at the Zaatari refugee camp in Jordan. Abuse and Violence Towards Young Children: Perspectives on Research and Policy. 2017.
  • 24. Soykoek S, Mall V, Nehring I, Henningsen P, Aberl S. Post-traumatic stress disorder in Syrian children of a German refugee camp. The Lancet 2017;389(10072):903-4.
  • 25. Braun-Lewensohn O, Al-Sayed K. Syrian adolescent refugees: How do they cope during their stay in refugee camps? Frontiers in psychology 2018;9:1258.
  • 26. Yayan EH, Düken ME, Özdemir AA, Çelebioğlu A. Mental health problems of Syrian refugee children: post-traumatic stress, depression and anxiety. Journal of pediatric nursing. 2020;51:e27-e32.
  • 27. Erdoğan S, Nahcivan N, Esin N. Analysis and interpretation of data. Book: Research Book in Nursing, Istanbul; 2014.
  • 28. Mycek MK, Hardison-Moody A, Bloom JD, Bowen S, Elliott S. Learning to eat the “right” way: examining nutrition socialization from the perspective of immigrants and refugees. Food, Culture & Society 2020;23(1):46-65.
  • 29. Currie CE, Elton RA, Todd J, Platt S. Indicators of socioeconomic status for adolescents: the WHO Health Behaviour in School-aged Children Survey. Health education research 1997;12(3):385-97.
  • 30. Ercan O, Alikaşifoğlu M, Erginöz E, Uysal Ö, Kaymak DA. Health behavior survey of school-age children. Turkish Pediatrics Archive 2011;46(11):15-8.
  • 31. Duman E. Primary education 7th-8th. Correlation of nutritional status, anthropometric measurements and academic achievements of classes: Pamukkale University Institute of Health Sciences; 2012.
  • 32. Demirezen E, Coşansu G. Evaluation of nutritional habits in adolescent students. Journal of CME 2005;14(8):174-8.
  • 33. Yıldızer G, Bilgin E, Korur EN, Yüksel Y, Demirhan G. Development of the Physical Activity Attitude Scale for Secondary School Students. Journal of Sports Sciences 2019;30(2):63-73.
  • 34. Sönmüş M. Evaluation of nutrition, exercise status and BMI levels of early adolescence boys playing football between the ages of 11-14. Graduate Education Institute, Istanbul: Haliç University; 2020.
  • 35. Akan M. The relationship between nutrition exercise behaviors and body mass index in adolescents: Trakya University Health Sciences Institute; 2019.
  • 36. Daştan İ, Çetinkaya V, Delice ME. Prevalence of obesity and overweight among students aged 7-18 in Izmir. Bakırköy Medical Journal 2014;10(4):139-46.
  • 37. Belau MH, Bassil M, Laukamp A, Kraemer A. Body mass index and associated factors among refugees living in North Rhine-Westphalia, Germany: a cross-sectional study. BMC Nutrition 2021;7(1):1-12.
  • 38. Amr RA, Al-Smadi AM, Akasheh RT, Deiranieh RA, Gammoh OS, Hammouh FG, et al. Mood and demographical factors as predictors of body mass index among Syrian and Iraqi refugees in Jordan. Journal of Health Psychology 2021;26(11):1988-98.
  • 39. Hosseini SM, Latifi S, Kelishadi R. Analysis of factors affecting the body mass index in a national sample of Iranian children and adolescents: bootstrapping regression. Advanced biomedical research 2017;6.
  • 40. Manal Ibrahim AK, Mousa Ali AH, Erika Sivarajan F. Predictors of obesity in school‐aged Jordanian adolescents. International journal of nursing practice 2010;16(4):397-405.
  • 41. Fraiwan M, Almomani F, Hammouri H. Body mass index and potential correlates among elementary school children in Jordan. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity 2021;26(2):629-38.
  • 42. Yavuz CM, Özer BK. Eating habits and nutrition in adolescent school children. Journal of Tourism and Gastronomy Studies 2019;225:243.
  • 43. Mandre J, Kaindi DWM, Kogi-Makau W. Nutrition status of refugee and host-country children: Negotiating for equal distribution of relief food during emergencies in Uganda. J Immigr Minor Health 2022:1-11.
  • 44. Alsayed R, Kahraman EM. Determination of nutrition and food security status of children of Syrian refugee families "Istanbul-Avcılar example". Journal of Anadolu Bil Vocational School 2019;16(61):99-132.
  • 45. Degarege D, Degarege A, Animut A. Undernutrition and associated risk factors among school-age children in Addis Ababa, Ethiopia. BMC Public Health 2015;15(1):1-9.
  • 46. Mead C, Tindall R, Charlton K. Evaluation of a nutrition education resource for refugees and newly arrived migrants to Australia. Health Promotion Journal of Australia; 2022
There are 46 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Original Article
Authors

Büşra Solmaz 0000-0002-0592-4769

Tuba Özaydın 0000-0002-3923-2197

Publication Date June 30, 2025
Submission Date January 11, 2025
Acceptance Date March 17, 2025
Published in Issue Year 2025 Volume: 35 Issue: 3

Cite

Vancouver Solmaz B, Özaydın T. The Comparison Of Body Mass Indexes, Dietary Habits, And Physical Activity Attitudes Of Refugee And Turkish Adolescents. Genel Tıp Derg. 2025;35(3):462-70.

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