Poverty &amp; Poor Eating Habits are Two of the Essential Factors That Affect the Health Condition of Marginalized Roma Population

Bartošovič, I.; Hegyi, L; Krcmery, V.; Hanobik, F.; Vasilj, V; Rothova, P

doi:10.5604/2222386x.1138446

Cited by 3 publications

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“…Furthermore, estimates of the Household Budget Survey in Romania involving almost 9000 settlements during 2004 to 2011, suggest that the Roma population has an inferior diet compared to that of non-Roma populations in terms of a lower proportion of dairy product, fruit, and vegetable intake [ 29 ]. Other studies involving Roma participants also suggest excessive consumption of fast-food, fatty meats and sweets and low consumption of vegetables and fruits [ 25 , 30 ]. Eventually, findings from two paired health surveys, that we carried out in the general Hungarian and Roma populations using the same methodology before and after the Decade of Roma Inclusion were compared, and it was clearly shown that the distribution of BMI worsened significantly among younger Roma individuals (in both sexes) between 2004 and 2015, with obesity becoming significantly more frequent [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, survey results from different European countries, attempting to elucidate dietary aspects of Roma, have indicated detrimental dietary patterns, linked to the common hallmarks of diet-related NCDs, namely inadequate and infrequent consumption of fruits, vegetables [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ] and dairy products [ 25 , 27 , 28 , 29 , 34 ], unfavorable consumption of fast foods [ 35 , 36 , 37 , 38 ], animal fats [ 30 , 33 , 38 , 39 ], sugar-sweetened beverages [ 24 , 25 , 30 , 37 ], as well as confectionery [ 30 ]. Although these studies have described food choices and eating habits, several questions on dietary intake profile still remain unanswered.…”

Section: Introductionmentioning

confidence: 99%

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Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

et al. 2020

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Nutrition studies among Roma are scarce and to date no quantified dietary data are available. This report provides, for the first time, quantified dietary data and comprehensive anthropometric information for the Hungarian Roma (HR) population, with Hungarian general (HG) adults as reference. Data were obtained from a complex comparative health survey, involving 387 and 410 subjects of HR and HG populations, respectively. Using corporal measurements, body composition indicators were constructed, while daily nutrient intakes were evaluated in comparison with internationally accepted guidelines on nutrient requirements and recommended intakes. Associations between Roma ethnicity and nutrient intakes, as well as odds of achieving dietary recommendations were explored using regression models, adjusted for relevant covariates (i.e., age, gender, education, marital status and perceived financial status). Results showed occasional differences for selected nutrient intakes between the groups, with HR’s intake being less favorable. Total fat intake, predominantly animal-sourced, exceeded recommendations among HR (36.1 g, 95% confidence interval (CI): 35.2–37.0) and was not dissimilar to HG group (37.1 g, 95% CI: 36.3–38.0). Sodium intake among HR was significantly lower (5094.4 mg, 95% CI: 4866.0–5322.8) compared to HG (5644.0 mg, 95% CI: 5351.9–5936.0), but significantly greater than recommended intake in both groups. HR had greater estimated body fatness (25.6–35.1%) and higher average body mass index (BMI, 27.7 kg/m2, 95% CI: 26.9–28.4), compared to HG. In addition, HR had lower odds of achieving dietary recommendations (odds ratio (OR) = 0.81, 95% CI: 0.67–0.97, p < 0.05). Findings warrant further research, while highlighting the importance of establishing and integrating Roma nutrition into national surveillance and monitoring systems for key dietary risk factors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

et al. 2020

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“…They have unhealthy dietary habits, such as irregular and infrequent consumption of fresh fruits and vegetables (3,(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) and dairy products (11,13,19) compared to consumption patterns in the mainstream populations. Their diet can also be characterized by high consumption of fast foods (23,24), animal fat (16,18,25,26), soft drinks (10,11,16,24,27), and sweets (16,27). It is essential to collect information on the drivers and development of food preferences and specific food choices of the Roma population and to understand the degree to which various factors contribute to health disparities related to dietary patterns to plan and implement culturally appropriate dietary interventions among them.…”

Section: Discussionmentioning

confidence: 99%

“…The estimates of the Household Budget Survey (HBS) of Romania conducted with a sample of ∼9,000 dwellings covering the period from 2004 to 2011 suggest that the Roma population has an inferior diet compared to that of non-Roma populations in terms of a lower proportion of dairy product, fruit, and vegetable intake (15). Other Roma studies also suggest high consumption of fatty meats and sweets and low consumption of vegetables and fruits (16). Using the data from the cross-sectional HepaMeta study conducted in 2011 in Slovakia, high consumption of fast foods was identified among the Roma population.…”

Section: Introductionmentioning

confidence: 99%

“…Survey results suggest that the Roma diet can be characterized by low and infrequent consumption of fresh fruits and vegetables ( 3 , 9 – 22 ) and dairy products ( 11 , 13 , 19 ) and high consumption of fast foods ( 23 , 24 ), animal fat ( 16 , 18 , 25 , 26 ), soft drinks ( 10 , 11 , 16 , 24 , 27 ), and sweets ( 16 , 27 ).…”

Section: Introductionmentioning

confidence: 99%

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Taste and Food Preferences of the Hungarian Roma Population

Diószegi

Pikó

Kósa

et al. 2020

Front. Public Health

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Background: In Central, Eastern, and Southern Europe, the Roma population is the largest and the most vulnerable and disadvantaged minority. Behind their unfavorable health status, harmful health behaviors, such as unhealthy diet is also supposed to exist. Methods: In the framework of a complex health study, individuals from the Hungarian general (n = 410) and Roma populations (n = 387) were randomly selected. In the survey portion of the study, sweet, fat, salty, and bitter taste preferences were ascertained by question items measuring taste and food preferences. Preference for sweet vs. salty foods was also analyzed. Questions from the Hungarian version of the European Health Interview Survey were included, to characterize fruit and vegetable consumption and to determine the quantity of sugars added to consumed foods and beverages and the frequency of salting without tasting the food. Data were analyzed using STATA 9.0 statistical software. Results: Roma reported significantly less frequent consumption of fresh fruits (OR = 1.70, 95% CI: 1.22-2.35, p = 0.002) and vegetables (OR = 1.74, 95% CI: 1.25-2.41, p = 0.001) than the Hungarian subjects. Representatives of the Hungarian Roma population reported adding higher quantities of sugars to consumed foods and beverages (OR = 1.68, 95% CI: 1.10-2.56, p = 0.016) and preferred sweet snacks vs. salty ones (OR = 0.53 for salty snacks, 95% CI: 0.37-0.78, p = 0.001) and had higher preferences for sweet foods (OR = 1.51, 95% CI: 1.08-2.11, p = 0.015). They salted their food without tasting it more often (OR = 2.18, 95% CI: 1.64-2.88, p < 0.001). They had lower preferences for bitter tasting raw kohlrabi (OR = 0.56, 95% CI: 0.41-0.80, p = 0.001), grapefruit (OR = 0.47, 95% CI: 0.34-0.64, p < 0.001), black coffee (OR = 0.50, 95% CI: 0.34-0.73, p < 0.001), and dark chocolate (OR = 0.63, 95% CI: 0.46-0.84, p = 0.006). No significant results in terms of ethnicity were found on for fatty and salty food preference and other bitter-tasting vegetables. Diószegi et al. Taste and Food Preferences of Roma Conclusions: Roma diet may be linked to taste preferences predisposing to unhealthy eating habits. This assumption needs further studies on their dietary behavior. In order to design potentially effective intervention programs targeting Roma populations, it is essential to identify individual, environmental, social, cultural, and behavioral factors and as well as their complex interplay that may affect dietary intake and behaviors.

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Deteriorated Dietary Patterns with Regards to Health and Environmental Sustainability among Hungarian Roma Are Not Differentiated from Those of the General Population

et al. 2021

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Nutritional epidemiology studies on Roma people are scarce and, to date, their nutrient-based dietary patterns with regards to both healthy and sustainable dietary considerations have never been reported. We report, for the first time, adherence to healthy and sustainable dietary patterns using scoring and regression models, based on recommendations defined by the World Health Organization, in the Dietary Approaches to Stop Hypertension (DASH) study and the EAT-Lancet report, as well as dietary quality based on Dietary Inflammatory Index (DII) among the Hungarian Roma (HR) population living in North East Hungary, with Hungarian general (HG) adults as reference. Data were obtained from a complex, comparative health survey involving dietary assessment, structured questionnaire-based interview, physical and laboratory examinations on 359 HG and 344 HR subjects in Northeast Hungary. Poisson regressions were fit to models that included DASH, EAT, DII and Healthy Diet Indicator as dependent variables to assess the influence of ethnicity on healthy and sustainable nutrient-based patterns. Adjusted models controlled for all relevant covariates using the residual method indicated poor dietary quality with regards to the selected dietary patterns. These associations were not ethnicity-sensitive, except for DII, where Roma ethnicity was linked to a decrease of DII score (β = −0.455, 95%CI: −0.720; −0.191, p < 0.05). Currently, HR dietary patterns appear to be relatively unhealthy and unsustainable, rendering them vulnerable to elevated risk of ill-health. Nevertheless, their dietary patterns did not strongly differ from HG, which may contribute to Hungarians being one of the most obese and malnourished nations in Europe. Further prospective research on the potential public and environmental health effects of these findings is warranted.

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Poverty & Poor Eating Habits are Two of the Essential Factors That Affect the Health Condition of Marginalized Roma Population

Cited by 3 publications

References 0 publications

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

Taste and Food Preferences of the Hungarian Roma Population

Deteriorated Dietary Patterns with Regards to Health and Environmental Sustainability among Hungarian Roma Are Not Differentiated from Those of the General Population

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