Evidence map›Paper›PMID 40457273›Full record

SynthesisInternational journal for equity in health2025

Maternal and newborn health inequality among Syrian refugees in Turkey: a systematic review and meta-analysis.

Sevil Hakimi, Esin Ceber Turfan, Leila Allahqoli, Mohadeseh Ahmadi, Neriman Sogukpinar, Mahide Demirelöz Akyüz, Esmat Mehrabi, Azam Rahmani, Ibrahim Alkatout

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sevil HakimiFaculty of Health Sciences, EGE University, Izmir, Turkey.ORCID 0000-0002-3164-4867
Esin Ceber TurfanFaculty of Health Sciences, EGE University, Izmir, Turkey.
Leila AllahqoliMinistry of Health and Medical Education, Tehran, Iran.
Mohadeseh AhmadiFaculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Neriman SogukpinarFaculty of Health Sciences, EGE University, Izmir, Turkey.
Mahide Demirelöz AkyüzFaculty of Health Sciences, EGE University, Izmir, Turkey.
Esmat MehrabiFaculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Azam RahmaniNursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Ibrahim AlkatoutDepartment of Gynecology and Obstetrics, Kiel School of Gyanecological Endoscopy, Arnold-Heller-Str. 3, Haus C. 21405, Kiel, Germany. Ibrahim.Alkatout@uksh.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn this meta-analysis we explore significant health disparities in maternal and newborn health among Syrian refugees residing in Turkey.

methodThe study protocol was registered in PROSPERO. We conducted a comprehensive literature search across six databases, including sources in English and Turkish, as well as relevant UN agencies, covering the period from 2011 (the onset of the Syrian conflict) to September 2024. This research specifically targets Syrian mothers aged 15 to 49 who were either pregnant or had recently given birth in Turkey, including studies with observational cross-sectional or retrospective designs. The quality of the included studies was evaluated using the JBI Critical Appraisal Checklist. Statistical analyses were performed using R version 4.4.1.

resultOf 382 studies in English and Turkish, 29 papers, 2 reports and 1 postgraduate thesis were selected for full-text evaluation. Syrian migrants were more at risk of anemia in the third trimester of pregnancy [RR: 2.27 (95% CI: 1.57 to 3.32)], and had less access to antenatal care [RR: 0.39 (95% CI: 0.26 to 0.58)] and iron supplementation during pregnancy [RR: 0.69 (95% CI: 0.46 to 0.96)] compared to the native population. The risks of adolescent pregnancy [RR: 3.78 (95% CI: (3.06 to 4.88)] and home birth [RR: 3.68 (95% CI: (2.53 to 5.27)] were higher among migrants [RR: 3.78 (95% CI: (3.06to 4.88)]. Conversely, migration was an important factor in gestational diabetes [RR: 0.44 (95% CI: (0.21 to 0.90)] and newborn macrosomia [RR: 0.54 (95% CI: (0.50 to 0.58)] as well as preeclampsia [RR: 0.56 (95% CI: (0.32 to 0.98)].

conclusionOur data revealed that Syrian migrant mothers face a higher risk of anemia, limited access to antenatal care and iron supplements, and higher rates of adolescent pregnancies and home births compared to their native counterparts. However, migration appears to have a protective effect on gestational diabetes and preeclampsia. The results underscore the need for targeted health interventions and policies that address access to maternal healthcare services.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesInfant HealthMaternal HealthRefugeesAdolescentAdultFemaleHealth Services AccessibilityHumansInfant, NewbornPregnancyPrenatal CareSyriaTurkeyYoung AdultHealth inequalitiesMaternal healthNewborn healthRefugees

Identifiers

PMID40457273
PMCPMC12128300

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.