Kunuroglu Filiz, Yuzbasi Demet Vural, Kaval Selma, Kucukyilmaz Ebru
Department of Psychology, Izmir Katip Celebi University, Turkiye.
Department of Pediatric Dentistry, Izmir Katip Celebi University, Turkiye.
Child Care Health Dev. 2025 Jan;51(1):e70042. doi: 10.1111/cch.70042.
The objective of this study encompasses two distinct facets. First, it aims to provide a comprehensive analysis of the comparative assessment of psychosocial wellbeing and oral health status among Syrian and Turkish children in Türkiye. Secondly, it aims to elucidate the factors that play a role in shaping the sociocultural adaptation of Syrian children.
A cross-sectional survey assessing self-esteem, social anxiety and resilience and clinical examination were conducted on a convenience sample of Syrian refugee and Turkish children. The sample consisted of 396 participants (55.7% male and 44.3% female), including 173 Syrian individuals (43.7%) with a mean age of 14.12 years (SD = 2.24), and 223 Turkish individuals (56.3%) with a mean age of 12.44 years (SD = 2.47). Sociocultural adaptation and perceived discrimination scales were also taken by refugee children.
Overall, psychosocial wellbeing, academic success and oral health outcomes of refugee participants were lower than those of the Turkish general population. Specifically, independent samples t-test revealed that Syrian refugee children exhibited higher levels of social anxiety (t(384) = 3.138, p < 0.005), higher resilience (t(384) = 3.866, p < 0.001), lower self-esteem (t(389) = 4.614, p < 0.001) and poorer academic performance (t(370.981) = -8.441, p < 0.001) compared to Turkish children. In terms of oral health, Syrian children exhibited significantly higher levels of dental health problems, including DMFT (t(394) = 4.203, p < 0.001), DMFS (t(394) = 4.858, p < 0.001) and PPD (t(394) = 15.09, p < 0.001) than their Turkish counterparts. A one-way ANOVA showed that socio-economic status was an important factor in psychosocial and oral health outcomes, except for psychological resilience (F(2,378) = 0.029, p = 0.971). Children from low socioeconomic backgrounds showed higher levels of social anxiety (F (2,376) = 10.704, p = 0.00), lower academic performance (F(2,365) = 33.119, p = 0.00) and poorer oral health outcomes including DMFT (F(2,381) = 7.230, p = 0.001), DMFS (F(2,381) = 4.983, p = 0.007) and PPD (F(2,381) = 22.463, p = 0.00). Pearson correlation analyses indicated that sociocultural adaptation of refugees was positively associated with their resilience (r = 0.45, p < 0.01), and negatively associated with perceived discrimination (r = -0.34, p < 0.01).
The findings underscore the need for integrated healthcare interventions that address the multifaceted health needs of vulnerable populations in diverse societies.
本研究的目的包括两个不同方面。第一，旨在全面分析土耳其境内叙利亚和土耳其儿童的心理社会幸福感和口腔健康状况的比较评估。第二，旨在阐明影响叙利亚儿童社会文化适应的因素。
对叙利亚难民儿童和土耳其儿童的便利样本进行了一项横断面调查，评估自尊、社交焦虑和心理韧性，并进行临床检查。样本包括396名参与者（男性占55.7%，女性占44.3%），其中173名叙利亚人（43.7%），平均年龄为14.12岁（标准差=2.24），223名土耳其人（56.3%），平均年龄为12.44岁（标准差=2.47）。难民儿童还填写了社会文化适应和感知歧视量表。
总体而言，难民参与者的心理社会幸福感、学业成绩和口腔健康结果低于土耳其普通人群。具体而言，独立样本t检验显示，与土耳其儿童相比，叙利亚难民儿童表现出更高水平的社交焦虑（t(384)=3.138，p<0.005）、更高的心理韧性（t(384)=3.866，p<0.001）、更低的自尊（t(389)=4.614，p<0.001）和更差的学业成绩（t(370.981)=-8.441，p<0.001）。在口腔健康方面，叙利亚儿童的牙齿健康问题水平明显高于土耳其儿童，包括龋失补牙数（DMFT，t(394)=4.203，p<0.001）、龋失补牙面数（DMFS，t(394)=4.858，p<0.001）和牙周袋深度（PPD，t(394)=15.09，p<0.001）。单因素方差分析表明，社会经济地位是心理社会和口腔健康结果的一个重要因素，但心理韧性除外（F(2,378)=0.029，p=0.971）。来自低社会经济背景的儿童表现出更高水平的社交焦虑（F(2,376)=10.704，p=0.00）、更低的学业成绩（F(2,365)=33.119，p=0.00）和更差的口腔健康结果，包括龋失补牙数（F(2,381)=7.230，p=0.001）、龋失补牙面数（F(2,381)=4.983，p=0.007）和牙周袋深度（F(2,381)=22.463，p=0.00）。Pearson相关分析表明，难民的社会文化适应与他们的心理韧性呈正相关（r=0.45，p<0.01），与感知歧视呈负相关（r=-0.34，p<0.01）。
研究结果强调了需要综合医疗保健干预措施，以满足不同社会中弱势群体多方面的健康需求。
