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1.
Nutrients ; 13(7)2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34371801

RESUMO

This study investigated ethnic differences in childhood body mass index (BMI) in children from Dutch and Turkish descent and the role of infant feeding factors (breastfeeding duration, milk feeding frequency, as well as the timing, frequency and variety of complementary feeding (CF)). We used data from 244 children (116 Dutch and 128 Turkish) participating in a prospective study in the Netherlands. BMI was measured at 2, 3 and 5 years and standard deviation scores (sds) were derived using WHO references. Using linear mixed regression analyses, we examined ethnic differences in BMI-sds between 2 and 5 years, and the role of infant feeding in separate models including milk or CF factors, or both (full model). Relative to Dutch children, Turkish children had higher BMI-sds at age 3 (mean difference: 0.26; 95%CI: 0.04, 0.48) and 5 (0.63; 0.39, 0.88), but not at 2 years (0.08; -0.16, 0.31). Ethnic differences in BMI-sds were somewhat attenuated by CF factors at age 3 (0.16; -0.07, 0.40) and 5 years (0.50; 0.24, 0.77), whereas milk feeding had a minor impact. Of all factors, only CF variety was associated with BMI-sds in the full model. CF factors, particularly CF variety, explain a small fraction of the BMI-sds differences between Dutch and Turkish children. The role of CF variety on childhood BMI requires further investigation.


Assuntos
Índice de Massa Corporal , Grupos Étnicos/estatística & dados numéricos , Comportamento Alimentar/etnologia , Fenômenos Fisiológicos da Nutrição do Lactente/etnologia , Aleitamento Materno/etnologia , Pré-Escolar , Feminino , Humanos , Lactente , Modelos Lineares , Masculino , Países Baixos/etnologia , Estudos Prospectivos , Turquia/etnologia
2.
Clin Nutr ; 40(2): 518-524, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32593521

RESUMO

BACKGROUND & AIM: Previous studies showed a vitamin D deficiency in patients with Behçet's disease, suggesting potential benefits of vitamin D supplementation in the prevention and treatment of Behçet's disease. Interpretation of these studies may be limited by reverse causality or confounding bias. We aim to determine the causal association between serum 25-hydroxyvitamin D [25(OH)D] and the risk of Behçet's disease by Mendelian randomization. METHODS: An allele score formed by four variants (rs2282679, rs10741657, rs12785878 and rs6013897) that were associated with serum 25(OH)D level, was examined using data of genome-wide association study (GWAS) on 999 Behçet's disease and 4417 healthy individuals of Chinese ancestry and validated using data of GWAS on 1215 Behçet's disease and 1278 controls of Turkish ancestry. The primary outcome was the risk of Behçet's disease, evaluated by an inverse variance weighted average of the associations with genetically determined 25(OH)D levels. RESULTS: The inverse variance weighted estimate showed that genetically increased 25(OH)D level was associated with a higher risk of Behçet's disease. In the Chinese cohort, the odds ratio for Behçet's disease in one standard deviation increase of natural log-transformed 25(OH)D level was 3.82 (95% CI: 1.27-11.42). Data from Turkish cohort confirmed the association with Behçet's disease (OR, 95% CI: 4.18, 1.15-15.12). In overall combination of Chinese and Turkish cohorts, the odds ratio for Behçet's disease per standard deviation increase of natural log-transformed 25(OH)D level was estimated to be 3.96 (95% CI: 1.72-9.13; P = 0.001). No significant evidence of pleiotropy and heterogeneity was detected. CONCLUSIONS: On the basis of evidence in 7909 human beings, this study provides the newest indication that a lifelong higher 25(OH)D level is associated with an increased risk of Behçet's disease. Special attention should be paid to the potential harm of long-term or high-dose use of vitamin D supplements in clinical practice.


Assuntos
Síndrome de Behçet/sangue , Síndrome de Behçet/genética , Vitamina D/análogos & derivados , Alelos , Grupo com Ancestrais do Continente Asiático/genética , Estudos de Casos e Controles , China/etnologia , Estudos de Coortes , Predisposição Genética para Doença/genética , Estudo de Associação Genômica Ampla , Humanos , Desequilíbrio de Ligação , Análise da Randomização Mendeliana , Razão de Chances , Polimorfismo de Nucleotídeo Único , Medição de Risco , Fatores de Risco , Turquia/etnologia , Vitamina D/sangue
3.
Br J Soc Psychol ; 60(1): 121-145, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32356393

RESUMO

As most immigrant-origin minority youth grow up in ethnically diverse social worlds, they develop a sense of belonging to both the national majority and the ethnic minority group. Our study adds to a growing body of research on minority experiences of intergroup contact by (1) including both minority and majority group belonging as outcomes and (2) examining the interplay of majority contact with unequal treatment. We surveyed 1,200 Turkish and Moroccan-Belgian minority youth in 315 classrooms across 65 schools, using multiple measures of intergroup contact, unequal treatment in school, and minority and majority group belonging. Multi-level models showed that minority youth who experienced more intergroup contact, and less unequal treatment, reported more belonging to the majority group. In addition, contact predicted less belonging to the minority group only in the presence of unequal treatment: For minority youth who perceived less unequal treatment, either individually or collectively, intergroup contact was unrelated to minority group belonging. We conclude that majority group contact and belonging need not come at the cost of minority group distancing in the absence of inequality.


Assuntos
Emigrantes e Imigrantes/psicologia , Relações Interpessoais , Grupos Minoritários/psicologia , Adolescente , Bélgica , Criança , Grupos Étnicos/psicologia , Feminino , Humanos , Masculino , Marrocos/etnologia , Identificação Social , Fatores Socioeconômicos , Turquia/etnologia
4.
New Dir Child Adolesc Dev ; 2020(172): 53-71, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32960477

RESUMO

Recent developments in the acculturation literature have emphasized the importance of adopting intergroup perspectives that provide a valuable background for investigating how acculturation orientations (i.e., maintenance of the culture of origin and the adoption of the destination culture) of adolescents from migrant families are embedded in their proximal socialization contexts. Accordingly, we sought to understand the combined effects of the perceived parents' acculturation orientations and classmates' acculturation preferences on adolescents' own acculturation orientations in two independent cultural contexts, namely North-East of Italy (Study I) and South-East of Turkey (Study II). Participants were 269 (53.2% female; Mage = 14.77) and 211 (71.1% female; Mage = 15.37) adolescents from migrant families in Italy and in Turkey, respectively. Findings indicated that adolescents' acculturation orientations were influenced by their perceptions of both parents' acculturation orientations and classmates' acculturation preferences. In addition, the effects of parents' adoption of the destination culture were stronger than the effects of classmates' preferences for adoption of the destination culture in both countries. However, the effects of parents' maintenance of the culture of origin were stronger than the effects of classmates' preferences for maintaining the culture of origin in Turkey, but not in Italy.


Assuntos
Aculturação , Comportamento do Adolescente/etnologia , Emigrantes e Imigrantes , Processos Grupais , Pais , Infuência dos Pares , Adolescente , Comparação Transcultural , Feminino , Humanos , Itália/etnologia , Masculino , Instituições Acadêmicas , Socialização , Turquia/etnologia
5.
Artigo em Inglês | MEDLINE | ID: mdl-32878214

RESUMO

Physical activity (PA) behavior is increasingly described as trajectories taking changes over a longer period into account. Little is known, however, about predictors of those trajectories among migrant populations. Therefore, the aim of the present cohort study was to describe changes of PA over six years and to explore migration-related and other predictors for different PA trajectories in adults of Turkish descent living in Berlin. At baseline (2011/2012) and after six years, sociodemographics, health behavior, and medical information were assessed. Four PA trajectories were defined using data of weekly PA from baseline and follow-up: "inactive", "decreasing", "increasing", and "stable active". Multivariable regression analyses were performed in order to determine predictors for the "stable active" trajectory, and results were presented as adjusted odds ratios (aOR) with 95% confidence intervals (95%CI). In this analysis, 197 people (60.9% women, mean age ± standard deviation 49.9 ± 12.8 years) were included. A total of 77.7% were first-generation migrants, and 50.5% had Turkish citizenship. The four PA trajectories differed regarding citizenship, preferred questionnaire language, and marital status. "Stable active" trajectory membership was predicted by educational level (high vs. low: aOR 4.20, 95%CI [1.10; 16.00]), citizenship (German or dual vs. Turkish only: 3.60 [1.20; 10.86]), preferred questionnaire language (German vs. Turkish: 3.35 [1.05; 10.66]), and BMI (overweight vs. normal weight: 0.28 [0.08; 0.99]). In our study, migration-related factors only partially predicted trajectory membership, however, persons with citizenship of their country of origin and/or with poor language skills should be particularly considered when planning PA prevention programs.


Assuntos
Exercício Físico , Comportamento Sedentário , Adulto , Berlim , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Migrantes , Turquia/etnologia
6.
J Alzheimers Dis ; 77(2): 865-875, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32741814

RESUMO

BACKGROUND: As the proportion of older people with migration background (PwM) increases, the proportion of older PwM with dementia might also increase. Dementia is underdiagnosed in this group and a large proportion of PwM with dementia and family caregivers are not properly supported. Healthcare utilization is lower among older migrant populations. Thus, a better understanding of how PwM and family caregivers perceive their situation and how they experience healthcare services is needed to improve utilization of the healthcare system. OBJECTIVE: Analyze how family caregivers of PwM with dementia experience their situation, why healthcare services are utilized less often, and what can be done to reverse this. METHODS: Eight semi-structured interviews were conducted with people with Turkish migration background caring for PwM with dementia. Qualitative content analysis was used for data analysis. RESULTS: Daily care was performed by one family member with the support of others. Healthcare services were used by most participants. Participants identified a need for better access to relevant information and incorporation of Turkish culture into healthcare services. CONCLUSION: PwM face similar challenges in taking care of persons with dementia as those without migration background. There is a willingness to use services, and services embracing Turkish culture would help to reduce hesitance and make affected people feel more comfortable, thereby increasing utilization and satisfaction. A limitation of this study is that participants were already connected to health services, which may not reflect the help-seeking behavior of those in the Turkish community who are not involved in healthcare.


Assuntos
Cuidadores/psicologia , Demência/etnologia , Demência/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Migrantes/psicologia , Adulto , Demência/terapia , Feminino , Alemanha/etnologia , Humanos , Masculino , Pessoa de Meia-Idade , Turquia/etnologia
7.
Artigo em Inglês | MEDLINE | ID: mdl-32748869

RESUMO

BACKGROUND: The aim of this study was to compare illness concepts and coping strategies among native German cancer patients and those with a Turkish migration background. METHODS: Guideline-based, semi-structured interviews were conducted with 11 German (♂: 8, ♀: 3) and 11 Turkish (♂: 2, ♀: 9) cancer patients. The transcripts were evaluated using a qualitative content analysis in accordance with Mayring. RESULTS: We identified eight categories of illness concepts: stressful life events, environmental influences, the will of God, medical factors, fate, trauma, health behaviour, and psychological causes. German patients frequently attributed their illness to environmental influences, persistent stress, or medical factors, whereas Turkish patients blamed persistent stress, the will of God, or trauma. The last two categories are not found among German patients. We classified the coping strategies into 11 main categories: social support, activity, patient competence, fighting spirit/positive thinking, use of health services/alternative healing methods, lifestyle, emotional coping, cognitive coping, religious coping, spiritual coping, and culture-specific methods for patients of Turkish origin. For German patients, activities as well as social support played primary roles in coping. Turkish patients also often used social support. However, in contrast to the German patients, they are less active and use much more religious coping and culture-specific means. In addition, negative emotions occur more often when processing the illness than in the German patients. CONCLUSION: Common illness representations and coping strategies could be found for Turkish and German patients, but also specific ones for the respective group. It is particularly noticeable that German patients attach more importance to medical factors and try more actively to cope with the illness. For Turkish patients, cultural and religious factors play an important role, which should also be considered in treatment.


Assuntos
Adaptação Psicológica , Comportamentos Relacionados com a Saúde/etnologia , Neoplasias/psicologia , Características Culturais , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Neoplasias/etnologia , Religião , Apoio Social , Turquia/etnologia
8.
J Intellect Disabil Res ; 64(8): 644-656, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32627246

RESUMO

BACKGROUND: Turkey is the country hosting the largest number of refugees from Syria, with currently 3 571 175 million persons. The general health needs of the refugees are being addressed; however, people with intellectual disabilities (IDs), particularly children, are relatively missed. The aim of this study was to identify medical, psychological and social needs of children with ID and their families, among the Syrian refugee population in Turkey, and to define psychosocial and cultural needs for planning of future services. METHODS: One hundred forty-two children (67.6% men; mean age 90.5 months) diagnosed with intellectual disorders were included in the study. Family Needs Survey, with additional open-ended and close-ended questions, was used to evaluate family needs. Items from Developmental Disabilities Profile-2 were used to evaluate and screen cognitive, motor and language development as well as medical concerns and behavioural problems. Data on sociodemographic characteristics were also collected. RESULTS: The highest needs were identified in information and financial needs domains. Other indicated needs were on child care and community services domains. The least indicated items were on family and social support and explaining to others domains. An average of 63.5% of the respondents definitely agreed with the Family Needs Survey items. The overall level of identification of need items was higher than that in some previous studies, indicating the level of unmet needs of the studied population. Family income, parents' employment and parents' education were not significantly associated with unmet family needs. Special education services were unreachable for most of the families in the study. CONCLUSIONS: Families reported the highest needs in information and financial needs domains. The overall level of identification of needs was higher than that in some previous studies, indicating the level of unmet needs of the studied population. The majority of the parents reported that they had sufficient family and social support, which might be a protective factor for parental mental health. Parents' Turkish fluency was very significantly associated with every domain of unmet needs. Language barriers and translation problems had significant negative effects on families, as confirmed by the answers to open-ended questions. Another important factor identified was access to service professionals. Special education services, sorely needed for most of the families, could not always be reached. Although the progress of children who had received special education was not very encouraging, it was better than those who did not receive it. The first implication of the study is that increasing Turkish proficiency or providing high-quality and consistent translation services is vital for this category of children with ID. The second implication is that information and financial needs must be met with priority. Information must be tailored for each child's needs and developmental level. Special education and physical therapy must be more accessible and at higher quality.


Assuntos
Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Deficiência Intelectual/terapia , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Refugiados/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Comorbidade , Educação Especial , Feminino , Necessidades e Demandas de Serviços de Saúde/economia , Humanos , Lactente , Deficiência Intelectual/economia , Deficiência Intelectual/etnologia , Masculino , Determinação de Necessidades de Cuidados de Saúde/economia , Satisfação do Paciente , Síria/etnologia , Turquia/etnologia
9.
Cogn Emot ; 34(8): 1573-1590, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32552290

RESUMO

When immigrant minorities engage in a new cultural context, their patterns of emotional experience come to change - a process we coined emotional acculturation. To date, research on emotional acculturation focused on the antecedents and consequences of changes in minorities' fit with the new culture. Yet, most minorities also continue to engage in their heritage culture. Therefore, the current research investigated which personal and situational factors afford minorities to maintain emotional fit with their heritage culture. Two studies compared the emotional patterns of Korean Americans (n = 49) with those of Koreans in Korea (n = 80), and the emotional patterns of Turkish Belgians (n = 144) with those of Turks in Turkey (n = 250), respectively. As expected, we found that although minorities did not fit the heritage emotional patterns as well as participants in their home countries, spending time with heritage culture friends and interacting in heritage culture settings explained within-group differences in minorities' heritage culture fit. Therefore, the current research shows that minorities' emotional patterns are not only cultivated, but also activated by their interactions in different socio-cultural contexts. Moreover, it provides further evidence for cultural frame-switching in the domain of emotion.


Assuntos
Aculturação , Emoções , Adulto , Americanos Asiáticos/psicologia , Americanos Asiáticos/estatística & dados numéricos , Bélgica/etnologia , Cultura , Feminino , Humanos , Masculino , República da Coreia/etnologia , Turquia/etnologia
10.
J Dual Diagn ; 16(3): 271-284, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32552497

RESUMO

Objective: Ethnic minorities report different levels of drinking and smoking and higher rates of depression compared to native populations. In this study we aimed to investigate in six ethnic groups whether tobacco and alcohol use were associated with depressive symptoms, which are more prevalent in ethnic minorities.Methods: Cross-sectional data from the multi-ethnic Healthy Life in an Urban Setting (HELIUS) study sample (N = 22,471) was used, comprising 4,580 native Dutch participants which were compared with participants from five ethnic minority groups (3,259 South Asian Surinamese, 4,292 African Surinamese, 2,262 Ghanaian, 3,891 Turkish, and 4,187 Moroccan).Results: Alcohol misuse was positively associated with depressed mood in all ethnic groups except for the Dutch and the Ghanaians. Nicotine dependence was positively associated with depressed mood in all ethnic groups except for the Ghanaian group.Conclusions: Alcohol misuse and nicotine dependence were significantly associated with depressed mood in most but not all ethnic groups and especially in men. However, across all groups the contribution of alcohol misuse and nicotine dependence to depressed mood was small. Prospective multi-ethnic studies should confirm whether the relations are causal and elucidate their direction.


Assuntos
Alcoolismo/etnologia , Depressão/etnologia , Transtorno Depressivo/etnologia , Tabagismo/etnologia , População Urbana/estatística & dados numéricos , Adulto , Grupo com Ancestrais do Continente Africano/etnologia , Grupo com Ancestrais do Continente Asiático/etnologia , Estudos Transversais , Grupo com Ancestrais do Continente Europeu/etnologia , Feminino , Gana/etnologia , Humanos , Masculino , Pessoa de Meia-Idade , Marrocos/etnologia , Países Baixos/etnologia , Fatores Sexuais , Suriname/etnologia , Turquia/etnologia
11.
J Commun Disord ; 87: 105993, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32569875

RESUMO

BACKGROUND/AIMS: There is a lack of studies investigating articulation skills in bilingual children with a migration background. Therefore, the present study compared articulation skills in bilingual Turkish-Dutch/Moroccan Arabic-Dutch children with migration background and monolingual Dutch children without migration background. Moreover, possible factors influencing articulation skills were determined. METHODS: 15 bilingual Turkish-Dutch, 15 bilingual Moroccan Arabic-Dutch and an age and gender matched group consisting of 15 monolingual Dutch children, all aged between 6 and 7 years and living in Flanders, were included in the present study. Articulation was evaluated using a picture naming test. Speech samples were transcribed phonetically and articulatory analysis, including a phonetic inventory and phonetic and phonological analyses, was performed. The phonetic analysis made a distinction between distortions, substitutions, additions, and omissions. For the phonological analysis, a distinction between syllable structure processes, substitution processes and assimilation processes was made. Moreover, parents were administered a self-report questionnaire to determine possible factors influencing articulation skills. RESULTS: A statistically significant difference in additions was found when comparing the three groups. Interestingly, both the Turkish-Dutch and Moroccan Arabic-Dutch groups used additions that were not present in the Dutch group (i.e. respectively addition of the [ə] and [ər]). Concerning phonological analysis, it was found that deletions of final consonants were more present in the bilingual groups compared to the monolingual group. Moreover, statistically significant effects of origin, home language, and language preference of the child were found on presence of both phonetic errors and phonological disorders. CONCLUSION: Findings of the present study showed that some phonetic errors and phonological processes were more present in the group of bilingual children with migration background compared to the group of monolingual children without migration background. Interestingly, phonetic errors and phonological processes were more present when (1) the child had a Turkish origin, or (2) when the dominant language at the home environment was Turkish, or (3) when the preferred language of the child was Turkish. Given the increased attention to migration, findings of the present study are highly important for speech-language pathologists, teachers, and more generally, all professionals working with bilingual populations with a Moroccan Arabic or Turkish migration background.


Assuntos
Emigrantes e Imigrantes , Multilinguismo , Inteligibilidade da Fala , Fala , Bélgica , Criança , Linguagem Infantil , Humanos , Idioma , Marrocos/etnologia , Fonética , Turquia/etnologia
12.
Med Anthropol ; 39(5): 398-412, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32394758

RESUMO

A massive earthquake that struck Turkey in 1999 generated an unprecedented mobilization of Turkish psychiatrists and psychologists to address the mental and emotional aftermath of the disaster. In this article I examine how these mental health professionals, swept up in a wave of humanitarian compassion, confronted the limits of their own expertise and struggled to improvise a therapeutic response that could match the scale of psychological suffering precipitated by the earthquake. Framing humanitarian and global health interventions as inescapably scalar projects, I explore the pragmatic and imaginative labor involved in making psychiatric expertise scalable, what I characterize as their "work of therapeutic scalability." In doing so, I raise a series of questions about the psychological subject of disaster, the transnational mobility of technoscientific expertise, and the politics of both life and scale at play in psychiatric humanitarian intervention.


Assuntos
Altruísmo , Serviços Comunitários de Saúde Mental , Terremotos , Antropologia Médica , Humanos , Psiquiatria , Turquia/etnologia
13.
BMC Pregnancy Childbirth ; 20(1): 158, 2020 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-32164606

RESUMO

BACKGROUND: Immigrants in Germany exhibit higher levels of social disadvantage when compared to the non-immigrated population. Turkish-origin immigrants constitute an important immigrant group in Germany and show disparities in some health domains that are evident from birth onwards. Several studies have shown the mechanisms by which social disadvantage is biologically embedded to affect health over the lifespan. Relatively little, however, is still known about if and how the maternal social situation is transmitted to the next generation. This study therefore aims to analyse the effects of maternal socioeconomic status and migration status on stress-related maternal-placental-fetal (MPF) biological processes during pregnancy on infant birth and health outcomes. METHODS: This longitudinal cohort study of N = 144 child-mother dyads is located at two study sites in Germany and includes pregnant women of Turkish origin living in Germany as well as pregnant German women. During pregnancy, MPF stress biology markers from maternal blood and saliva samples, maternal socio-economic and migration-related information, medical risk variables and psychological well-being are assessed. After birth, infant anthropometric measures and developmental outcomes are assessed. The same measures will be assessed in and compared to Turkish pregnant women based on a collaboration with BABIP study in Istanbul. DISCUSSION: This is the first study on intergenerational transmission of health disparities in Germany with a focus on women of Turkish-origin. The study faces similar risks of bias as other birth cohorts do. The study has implemented various measures, e.g. culturally sensitive recruitment strategies, attempt to recruit and follow-up as many pregnant women as possible independent of their social or cultural background. Nevertheless, the response rate among lower-educated families is lower. The possibility to compare results with a cohort from Turkey is a strength of this study. However, starting at different times and with slightly different recruitment strategies and designs may result in cohort effects and may affect comparability of the sub-cohorts. TRIAL REGISTRATION: N.A. (Observational study, no clinical trial, no interventions on human participants).


Assuntos
Emigrantes e Imigrantes , Desenvolvimento Fetal , Disparidades em Assistência à Saúde/etnologia , Estresse Fisiológico , Feminino , Alemanha , Humanos , Estudos Longitudinais , Estudos Multicêntricos como Assunto , Estudos Observacionais como Assunto , Placenta/patologia , Gravidez , Efeitos Tardios da Exposição Pré-Natal , Projetos de Pesquisa , Classe Social , Turquia/etnologia
14.
Int J Legal Med ; 134(5): 1823-1829, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31915966

RESUMO

This study aimed to test radiographic projections of the posterior and anterior sides of the C4 vertebral body for age estimation in a cross-sectional sample of Turkish children and adolescents from the Baskent University Faculty of Dentistry. A sample of 232 x-rays from individuals aged between 5 and 15 years (101 boys and 131 girls) was analysed to investigate the correlation of age and changes in the projection ratio of the anterior and posterior sides of the body of the fourth cervical vertebra (Vba) in lateral cephalograms. The Normal Bayesian Calibration (NBC) model for age estimation was used to assess the relationship between Vba and age. The intra-observer repeatability and inter-observer agreement were 0.95 and 0.94, respectively. Age distribution gradually increased as Vba increased up to 14 years in both sexes. The difference between chronological and estimated ages did not increase with the increase in age. Calibration distributions of the dataset by the evaluation of Vba suggested mean absolute errors (MAEs) of 0.879 years and 0.906 years (mean interquartile ranges (MIQRs) 1.290 and 1.435 years)) in boys and girls, respectively. The biases of the estimates (ßERR) were 0.013 and 0.027 for boys and girls, respectively. In conclusion, the NBC method on Vba variable appears to be suitable for age estimation in Turkish children and adolescents.


Assuntos
Determinação da Idade pelo Esqueleto/métodos , Vértebras Cervicais/crescimento & desenvolvimento , Adolescente , Teorema de Bayes , Vértebras Cervicais/diagnóstico por imagem , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Modelos Estatísticos , Turquia/etnologia
15.
Breastfeed Med ; 15(3): 170-175, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31977242

RESUMO

Background: The World Health Organization recommends that babies be breastfed within the first hour of delivery and that they should exclusively be given breast milk in the first 6 months. The aim of this study was to ascertain the breastfeeding behaviors of refugee Syrian women and to compare their practices with those of the native mothers of the local community. Materials and Methods: This study is a cross-sectional study. The study was conducted in a Southern city in Turkey. The questionnaire was filled by face-to-face interviews. A total of 381 refugee Syrian mothers were compared with 381 native women living in the same community. Results: A significant difference was found between the two groups regarding breastfeeding. The rate of those who initiated breastfeeding within 1 hour after delivery was 61.4% for the Syrians and 71.1% for the Turkish mothers. In addition, the rates of exclusive breastfeeding (28.1 versus 34.1) and continuing breastfeeding for 12 months (55.0 versus 63.8) were lower in the Syrian refugee mothers. Maternal age and educational level were not correlated to the breastfeeding rates. Conclusions: This study is a rare study in which refugee mothers and local mothers were compared. Forced migration and refugee status are negatively associated with breastfeeding behavior.


Assuntos
Aleitamento Materno/etnologia , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Refugiados/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários , Síria/etnologia , Turquia/etnologia , Adulto Jovem
16.
J Gerontol B Psychol Sci Soc Sci ; 75(5): 1113-1123, 2020 04 16.
Artigo em Inglês | MEDLINE | ID: mdl-30816945

RESUMO

OBJECTIVES: Older immigrants are affected by an accumulation of adversities related to migration and aging. This study investigates resilience in older immigrants by examining the resources they use to deal with these adversities in the course of their lives. METHODS: Data from 23 life-story interviews with Turkish and Moroccan immigrants aged 60-69 years living in the Netherlands. RESULTS: The circumstances under which individuals foster resilience coincide with four postmigration life stages: settling into the host society, maintaining settlement, restructuring life postretirement, and increasing dependency. Resources that promote resilience include education in the country of origin, dealing with language barriers, having two incomes, making life meaningful, strong social and community networks, and the ability to sustain a transnational lifestyle traveling back and forth to the country of origin. More resilient individuals invest in actively improving their life conditions and are good at accepting conditions that cannot be changed. DISCUSSION: The study illustrates a link between conditions across life stages, migration, and resilience. Resilient immigrants are better able to accumulate financial and social and other resources across life stages, whereas less resilient immigrants lose access to resources in different life stages.


Assuntos
Envelhecimento/psicologia , Emigrantes e Imigrantes/psicologia , Resiliência Psicológica , Idoso , Envelhecimento/etnologia , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Marrocos/etnologia , Países Baixos , Turquia/etnologia
17.
Ann Hum Genet ; 84(1): 37-45, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31512232

RESUMO

BACKGROUND: Familial Mediterranean fever (FMF) is common in Azari-Turkish people, one of the biggest ethnic groups in Iran. In this study, we sought to investigate the mutation spectrum of the MEFV gene and any genotype-phenotype correlations. METHODS AND MATERIALS: 400 unrelated Azari-Turkish FMF patients were analyzed in this study. Mutations in exons 2, 3, 5, and 10 of the MEFV gene were investigated using direct Sanger sequencing, and their correlations with the clinical features of the patients were analyzed. RESULTS: At least one mutation was detected in 248 (62%) patients. The most common mutations were M694V (26.25%) and E148Q (24.75%), respectively. Abdominal pain (65.2%) and fever 204 (51%) were the most frequent clinical problems in all subjects. The analysis recognized a novel missense mutation in the coding region of the MEFV gene, named P313H, which is the first report of a new mutation in exon 2 of the MEFV gene in an Azari-Turkish family. CONCLUSION: Genotype-phenotype correlations obtained from this study would be helpful in the diagnosis and management of FMF patients in clinical situations. This novel missense mutation may provide useful evidence for further studies of FMF pathogenesis.


Assuntos
Febre Familiar do Mediterrâneo/genética , Predisposição Genética para Doença , Mutação de Sentido Incorreto , Pirina/genética , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Febre Familiar do Mediterrâneo/epidemiologia , Febre Familiar do Mediterrâneo/patologia , Feminino , Seguimentos , Estudos de Associação Genética , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Fenótipo , Prognóstico , Turquia/etnologia , Adulto Jovem
18.
Burns ; 46(2): 407-415, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31439395

RESUMO

BACKGROUND: Literature indicates that children from ethnic minorities are at increased risk of sustaining burns. Moreover, parents may experience more psychological distress but why this is the case is poorly investigated. METHODS: A prospective study including 120 mothers and 106 fathers of preschool children, of which 23 mothers and 24 fathers had an ethnic minority background, investigated levels of parental feelings of guilt, depressive and posttraumatic stress symptoms and compared Dutch parents with parents from different ethnic backgrounds on these outcomes. A qualitative study with 46 parents, 24 Dutch and 22 from different ethnic minority backgrounds, explored how they coped with the consequences of the burns. RESULTS: Results revealed more symptoms of posttraumatic stress and depression in ethnic minority parents. Ethnic minority fathers also had more guilt feelings. Lower social support, medical communication hampered by language barriers, lower health literacy and passive communication styles, (aspects of) religious coping and barriers to psychosocial care may partly explain the differences. CONCLUSIONS: Parents with an ethnic minority background are at risk to experience increased distress after their child's burn injury. By exploring the aforementioned factors, health care professionals may increase the family's wellbeing. It may provide a starting point to offer tailored help.


Assuntos
Queimaduras , Depressão/psicologia , Grupos Étnicos/psicologia , Culpa , Grupos Minoritários/psicologia , Pais/psicologia , Apoio Social , Transtornos de Estresse Pós-Traumáticos/psicologia , Adaptação Psicológica , Adulto , Pré-Escolar , Barreiras de Comunicação , Feminino , Guiana/etnologia , Letramento em Saúde , Acesso aos Serviços de Saúde , Humanos , Lactente , Idioma , Masculino , Serviços de Saúde Mental , Marrocos/etnologia , Países Baixos , Angústia Psicológica , Sistemas de Apoio Psicossocial , Religião , Suriname/etnologia , Turquia/etnologia
19.
Eur J Epidemiol ; 35(1): 61-74, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31346890

RESUMO

The Longitudinal Aging Study Amsterdam (LASA) is a prospective cohort study of older adults in the Netherlands, initially based on a nationally representative sample of people aged 55-84 years. The study has been ongoing since 1992, and focuses on the determinants, trajectories and consequences of physical, cognitive, emotional and social functioning. Strengths of the LASA study include its multidisciplinary character, the availability of over 25 years of follow-up, and the cohort-sequential design that allows investigations of longitudinal changes, cohort differences and time trends in functioning. The findings from LASA have been reported in over 600 publications so far (see www.lasa-vu.nl). This article provides an update of the design of the LASA study and its methods, on the basis of recent developments. We describe additional data collections, such as additional nine-monthly measurements in-between the regular three-yearly waves that have been conducted among the oldest old during 2016-2019, and the inclusion of a cohort of older Turkish and Moroccan migrants.


Assuntos
Envelhecimento/fisiologia , Envelhecimento/psicologia , Cognição/fisiologia , Migrantes/estatística & dados numéricos , Afeto , Idoso , Idoso de 80 Anos ou mais , Coleta de Dados , Feminino , Avaliação Geriátrica , Nível de Saúde , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Marrocos/etnologia , Países Baixos/epidemiologia , Aptidão Física , Estudos Prospectivos , Turquia/etnologia
20.
Nord J Psychiatry ; 74(4): 307-310, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31880490

RESUMO

Aim: After the beginning of the Syrian civil war in 2011, its cruelty and violence forced about millions to leave their homes. These experiences might create serious mental problems, especially in children and adolescents who might have an increased risk of developing post-traumatic stress disorder (PTSD) and depression. In this study, we aimed to investigate the mental health status of Syrian refugee children who exposed to a variety of traumatic events.Method: The sample consisted of 1518 drug-naive Syrian refugee children and adolescents aged between 8 and 16 years who were admitted to the Child and Adolescent Psychiatry Department in Hatay State Hospital between June 2016 and December 2018. The CRIES-13 (Children's Revised Impact of Event Scale-13) was used to evaluate PTSD symptoms and CDI (Children's Depression Inventory) was used to examine depressive symptoms. The sample was divided into three groups according to the type of trauma and the CRIES-13 and CDI scores were compared between the groups.Results: The mean age of the children was 12.4 ± 3.1. 46.9% of the children were male and 53.1% were female. The total score and intrusion and arousal subscores of CRIES-13 were significantly different between the three groups. The total CDI score was also significantly different between the three groups. The likelihood rates of PTSD and depression differed significantly between the groups.Conclusion: Traumatized Syrian refugee children may present PTSD symptoms more likely than depressive symptoms. War-related traumatic experiences may have more adverse effects on Syrian children's psychology than other traumas.


Assuntos
Transtornos do Neurodesenvolvimento/etnologia , Transtornos do Neurodesenvolvimento/psicologia , Refugiados/psicologia , Autorrelato , Adolescente , Criança , Depressão/diagnóstico , Depressão/etnologia , Depressão/psicologia , Feminino , Humanos , Masculino , Transtornos do Neurodesenvolvimento/diagnóstico , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/etnologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Síria/etnologia , Turquia/etnologia , Violência/etnologia , Violência/psicologia
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