{"id":4429,"date":"2025-04-30T19:29:55","date_gmt":"2025-04-30T19:29:55","guid":{"rendered":"https:\/\/haber360.com\/index.php\/2025\/04\/30\/mahalle-ortamlarinin-cocuk-losemi-sagkalimina-etkisi\/"},"modified":"2025-04-30T19:29:55","modified_gmt":"2025-04-30T19:29:55","slug":"mahalle-ortamlarinin-cocuk-losemi-sagkalimina-etkisi","status":"publish","type":"post","link":"https:\/\/haber360.com\/index.php\/2025\/04\/30\/mahalle-ortamlarinin-cocuk-losemi-sagkalimina-etkisi\/","title":{"rendered":"Mahalle Ortamlar\u0131n\u0131n \u00c7ocuk L\u00f6semi Sa\u011fkal\u0131m\u0131na Etkisi"},"content":{"rendered":"<p>Son y\u0131llarda \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semi hastalar\u0131nda tedavi ba\u015far\u0131s\u0131n\u0131 sadece t\u0131bbi m\u00fcdahaleler de\u011fil, sosyal \u00e7evrenin de belirgin \u015fekilde etkiledi\u011fi bilim d\u00fcnyas\u0131nda daha \u00e7ok kabul g\u00f6rmeye ba\u015flad\u0131. Kaliforniya \u00dcniversitesi San Francisco (UCSF) ara\u015ft\u0131rmac\u0131lar\u0131 taraf\u0131ndan ger\u00e7ekle\u015ftirilen kapsaml\u0131 \u00e7al\u0131\u015fma, \u00f6zellikle akut lenfoblastik l\u00f6semi (ALL) ve akut miyeloid l\u00f6semi (AML) tan\u0131s\u0131 alan \u00e7ocuklar\u0131n hayatta kalma oranlar\u0131 \u00fczerinde mahalle bazl\u0131 sosyal belirleyicilerin b\u00fcy\u00fck rol oynad\u0131\u011f\u0131n\u0131 ortaya koydu. Cancer dergisinde yay\u0131mlanan bu \u00e7al\u0131\u015fmada, toplum temelli fakt\u00f6rlerin \u00e7ocuklarda l\u00f6semi mortalitesindeki e\u015fitsizlikleri nas\u0131l etkiledi\u011fi ayr\u0131nt\u0131lar\u0131yla incelendi. Ara\u015ft\u0131rman\u0131n sonu\u00e7lar\u0131, sadece hastanede verilen tedavi yakla\u015f\u0131mlar\u0131n\u0131n de\u011fil, ayn\u0131 zamanda hastalar\u0131n ya\u015fad\u0131\u011f\u0131 \u00e7evrenin sa\u011fkal\u0131m performanslar\u0131nda belirleyici oldu\u011funu g\u00f6stererek, pediatrik onkoloji ve halk sa\u011fl\u0131\u011f\u0131 politikalar\u0131nda yeni bir d\u00f6nemin kap\u0131s\u0131n\u0131 aral\u0131yor.<\/p>\n<p>L\u00f6semi, \u00e7ocukluk \u00e7a\u011f\u0131 kanserleri aras\u0131nda en s\u0131k g\u00f6r\u00fclen ve t\u00fcm d\u00fcnyada \u00e7ocuklar aras\u0131nda kanser kaynakl\u0131 \u00f6l\u00fcm nedenleri aras\u0131nda \u00fcst s\u0131ralarda yer al\u0131yor. \u00d6zellikle ALL ve AML, tespit edilen en yayg\u0131n l\u00f6semi alt tipleri aras\u0131nda say\u0131l\u0131yor. T\u0131bbi alandaki ilerlemelere ra\u011fmen, bu hastalar\u0131n tedavi sonras\u0131 sa\u011fkal\u0131m oranlar\u0131nda belirgin d\u00fczensizlikler g\u00f6zlemleniyor. Bu durum, biyolojik etmenlerin \u00f6tesinde sosyal, ekonomik ve \u00e7evresel fakt\u00f6rlerin etkisini sorgulama gereklili\u011fini ortaya koydu. UCSF ara\u015ft\u0131rma grubu da bu noktadan hareketle, kronik tedavi s\u00fcre\u00e7lerinde \u00e7evresel zorluklar\u0131n hastalar\u0131n tedaviye ba\u011fl\u0131l\u0131\u011f\u0131n\u0131 ve sonu\u00e7lar\u0131n\u0131 nas\u0131l etkiledi\u011fini anlamaya \u00e7al\u0131\u015ft\u0131.<\/p>\n<p>ALL tedavisi, s\u00fcresi ve karma\u015f\u0131kl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan dikkat \u00e7ekiyor. Tedavi genellikle yo\u011fun bir hastane i\u00e7i fazla ba\u015flay\u0131p, ard\u0131ndan uzun s\u00fcre devam eden bak\u0131m evresiyle s\u00fcrd\u00fcr\u00fcl\u00fcyor. Bu d\u00f6nem boyunca hasta \u00e7ocuklar\u0131n d\u00fczenli poliklinik kontrol\u00fc ve g\u00fcnl\u00fck ila\u00e7 kullan\u0131m\u0131na uyumlulu\u011fu hayati \u00f6nem ta\u015f\u0131yor. Buna kar\u015f\u0131l\u0131k AML tedavisi daha k\u0131sa s\u00fcrmekte ve daha az poliklinik ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 gerektirmektedir. UCSF ara\u015ft\u0131rmac\u0131lar\u0131, dolay\u0131s\u0131yla farkl\u0131 tedavi s\u00fcrelerine sahip bu iki l\u00f6semi t\u00fcr\u00fcn\u00fcn, \u00e7ocuklar\u0131n ya\u015fad\u0131\u011f\u0131 mahallelerdeki ko\u015fullardan farkl\u0131 \u015fekilde etkilendi\u011fini d\u00fc\u015f\u00fcnd\u00fcler.<\/p>\n<p>Ara\u015ft\u0131rman\u0131n en dikkat \u00e7ekici yanlar\u0131ndan biri, kullan\u0131lan yeni mahalle s\u0131n\u0131fland\u0131rma sistemi oldu. Bu y\u00f6ntemle 39 farkl\u0131 sosyoekonomik ve altyap\u0131sal de\u011fi\u015fken &#8211; yiyecek ortam\u0131ndan eczane varl\u0131\u011f\u0131na, toplu ta\u015f\u0131ma eri\u015fimine kadar &#8211; bir arada analiz edilerek, \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semisi sa\u011fkal\u0131m oranlar\u0131 ile mahalle \u00f6zellikleri aras\u0131ndaki ili\u015fki hassasiyetle belirlendi. B\u00f6ylece, daha \u00f6nceki geni\u015f \u00e7apl\u0131 epidemiyolojik \u00e7al\u0131\u015fmalarda g\u00f6zden ka\u00e7an detaylar net bir bi\u00e7imde ortaya kondu. Bu \u00e7ok boyutlu yakla\u015f\u0131m, farkl\u0131 b\u00f6lgelerde ya\u015fayan \u00e7ocuklar\u0131n tedaviye eri\u015fimindeki engellerin nas\u0131l \u00e7e\u015fitlilik g\u00f6sterdi\u011fini g\u00f6sterdi.<\/p>\n<p>\u00c7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131, ALL tan\u0131s\u0131 alan \u00e7ocuklar\u0131n, orta ve d\u00fc\u015f\u00fck gelirli karma mahallelerde %30-40 daha y\u00fcksek \u00f6l\u00fcm riskiyle kar\u015f\u0131 kar\u015f\u0131ya oldu\u011funu ortaya koydu. Ayr\u0131ca, \u00f6zellikle \u00e7o\u011funlu\u011fu Hispanik n\u00fcfusun ya\u015fad\u0131\u011f\u0131 k\u00fc\u00e7\u00fck kasabalarda da benzer oranda artm\u0131\u015f mortalite g\u00f6zlendi. Bu durum, \u00e7ocuklar\u0131n kesintisiz tedavi almas\u0131n\u0131 g\u00fc\u00e7le\u015ftiren yap\u0131sal engellerin \u2013 ila\u00e7 temini zorluklar\u0131, poliklinik randevular\u0131na eri\u015fimde ya\u015fanan sorunlar gibi \u2013 do\u011frudan hayatta kalma oranlar\u0131na yans\u0131d\u0131\u011f\u0131n\u0131 net bi\u00e7imde ortaya koydu. Dolay\u0131s\u0131yla sosyoekonomik s\u0131k\u0131nt\u0131lar, biyolojik s\u00fcre\u00e7lerle birlikte de\u011ferlendirildi\u011finde daha kapsaml\u0131 tedavi planlar\u0131 gerektirmektedir.<\/p>\n<p>Ara\u015ft\u0131rman\u0131n bir di\u011fer \u00f6nemli bulgusu, AML hastalar\u0131nda mahalle etkisinin ALL\u2019de g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi belirgin olmamas\u0131yd\u0131. Bu fark\u0131n temel sebebini AML\u2019nin daha k\u0131sa ve daha yo\u011fun \u015fekilde ger\u00e7ekle\u015ftirilen tedavi ve az say\u0131da poliklinik takibi gerektirmesi olu\u015fturdu. Bu durum, daha az d\u0131\u015fsal engel i\u00e7eren tedavi s\u00fcre\u00e7lerinin, \u00e7evresel dezavantajlar\u0131n sa\u011fkal\u0131m \u00fczerindeki olumsuz etkisini azaltabilece\u011fini g\u00f6stermektedir. Bu bulgu, tedavi modellerinin sosyoekonomik risk fakt\u00f6rlerine g\u00f6re esnek bi\u00e7imde tasarlanmas\u0131n\u0131n \u00f6nemini vurguluyor.<\/p>\n<p>\u00c7al\u0131\u015fma ayr\u0131ca, sa\u011fl\u0131kl\u0131 besin ortam\u0131 bulamama, yerel eczane eksikli\u011fi, yetersiz toplu ta\u015f\u0131ma gibi mahalledeki somut altyap\u0131 sorunlar\u0131n\u0131n, ailelerin uzun d\u00f6nem tedavi plan\u0131na sad\u0131k kalmas\u0131n\u0131 zorla\u015ft\u0131rd\u0131\u011f\u0131n\u0131 ortaya koydu. \u00d6zellikle daha az imkana sahip ve altyap\u0131s\u0131 eksik mahallelerde ya\u015fayan \u00e7ocuklar, tedavi s\u00fcreklili\u011fi a\u00e7\u0131s\u0131ndan ciddi risk alt\u0131nda. Bu olumsuzluklar, hem ila\u00e7lar\u0131n d\u00fczenli temin edilmesini engelliyor hem de kritik takip randevular\u0131n\u0131n ka\u00e7\u0131r\u0131lmas\u0131na yol a\u00e7\u0131yor.<\/p>\n<p>Ara\u015ft\u0131rmac\u0131lar, s\u00f6z konusu sosyal ve lojistik engellerin \u00fcstesinden gelmek i\u00e7in hedefe y\u00f6nelik m\u00fcdahalelerin geli\u015ftirilmesi gerekti\u011fini savunuyor. \u00d6ncelikli olarak, y\u00fcksek risk alt\u0131ndaki b\u00f6lgelerde eczane say\u0131s\u0131n\u0131n art\u0131r\u0131lmas\u0131 ila\u00e7 eri\u015fimini kolayla\u015ft\u0131rabilir. Ayr\u0131ca, \u00e7ocuklar\u0131n ve ailelerinin poliklinik randevular\u0131na eri\u015fimini kolayla\u015ft\u0131rmak \u00fczere ula\u015f\u0131m \u00e7\u00f6z\u00fcmlerinin geli\u015ftirilmesi, tedavi terk oranlar\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde d\u00fc\u015f\u00fcrebilir. B\u00f6ylece, ya\u015fanan e\u015fitsizlikler azalt\u0131larak sa\u011fkal\u0131m oranlar\u0131n\u0131n co\u011frafi ve sosyoekonomik fakt\u00f6rlerden ba\u011f\u0131ms\u0131z hale getirilmesi m\u00fcmk\u00fcn olabilir.<\/p>\n<p>Bununla birlikte, \u00e7al\u0131\u015fma sosyal sa\u011fl\u0131k belirleyicilerinin ele al\u0131nd\u0131\u011f\u0131 kapsaml\u0131 sa\u011fl\u0131k politikalar\u0131n\u0131n gereklili\u011fini vurguluyor. Sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131, toplum \u00f6rg\u00fctleri ve yerel y\u00f6neticiler aras\u0131nda daha s\u0131k\u0131 i\u015fbirlikleri kurularak, sa\u011fl\u0131k lojisti\u011finin yap\u0131land\u0131r\u0131lmas\u0131 ve s\u00fcrd\u00fcr\u00fclebilir \u00e7\u00f6z\u00fcmler \u00fcretilmesi \u00f6nem kazanmaktad\u0131r. Bu t\u00fcr entegre yakla\u015f\u0131mlar, toplum genelinde pediatrik kanser morbiditesi ve mortalitesini azalt\u0131c\u0131 politikalar\u0131n temel ta\u015f\u0131n\u0131 olu\u015fturabilir.<\/p>\n<p>UCSF ara\u015ft\u0131rmas\u0131, ayn\u0131 zamanda g\u00fc\u00e7l\u00fc veri analiti\u011fi y\u00f6ntemlerinin sa\u011fl\u0131k e\u015fitsizliklerini ortaya \u00e7\u0131karmadaki kritik rol\u00fcne i\u015faret ediyor. 39 farkl\u0131 mahalle \u00f6zelli\u011finin birlikte incelendi\u011fi bu analiz modelleri, daha \u00f6nce g\u00f6r\u00fclemeyen yerel \u00f6r\u00fcnt\u00fcleri a\u00e7\u0131\u011fa \u00e7\u0131kararak, karar vericilere karma\u015f\u0131k sosyal yap\u0131lar\u0131n \u00e7\u00f6z\u00fcm\u00fc i\u00e7in pratik bilgi sunuyor. Bu sayede, b\u00f6lgesel ihtiya\u00e7lara uygun m\u00fcdahaleler planlanabiliyor ve kaynaklar daha etkin \u015fekilde y\u00f6nlendirilebiliyor.<\/p>\n<p>Bu detayl\u0131 sosyo-\u00e7evresel etkenlerin dikkate al\u0131nmas\u0131, pediatrik l\u00f6seminin sadece biyolojik s\u00fcre\u00e7lerin de\u011fil, ayn\u0131 zamanda geni\u015f bir ekosistemin sonucu oldu\u011funu ortaya koyuyor. Bu bak\u0131\u015f a\u00e7\u0131s\u0131, daha adil ve kapsay\u0131c\u0131 bir tedavi yakla\u015f\u0131m\u0131 geli\u015ftirilmesini te\u015fvik etmekle kalmay\u0131p, sa\u011fl\u0131k sistemlerini sosyal engelleri y\u0131kmaya y\u00f6nlendiriyor. B\u00f6ylece, sa\u011fl\u0131k hizmetlerinin etkinli\u011fi vatanda\u015flar\u0131n ya\u015fad\u0131\u011f\u0131 mahallenin sosyoekonomik profiline ba\u011fl\u0131 olmaktan \u00e7\u0131kar\u0131l\u0131yor.<\/p>\n<p>Ara\u015ft\u0131rman\u0131n bulgular\u0131, sadece l\u00f6semi de\u011fil pek \u00e7ok pediatrik ve kronik hastal\u0131kta mahalle ve \u00e7evre fakt\u00f6rlerinin sa\u011fl\u0131k sonu\u00e7lar\u0131 \u00fczerindeki etkilerinin ara\u015ft\u0131r\u0131lmas\u0131 i\u00e7in \u00f6nemli bir \u00f6rnek te\u015fkil ediyor. Artan sosyoekonomik u\u00e7urumlar d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde, \u00e7ok de\u011fi\u015fkenli toplum profilleme tekniklerinin kodlanmas\u0131 ve uygulanmas\u0131, gelecekte hem klinik hem de halk sa\u011fl\u0131\u011f\u0131 alanlar\u0131nda vazge\u00e7ilmez bir ara\u00e7 haline gelecek gibi g\u00f6r\u00fcn\u00fcyor. Bu y\u00f6n\u00fcyle \u00e7al\u0131\u015fma, ekonomik ve sosyal krizlerin derinle\u015fti\u011fi g\u00fcn\u00fcm\u00fczde sa\u011fl\u0131k adaletinin sa\u011flanmas\u0131 i\u00e7in yol g\u00f6sterici oluyor.<\/p>\n<p>Pediatrik kanser tedavisinde hastan\u0131n yo\u011fun hastane bak\u0131m\u0131ndan sonra d\u00fczenli ve disiplinli hasta takiplerinin \u00f6nemi giderek art\u0131yor. UCSF\u2019nin \u00e7al\u0131\u015fmas\u0131, sa\u011fl\u0131k altyap\u0131s\u0131na eri\u015fimin hastane d\u0131\u015f\u0131 mekanlara ta\u015f\u0131nmas\u0131n\u0131n gereklili\u011fini vurguluyor. Eczane say\u0131s\u0131n\u0131n art\u0131r\u0131lmas\u0131, toplu ta\u015f\u0131man\u0131n iyile\u015ftirilmesi ve toplum kaynaklar\u0131n\u0131n g\u00fc\u00e7lendirilmesi sayesinde, kanser tedavisinde s\u00fcreklilik sa\u011flanarak tedaviye ba\u011fl\u0131l\u0131k ve sa\u011fkal\u0131m oranlar\u0131 y\u00fckseltilebilir. Bu, \u00f6zellikle d\u00fc\u015f\u00fck gelirli ve altyap\u0131s\u0131 yetersiz mahallelerde ya\u015fayan \u00e7ocuklar i\u00e7in kritik \u00f6nemde.<\/p>\n<p>Sonu\u00e7 olarak UCSF ara\u015ft\u0131rmas\u0131, \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semi tedavisinde mahalle bazl\u0131 sosyal \u00e7evrenin tedavi ba\u015far\u0131s\u0131 \u00fczerindeki rol\u00fcn\u00fc a\u00e7\u0131k\u00e7a ortaya koyarak, pediatrik onkoloji alan\u0131nda \u00e7\u0131\u011f\u0131r a\u00e7an bir ad\u0131m oldu. Hayatta kalma \u015fanslar\u0131n\u0131 art\u0131rmak i\u00e7in yaln\u0131zca ileri teknolojili tedaviler de\u011fil, ayn\u0131 zamanda sosyal ve lojistik engellerin ortadan kald\u0131r\u0131lmas\u0131 gerekiyor. Bu ba\u011flamda, hekimler ve sa\u011fl\u0131k sistemi y\u00f6neticilerine hastalar\u0131n\u0131 sadece biyolojik de\u011fil, ayn\u0131 zamanda sosyoekonomik \u00e7evreleri \u00e7er\u00e7evesinde de\u011ferlendirme sorumlulu\u011fu y\u00fckleniyor. Ayn\u0131 zamanda politika yap\u0131c\u0131lar, sa\u011fl\u0131k e\u015fitli\u011fini sa\u011flamak \u00fczere mahalle temelli yat\u0131r\u0131mlar\u0131 art\u0131rmal\u0131 ve sa\u011fl\u0131k hizmetlerinin adil da\u011f\u0131l\u0131m\u0131na \u00f6ncelik vermeli.<\/p>\n<p>UCSF ekibinin multidisipliner yakla\u015f\u0131m\u0131 ve geli\u015fmi\u015f epidemiyolojik y\u00f6ntemleri birle\u015ftirmesi, kanserde e\u015fitsizlikler \u00fczerine yap\u0131lan ara\u015ft\u0131rmalara yeni bir standart getirdi. Ortaya \u00e7\u0131kan sonu\u00e7lar bir kez daha g\u00f6steriyor ki; pediatrik l\u00f6semi tedavisinde co\u011frafya kader olmaktan \u00e7\u0131kmal\u0131, her \u00e7ocuk ya\u015fad\u0131\u011f\u0131 mahalleden ba\u011f\u0131ms\u0131z olarak kaliteli ve kesintisiz sa\u011fl\u0131k hizmetine ula\u015fabilmelidir.<\/p>\n<p>&#8212;<\/p>\n<p><strong>Ara\u015ft\u0131rma Konusu<\/strong>:<br \/>\nMahalle d\u00fczeyindeki sosyal belirleyicilerin \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semi sa\u011fkal\u0131m oranlar\u0131 \u00fczerindeki etkileri<\/p>\n<p><strong>Makale Ba\u015fl\u0131\u011f\u0131<\/strong>:<br \/>\nHow Do Neighborhoods Impact Children\u2019s Chances of Surviving Leukemia?<\/p>\n<p><strong>Haberin Yay\u0131n Tarihi<\/strong>:<br \/>\nVerilmemi\u015ftir<\/p>\n<p><strong>Web References<\/strong>:<br \/>\nhttps:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncr.35863<br \/>\nhttps:\/\/www.ucsfhealth.org<\/p>\n<p><strong>Doi Referans<\/strong>:<br \/>\n(Verilmemi\u015ftir; makaleye web \u00fczerinden eri\u015fim sa\u011flanabilir)<\/p>\n<p><strong>Anahtar Kelimeler<\/strong>:<br \/>\nL\u00f6semi, \u00c7ocukluk \u00e7a\u011f\u0131 kanseri, Akut lenfoblastik l\u00f6semi (ALL), Akut miyeloid l\u00f6semi (AML), Mahalle \u00f6zellikleri, Sa\u011fl\u0131k e\u015fitsizlikleri, Pediatrik onkoloji, Sosyoekonomik belirleyiciler, \u0130la\u00e7 uyumu, Poliklinik takibi, Sa\u011fl\u0131k e\u015fitli\u011fi, Halk sa\u011fl\u0131\u011f\u0131 m\u00fcdahaleleri<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Son y\u0131llarda \u00e7ocukluk \u00e7a\u011f\u0131 l\u00f6semi hastalar\u0131nda tedavi ba\u015far\u0131s\u0131n\u0131 sadece t\u0131bbi m\u00fcdahaleler de\u011fil, sosyal \u00e7evrenin de belirgin \u015fekilde etkiledi\u011fi bilim d\u00fcnyas\u0131nda daha \u00e7ok kabul g\u00f6rmeye ba\u015flad\u0131. Kaliforniya \u00dcniversitesi San Francisco (UCSF) ara\u015ft\u0131rmac\u0131lar\u0131 taraf\u0131ndan ger\u00e7ekle\u015ftirilen kapsaml\u0131 \u00e7al\u0131\u015fma, \u00f6zellikle akut lenfoblastik l\u00f6semi (ALL) ve akut miyeloid l\u00f6semi (AML) tan\u0131s\u0131 alan \u00e7ocuklar\u0131n hayatta kalma oranlar\u0131 \u00fczerinde mahalle bazl\u0131 sosyal&#8230;<\/p>\n","protected":false},"author":1,"featured_media":4430,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_yoast_wpseo_focuskw":"","rank_math_title":"","rank_math_description":"","rank_math_focus_keyword":"","_wpan_schema_json_ld":"","_wpan_ai_seo_metadata":"","_wpan_ai_seo_status":"","_wpan_ai_seo_policy":"","_wpan_ai_seo_faq_block":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[28],"tags":[4564,4563,4566,4567,4565],"tmauthors":[],"class_list":{"0":"post-4429","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-kanser","8":"tag-akut-lenfoblastik-losemi-tedavi-basarisi","9":"tag-cocukluk-cagi-losemi-sagkalimi","10":"tag-mahalle-bazli-saglik-esitsizlikleri","11":"tag-pediatrik-onkoloji-sosyal-belirleyiciler","12":"tag-sosyoekonomik-faktorlerin-losemiye-etkisi"},"jetpack_featured_media_url":"https:\/\/haber360.com\/wp-content\/uploads\/2025\/04\/Mahalle-Ortamlarinin-Cocuk-Losemi-Sagkalimina-Etkisi-1746041397.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/posts\/4429","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/comments?post=4429"}],"version-history":[{"count":0,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/posts\/4429\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/media\/4430"}],"wp:attachment":[{"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/media?parent=4429"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/categories?post=4429"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/tags?post=4429"},{"taxonomy":"tmauthors","embeddable":true,"href":"https:\/\/haber360.com\/index.php\/wp-json\/wp\/v2\/tmauthors?post=4429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}