Inal Onal Ebru, Mohammed Gharbia, Kaya Edip, Onal Ajdan, Castro-Delgado Rafael
Department of Emergency Aid and Disaster Management, Faculty of Health Sciences, https://ror.org/05rsv8p09Terzioglu Campus Canakkale Onsekiz Mart University17100Canakkale, Türkiye.
Department of Medicine, https://ror.org/006gksa02University of Oviedo, Oviedo, Asturias, Spain.
Disaster Med Public Health Prep. 2025 Aug 22;19:e246. doi: 10.1017/dmp.2025.10162.
Syrian refugee women face numerous obstacles that impact their reproductive health. The aim is to assess prevalence and predictors of miscarriage and induced abortion among Syrian refugee women in Türkiye.
This study is a cross-sectional analysis based on data from 1886 Syrian refugee women aged 15-49 who have a history of marriage, obtained from the 2018 Türkiye Demographic and Health Survey - Syrian Migrant Sample. Univariate Chi-square, independent t-test, and multivariate logistic regression were performed to determine predictors of abortion and miscarriage.
Among ever married Syrian refugee women, 27.3% (n = 514) experienced at least 1 miscarriage, 5% (n = 95) reported having at least 1 abortion. Mean maternal age was predicted with miscarriage and induced abortion (OR = 1.06 [CI: 1.04-1.08; < 0.001] and OR = 1.08 [CI: 1.04-1.12; < 0.001] respectively). Women in the southern/eastern region of Türkiye experienced 4.24 times (95% CI = 1.50-12.02; < 0.01) more abortions than in the western/central region. Women who are related to their spouses had an abortion 1.91 times (95% CI = 1.06-3.43; < 0.05) more frequently than non-related couples.
The rate of miscarriages and induced abortions is high among Syrian refugee women in Türkiye. Regional differences, maternal age, and marriage between relatives have been identified as important variables that need to be taken into consideration. Interventions concentrating on those elements by the bodies concerned may thereby lessen the burden and effects of abortion and miscarriage.
叙利亚难民妇女面临众多影响其生殖健康的障碍。本研究旨在评估土耳其境内叙利亚难民妇女流产和人工流产的患病率及预测因素。
本研究是一项横断面分析，数据来自2018年土耳其人口与健康调查——叙利亚移民样本中1886名年龄在15 - 49岁且有婚姻史的叙利亚难民妇女。采用单因素卡方检验、独立t检验和多因素逻辑回归分析来确定流产和人工流产的预测因素。
在曾经结婚的叙利亚难民妇女中，27.3%（n = 514）经历过至少1次流产，5%（n = 95）报告有过至少1次人工流产。流产和人工流产与产妇平均年龄呈正相关（OR分别为1.06 [CI：1.04 - 1.08；< （此处疑似有遗漏符号，可能是<0.001）] 和1.08 [CI：1.04 - 1.12；< （此处疑似有遗漏符号，可能是<0.001）]）。土耳其南部/东部地区的妇女进行人工流产的次数比西部/中部地区多4.24倍（95% CI = 1.50 - 12.02；< （此处疑似有遗漏符号，可能是<0.01））。有亲属关系的夫妻进行人工流产的频率比无亲属关系的夫妻高1.91倍（95% CI = 1.06 - 3.43；< 0.05）。
土耳其境内叙利亚难民妇女的流产和人工流产率较高。地区差异、产妇年龄以及亲属间婚姻关系已被确定为需要考虑的重要变量。相关机构针对这些因素开展干预措施，可能会减轻流产和人工流产的负担及影响。
