Exploring Predictors of Preterm Birth: A Comparative Study of Turkish and Syrian Refugee Women


Maternal and Child Health Journal, 2023 (SSCI) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2023
  • Doi Number: 10.1007/s10995-023-03808-z
  • Journal Name: Maternal and Child Health Journal
  • Journal Indexes: Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, CINAHL, Food Science & Technology Abstracts, MEDLINE, Psycinfo, Public Affairs Index
  • Keywords: Logistic Regression, Preterm Birth, Refugees, Syrian, Turkey
  • Hacettepe University Affiliated: Yes


Objective: This study is designed to explore associated sociodemographic, birth-related and household characteristics with preterm birth (< 37 weeks) among Turkish and Syrian refugee women. Methods: The data utilized in this study were obtained from the Turkey Demographic and Health Survey (TDHS) conducted in 2018. Various statistical analyses, including descriptive statistics, independent sample t-tests, and Chi-square tests, were employed to examine the differences in study variables between Turkish and Syrian refugee women. Furthermore, logistic regression analysis was conducted to identify the associated factors with preterm birth among Turkish and Syrian refugee women, allowing for comparative analysis. Results: The key findings of this study revealed significant differences in sociodemographic (p < 0.05), birth-related (p < 0.05), and household characteristics (p < 0.05) that are associated with preterm birth among Turkish and Syrian refugee women. Also, nationality (OR: 3.427; 95% CI 2.770–4.241), delivery by c-section (OR: 1.630; 95% CI 1.370–1.939), educational status (OR: 0.674; 95% CI 0.547–0.832), place of delivery (OR: 0.806; 95% CI 0.666–0.975), and number of household members (OR: 1.206; 95% CI 1.013–1.437) were found to be important factors associated with preterm birth risk. Conclusions: The key findings of this study contribute to the identification of women’s factors in preterm birth. By understanding the factors that contribute to preterm birth among both Syrian refugee and Turkish women, appropriate interventions can be developed to improve maternal and child health outcomes.