Child labor remains a significant issue globally and in Turkey, while the occupational risk faced by child laborers has been ignored.
Objective
This study aims to provide a comprehensive examination of occupational accidents, occupational diseases, permanent incapacity, and fatal accidents among child laborers in Turkey, focusing on the effects of national occupational health and safety law and age-specific differences in accident incidence.
Methods
A retrospective observational analysis was conducted using official Social Security Institution datasets. Incidence rates of occupational accidents (IROA), occupational diseases (IROD), permanent incapacity (IRPI), and fatal accidents (IRFA) were calculated. The before law (2003-2012) and after law (2013–2024) outcomes were compared using the Mann–Whitney U test. The age differences analysis was examined using the Kruskal–Wallis test, and segmented regression analysis was used to assess trends after the law.
Results
Significant differences were observed in IROA (p = 0.003) and IRFA (p = 0.004) between the periods before and after the law. Segmented regression further indicated that the legislation was associated with a significant after the law trend in IROA (p = 0.002). Occupational accidents also differed by age (p = 0.001), with the highest risk among 17-year-old child laborers and a progressive increase across age groups.
Conclusions
The findings show that legislative reforms have altered the distribution of occupational accidents among child laborers. Yet, the continuing rise in accident rates indicates that regulations alone are insufficient. Enhancing child labor safety requires coordinated social policies and age-sensitive preventive measures.
AdmassieA.The incidence of child labour in Africa with empirical evidence from rural Ethiopia. Bonn: Center for Development Research (ZEF), Report no. 32, University of Bonn, Germany, October2000.
2.
WoolfAD. Health hazards for children at work. J Toxicol Clin Toxicol2002; 40: 477–482.
3.
ShendellDGNoomnualSChishtiS, et al.Exposures resulting in safety and health concerns for child laborers in less developed countries. J Environ Public Health2016; 2016: 3985498.
4.
EdmondsEVPavcnikN. Child labor in the global economy. J Econ Perspect2005; 19: 199–220.
5.
TrinhTA. Mental health impacts of child labour: evidence from Vietnam and India. J Dev Stud2020; 56: 2251–2265.
IlyasAShahidMSAli HassanR.Evaluating the motives of child labourers in the informal economy. Int J Sociol Soc Policy2020; 40: 409–424.
26.
TunccanN. Çocuk işçiliği: nedenleri, boyutları ve küreselleşen dünyadaki konumu. In: Journal of Social Policy Conferences. Istanbul University, 2000, paper no. 43- 44, pp.243-259. Istanbul.
27.
LichandGWolfS. Measuring child labor: the who’s, the where’s, the when’s, and the why’s. PLoS One2025; 20: e0322987.
28.
FehrIRijkenC. Child labor among Syrian refugees in Turkey. Front Hum Dyn2022; 4: 861524.
29.
IsikVIsikhanSY. Trend analysis of occupational accidents during 2013–2020 based on various characteristics in Turkey. Work2025; 81: 2086–2096.
30.
WhiteLO’DonnellC. Working children and accidents: understanding the risks. Child Care Health Dev2001; 27: 23–34.
31.
RezendebFAVS. Profile of occupational accidents with children and adolescents in Brazil from 2011 to 2020. Rev Bras Saúde Ocupacional2023; 48: 1–16.
32.
TorH. The scope of child labor in Turkey. J World of Turks2010; 2: 25–42.
33.
IbrahimAAbdallaSMJaferM, et al.Child labor and health: a systematic literature review of the impacts of child labor on child’s health in low-and middle-income countries. J Public Health2019; 41: 18–26.
34.
AhmedSRayR. Health consequences of child labour in Bangladesh. Demogr Res2014; 30: 111–150.
35.
HabibRRKatribRSMikatiD, et al.Growing risk of child labor in the Middle East and north Africa amid cascading crises. Front Public Health2025; 13: 1502687.
36.
ElsayedW. Breaking the cycle of child labor in Egypt: exploring social and economic factors associated with child labor in Egypt for a sustainable future. Sustain Future2024; 8: 100235.
37.
AlamandaAEMangarIDamayantiM. Studying the issue of child labor in the oil palm plantation sector. J Develop Res2025; 9: 121–131.
RoggeroPMangiaterraVBustreoF, et al.The health impact of child labor in developing countries: evidence from cross-country data. Am J Public Health2007; 97: 271–275.
40.
DesclouxGRomanensMLamamraN, et al.Different approaches and their consequences for addressing the occupational health and safety of young workers: a systematic narrative literature review. Work2025; 81: 3105–3122.
41.
CavalcanteSRVilelaRAV. Children and teenagers working in artistic labor: Brazilian situation and international examples. Work2012; 41: 933–940.
Del ReyEJimenez-MartinSCastelloJV. Improving educational and labor outcomes through child labor regulation. Econ Educ Rev2018; 66: 51–66.
44.
BargainOBoutinD. Minimum age regulation and child labor: new evidence from Brazil. World Bank Econ Rev2021; 35: 234–260.
45.
BettacELProbstTM. National work-family policies: multilevel effects on employee reactions to work/family conflict. Work2023; 74: 919–944.
46.
ILO. Reducing the decent work deficit: a global challenge. Report of the Director-General: International Labour Conference, Geneva, Switzerland, 2001, paper no.89, Geneva.
47.
ThiAMZimmermanCRanganathanM. Hazardous child labour, psychosocial functioning, and school dropouts among children in Bangladesh: a cross-sectional analysis of UNICEF’s multiple indicator cluster surveys (MICS). Children2023; 10: 1021.
