“Do my Roma and non-Roma patients need different care?” A brief step-by-step guideline for clinical practitioners

Belák, Andrej; Gecková, Andrea Madarasová; Dijk, Jitse P. van; Reijneveld, Sijmen A.

doi:10.1007/s00038-019-01246-9

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…During the last ten years, Roma health and also of Roma children has been more intensively studied, and their health outcomes are still very different from those of non-Roma. The psycho-social aspects of discrimination [13], financial deprivation and their statements about their poor health [14] could also play a role regarding higher morbidity. Biological, e.g., genetic, differences are a much less likely explanation [15].…”

Section: Discussionmentioning

confidence: 99%

Juvenile Idiopathic Arthritis: Roma Children Seem to Run More Risk than Non-Roma

Drobnakova

Gecková

Vargová

et al. 2020

IJERPH

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Background: Ethnic information regarding juvenile idiopathic arthritis (JIA) exists for various populations across the world but is fully lacking for Roma. We assessed the occurrence and clinical characteristics of JIA in Roma vs. non-Roma children. Methods: We obtained data on all outpatients (n = 142) from a paediatric rheumatology centre (age 3 to 18 years) in the eastern part of Slovakia (Kosice region). We assessed patients’ age, gender, disease type and related extra-articular conditions by ethnicity. We obtained population data from the 2011 census. Results: The share of Roma children was higher in the clinical JIA sample than in the overall population (24.6%, n = 35, Roma in the sample vs. 10.8%, n = 142, Roma in the population, p < 0.05). Moreover, Roma children had been diagnosed more frequently with extra-articular conditions but did not differ in other symptoms. Treatments also did not differ by ethnicity. Conclusion: Roma children had been diagnosed more with JIA than their non-Roma peers. This calls for further research on the causes of this increased disease burden in Roma children.

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Section: Discussionmentioning

confidence: 99%