ArticleBMC public health2026
A mixed-methods study on speech and language disorders after the earthquake in Türkiye: awareness, service gaps, and lived experiences.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study examines societal awareness levels, service access barriers, and policy gaps regarding speech and language disorders (SLD) after the February 6, 2023 Kahramanmaraş earthquakes, utilizing a mixed-methods approach.
methodsAn explanatory sequential mixed-methods design was employed. A quantitative survey was conducted with 450 participants via stratified cluster sampling across four severely affected provinces. This was followed by qualitative in-depth interviews with 30 participants selected through purposive maximum variation sampling, using a semi-structured interview guide informed by the quantitative findings.
results59.3% of participants observed at least one SLD symptom in their families, yet only 19.5% received a formal diagnosis and 14.2% consulted a speech-language therapist. The mean awareness score was 41.2/75. Significant predictors of awareness included educational attainment (β = 0.312), presence of SLD symptoms (β = 0.241), and loss of a close relative (β = 0.211). Qualitative themes highlighted fear of stigmatization, lack of service awareness, prioritization issues, and weak system coordination.
conclusionA critical service gap exists in post-disaster SLD care in Türkiye. The findings suggest that the integration of SLD screening into disaster response systems, the strengthening of tele-therapy infrastructure, and the implementation of targeted community awareness initiatives may help improve access to speech–language services in post-disaster contexts.
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