Skip to main content
Log in

Accuracy of Syrain Refugee Mothers’ Perceptions of Newborn’s Birth Size: Insights from a National Survey in Turkey

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

This study aims to assess the accuracy of maternally perceived birth size and its associated factors among the Syrian refugees in Turkey, using the data from 2018 Turkey Demographic and Health Survey Syrian Migrant Sample (TDHS-SM-18). The study includes information on the last-born child, singleton pregnancies, births in healthcare facilities, children under 5 living with their mothers, with recorded birth weight (n = 969). The study categorizes the mother’s perception of size into three groups : compatible, overestimated, and underestimated. Various factors, including sociodemographic characteristics, financial aspects, maternal characteristics, and child characteristics, are considered as explanatory variables. The analysis employs a complex sample multiple logistic regression model. The findings reveal that the majority of mothers accurately perceive the birth size, but 17.1% of them do not. Maternal factors such as region of residence, literacy, occupation, age at birth, and child factors such as birth order, birth interval, gender, and birth weight are identified as associated factors with maternal misperception. This study provides valuable insights into the accuracy of maternally perceived birth size and sheds light on the factors influencing this perception among Syrian refugee mothers in Turkey.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data Availability

The data that support the findings of this study are available and can be requested from the Hacettepe University Institute of Population Studies (https://tnsaveri005ftdhsdata.hacettepe.edu.tr002frequest.php).

References

  1. UNHCR (United Nations High Commissioner for Refugees), Türkiye Factsheet. September, 2022. Available from: https://www.unhcr.org/tr/en/factsheets-and-dashboards. Accessed 18 Feb 2023.

  2. Republic of Türkiye Ministry of Internal Affairs D, of Migration Management,  Temporary Protection 2023. Available from: https://www.goc.gov.tr/gecici-koruma5638. Accessed 15 Feb 2023.

  3. Hirani SAA, Richter S. Maternal and child health during forced displacement. J Nurs Scholarsh. 2019;51(3):252–61. https://doi.org/10.1111/jnu.12460.

    Article  PubMed  Google Scholar 

  4. United Nations Sustainable Development Group. Leave No One Behind. Available from: https://unsdg.un.org/2030-agenda/universal-values/leave-no-one-behind. Accessed 18 Feb 2023.

  5. World Health Organization. Improving child health: IMCI: the integrated approach. Geneva: World Health Organization; 1999.

    Google Scholar 

  6. Kanda T, Murai-Takeda A, Kawabe H, Itoh H. Low birth weight trends: possible impacts on the prevalences of hypertension and chronic kidney disease. Hypertens Res. 2020;43(9):859–68. https://doi.org/10.1038/s41440-020-0451-z.

    Article  PubMed  Google Scholar 

  7. Hayes B, Sharif F. Behavioural and emotional outcome of very low birth weight infants–literature review. J Matern Fetal Neonatal Med. 2009;22(10):849–56.

    Article  PubMed  Google Scholar 

  8. Oudgenoeg-Paz O, Mulder H, Jongmans MJ, van der Ham IJ, Van der Stigchel S. The link between motor and cognitive development in children born preterm and/or with low birth weight: a review of current evidence. Neurosci Biobehav Rev. 2017;80:382–93.

    Article  PubMed  Google Scholar 

  9. Hacettepe University Institute of Population Studies. (2019). Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, TR Presidency of Turkey Directorate of Strategy and Budget and TÜBITAK, Ankara, Turkey.

  10. Yalçin SS, Erat Nergiz M, Elci ÖC, Zikusooka M, Yalçin S, Sucakli MB, et al. Breastfeeding practices among syrian refugees in Turkey. Int Breastfeed J. 2022;17(1):10. https://doi.org/10.1186/s13006-022-00450-3.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Biks GA, Blencowe H, Hardy VP, Geremew BM, Angaw DA, Wagnew A, et al. Birthweight data completeness and quality in population-based surveys: EN-INDEPTH study. Popul Health Metr. 2021;19(Suppl 1):17. https://doi.org/10.1186/s12963-020-00229-w.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Rietmeijer-Mentink M, Paulis WD, van Middelkoop M, Bindels PJ, van der Wouden JC. Difference between parental perception and actual weight status of children: a systematic review. Matern Child Nutr. 2013;9(1):3–22.

    Article  PubMed  Google Scholar 

  13. Doolen J, Alpert PT, Miller SK. Parental disconnect between perceived and actual weight status of children: a metasynthesis of the current research. J Am Acad Nurse Pract. 2009;21(3):160–6.

    Article  PubMed  Google Scholar 

  14. Lundahl A, Kidwell KM, Nelson TD. Parental underestimates of child weight: a meta-analysis. Pediatrics. 2014;133(3):e689–703. https://doi.org/10.1542/peds.2013-2690.

    Article  PubMed  Google Scholar 

  15. Rodrigues D, Machado-Rodrigues AM, Padez C. Parental misperception of their child’s weight status and how weight underestimation is associated with childhood obesity. Am J Hum Biol. 2020;32(5):e23393.

    Article  PubMed  Google Scholar 

  16. Juliusson PB, Roelants M, Markestad T, Bjerknes R. Parental perception of overweight and underweight in children and adolescents. Acta Paediatr. 2011;100(2):260–5. https://doi.org/10.1111/j.1651-2227.2010.02039.x.

    Article  PubMed  Google Scholar 

  17. Mamun AA, McDermott BM, O’Callaghan MJ, Najman JM, Williams GM. Predictors of maternal misclassifications of their offspring’s weight status: a longitudinal study. Int J Obes (Lond). 2008;32(1):48–54.

    Article  CAS  PubMed  Google Scholar 

  18. Queally M, Doherty E, Matvienko-Sikar K, Toomey E, Cullinan J, Harrington JM, et al. Do mothers accurately identify their child’s overweight/obesity status during early childhood? Evidence from a nationally representative cohort study. Int J Behav Nutr Phys Act. 2018;15(1):1–9.

    Article  Google Scholar 

  19. Warschburger P, Kroller K. Maternal perception of weight status and health risks associated with obesity in children. Pediatrics. 2009;124(1):e60–8. https://doi.org/10.1542/peds.2008-1845.

    Article  PubMed  Google Scholar 

  20. Vrijkotte TG, Varkevisser TM, van Schalkwijk DB, Hartman MA. Maternal underestimation of child’s weight at pre-school age and weight development between age 5 and 12 years: the abcd-study. Int J Environ Res Public Health. 2020;17(14):5197.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Pasch LA, Penilla C, Tschann JM, Martinez SM, Deardorff J, de Groat CL, et al. Preferred Child body size and parental underestimation of child weight in mexican-american families. Matern Child Health J. 2016;20(9):1842–8. https://doi.org/10.1007/s10995-016-1987-z.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Chan CM, Wang WC. Chinese parental perceptions of weight and associated health risks of young children. J Health Psychol. 2013;18(6):837–47. https://doi.org/10.1177/1359105312439729.

    Article  PubMed  Google Scholar 

  23. Channon AR. Birth weight data in 15 demographic and health surveys [PhD thesis]. University of Southampton. 2007.

  24. Nigatu D, Haile D, Gebremichael B. Predictive accuracy of perceived baby birth size for birth weight: a cross-sectional study from the 2016 Ethiopian Demographic and Health Survey. BMJ Open. 2019;9(12):e031986. https://doi.org/10.1136/bmjopen-2019-031986.

    Article  PubMed Central  PubMed  Google Scholar 

  25. Shakya KL, Shrestha N, Bhatt MR, Hepworth S, Onta SR. Accuracy of low birth weight as perceived by mothers and factors influencing it: a facility based study in Nepal. Int J Med Res Health Sci. 2015;4(2):274–80. https://doi.org/10.5958/2319-5886.2015.00051.X.

    Article  Google Scholar 

  26. Lule SA, Webb EL, Ndibazza J, Nampijja M, Muhangi L, Akello F, et al. Maternal recall of birthweight and birth size in Entebbe, Uganda. Trop Med Int Health. 2012;17(12):1465–9. https://doi.org/10.1111/j.1365-3156.2012.03091.x.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Mbuagbaw L, Gofin R. Can recall of birth size be used as a measure of birthweight in Cameroon? Paediatr Perinat Epidemiol. 2010;24(4):383–9. https://doi.org/10.1111/j.1365-3016.2010.01128.x.

    Article  PubMed  Google Scholar 

  28. Kroke A, Strathmann S, Günther AL. Maternal perceptions of her child’s body weight in infancy and early childhood and their relation to body weight status at age 7. Eur J Pediatr. 2006;165(12):875–83.

    Article  PubMed  Google Scholar 

  29. Yalcin SS, Serdaroglu E, Ince OT. Parental perception and child’s nutritional status. Turk J Pediatr. 2016;58(1):63–8. https://doi.org/10.24953/turkjped.2016.01.009.

    Article  PubMed  Google Scholar 

  30. World Health Organization. Low Birth Weight. Available from: https://www.who.int/data/nutrition/nlis/info/low-birth-weight. Accessed 3 Jun 2022.

  31. Macrosomia ACOGP (American College of Obstetricians and Gynecologists), Practice Bulletin. Number 216. Obstet Gynecol. 2020;135(1):e18–e35. https://doi.org/10.1097/aog.0000000000003606.

  32. Boeke CE, Marín C, Oliveros H, Mora-Plazas M, Agudelo-Canas S, Villamor E. Validity of maternal birthweight recall among colombian children. Matern Child Health J. 2012;16(4):753–9.

    Article  PubMed  Google Scholar 

  33. Channon AA. Can mothers judge the size of their newborn? Assessing the determinants of a mother’s perception of a baby’s size at birth. J Biosoc Sci. 2011;43(5):555–73. https://doi.org/10.1017/s0021932011000198.

    Article  PubMed  Google Scholar 

  34. Acharya P, Adhikari S, Adhikari TB. Mother’s perception of size at birth is a weak predictor of low birth weight: evidence from Nepal demographic and Health Survey. PLoS ONE. 2023;18(1):e0280788. https://doi.org/10.1371/journal.pone.0280788.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  35. Khanal V, Sauer K, Karkee R, Zhao Y. Factors associated with small size at birth in Nepal: further analysis of Nepal demographic and Health Survey 2011. BMC Pregnancy Childbirth. 2014;14:32. https://doi.org/10.1186/1471-2393-14-32.

    Article  PubMed Central  PubMed  Google Scholar 

  36. Hager ER, McGill AE, Black MM. Development and validation of a toddler silhouette scale. Obes (Silver Spring). 2010;18(2):397–401. https://doi.org/10.1038/oby.2009.293.

    Article  Google Scholar 

Download references

Funding

The current study received no specific grant from any funding agency, commercial or not-for-profit sectors. No other entity besides the authors had a role in the design, analysis or writing of the current article.

Author information

Authors and Affiliations

Authors

Contributions

Conceptualization: SSY; Methodology: SSY, RGS, MAE; Formal analysis: SSY, SY; Original draft preparation: SSY, RGS; review and editing: SSY, SY, MAE, final form: SSY, RGS, SY, MAE. All of the authors are responsible for reported research. They have approved the manuscript as submitted.

Corresponding author

Correspondence to Siddika Songül Yalcin.

Ethics declarations

Conflict of interest

There are no conflict of interest/competing interests. The authors have no relevant financial or non-financial interests to disclose.

Ethical Approval

Turkey Demographic Health Survey-Syrian Migrant Sample-2018 was approved by Hacettepe University Ethics Committee (35853172-100-E.00000245344). Official permission for secondary analysis of the collected DHS data was obtained from the Hacettepe University Institute of Population Studies in 2021. The current study was performed in line with the principles of the Declaration of Helsinki, General Data Protection Regulation, and Data Protection Act. All methods were carried out in accordance with relevant guidelines and regulations. This study is based on anonymized data and no identifable or individual data are present.

Consent for Publication

Not applicable.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yalcin, S.S., Savcı, R.G., Yalcin, S. et al. Accuracy of Syrain Refugee Mothers’ Perceptions of Newborn’s Birth Size: Insights from a National Survey in Turkey. J Immigrant Minority Health 25, 1363–1373 (2023). https://doi.org/10.1007/s10903-023-01519-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-023-01519-9

Keywords

Navigation