Socioeconomic Characteristics of the Population Living in Roma Settlements and Their Association with Health and Health-Related Behaviour

Gecková, Andrea Madarasová; Babinská, Ingrid; Bobakova, Daniela Filakovska; Veselská, Zuzana Dankulincová; Bosakova, Lucia; Kolarčík, Peter; Jarčuška, Peter; Pella, Daniel; Halánová, Monika

doi:10.21101/cejph.a3903

Cited by 35 publications

(35 citation statements)

References 22 publications

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“…Compared with Roma women, Slovak/other European women generally have greater economic resources to purchase consumer products that may contain PFASs. 57 This interpretation is consistent with results from other studies that have observed positive associations between income and maternal PFAS concentrations. 25, 29 …”

Section: Discussionsupporting

confidence: 92%

Demographic, Reproductive, and Dietary Determinants of Perfluorooctane Sulfonic (PFOS) and Perfluorooctanoic Acid (PFOA) Concentrations in Human Colostrum

Jusko

Oktapodas

Murínová

et al. 2016

Environ. Sci. Technol.

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To determine demographic, reproductive, and maternal dietary factors that predict perfluoroalkyl substance (PFAS) concentrations in breast milk, we measured perfluorooctane sulfonic (PFOS) and perfluorooctanoic acid (PFOA) concentrations, using liquid chromatography-mass spectrometry, in 184 colostrum samples collected from women participating in a cohort study in eastern Slovakia between 2002 and 2004. During their hospital delivery stay, mothers completed a food frequency questionnaire, and demographic and reproductive data were also collected. PFOS and PFOA predictors were identified by optimizing multiple linear regression models using Akaike’s information criterion (AIC). The geometric mean concentration in colostrum was 35.3 pg/ml for PFOS and 32.8 pg/ml for PFOA., In multivariable models, parous women had 40% lower PFOS (95% CI: −56 to −17%) and 40% lower PFOA (95% CI: −54 to −23%) concentrations compared with nulliparous women. Moreover, fresh/frozen fish consumption, longer birth intervals, and Slovak ethnicity were associated with higher PFOS and PFOA concentrations in colostrum. These results will help guide the design of future epidemiologic studies examining milk PFAS concentrations in relation to health endpoints in children.

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Section: Discussionsupporting

confidence: 92%

Demographic, Reproductive, and Dietary Determinants of Perfluorooctane Sulfonic (PFOS) and Perfluorooctanoic Acid (PFOA) Concentrations in Human Colostrum

Jusko

Oktapodas

Murínová

et al. 2016

Environ. Sci. Technol.

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“…Sexual behaviour may be affected not only by the use of alcohol or other substances but also by socio-economic status or psychosocial determinants, which should be explored further. Nevertheless, as pointed out in the study of Madarasova Geckova et al (2014) “the deteriorating effect of living in Roma settlement on health and health related behaviour seems to be immense regardless differences in SE characteristics or living conditions within the settlement population” [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The Roma population living in separated and segregated settlements can be considered as the most disadvantaged group, regarding the poor socioeconomic position, living and working conditions, segregation and social exclusion [ 3 , 4 , 5 , 6 , 7 , 8 ]. Several studies have revealed a range of barriers for Roma in accessing health services [ 9 , 10 , 11 ], including sexual and reproductive health services [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Chlamydia trachomatis Infection and Its Association with Sexual Behaviour and Alcohol Use in the Population Living in Separated and Segregated Roma Settlements in Eastern Slovakia

Babinská

Halánová

Kalinová

et al. 2017

IJERPH

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The aim of the study was to explore sexual behaviour and the occurrence of Chlamydia trachomatis (CT) infection in the population living in Roma settlements compared to the majority population in Slovakia and to assess the association between alcohol use and sexual behaviour within both populations. A cross-sectional population-based Hepa-Meta study was conducted in Slovakia in 2011. The final sample comprised 452 Roma and 403 non-Roma respondents. The occurrence of CT was detected by direct proof of the pathogen by PCR. The association between alcohol use and the prevalence of risky sexual behaviour were assessed using a logistic regression. First intercourse at age 15 or younger was reported by 27.9% of Roma (vs. 4.5% of non-Roma); 93.4% of Roma (vs. 77.9% of non-Roma) used condom inconsistently, 22.8% of Roma (vs. 43.9% of non-Roma) used a condom for protection from unwanted pregnancies and only 8.8% of Roma (vs. 21.8% of non-Roma) due to protection against infectious diseases. However, Roma reported having had five or more sexual partners less often compared to the majority (11.5% of Roma vs. 20.6% of non-Roma). Binge drinking at least once a month was associated with a higher number of sexual partners in both groups, but not with condom non-use. The prevalence of CT infection in the Roma population was higher (3.8%) compared to non-Roma (2.7%); however, the difference was not statistically significant. Our study found no differences in the prevalence of CT infection between Roma and non-Roma despite differences in sexual behaviour. Roma begin their sexual life earlier and have unprotected sex more often, but on the other hand, they seem to be much more restrained in terms of the number of sexual partners compared to the majority population.

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“…One of the possible causes of this phenomenon is the lower compliance to treatment and lower rate of successfully completed treatment by Roma patients (21% dropout compared to 0% dropout in the control group). Lower socioeconomic standard and other factors associated with segregation in marginalized communities are also possible causes of lower treatment efficacy [ 12 ]. Significant portion of Roma patients in our study came from such settlements.…”

Section: Discussionmentioning

confidence: 99%

Lower Viral Response to Pegylated Interferon Alpha 2a Treatment of Chronic Hepatitis B in Roma People in Eastern Slovakia

Dražilová¹,

Janíčko

Kristián

et al. 2016

Gastroenterology Research and Practice

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Aim. To evaluate the compliance and virological response to pegylated interferon alpha 2a treatment of chronic hepatitis B in Roma population compared to majority Caucasian population in Slovakia. Methods. Retrospective evaluation of a cohort of all Roma patients treated with pegylated interferon alpha 2a from 2007 to 2013 in 3 centers for treatment of chronic viral hepatitis B. The Study included 43 Roma patients with chronic viral hepatitis B and randomly selected control group. Treatment duration was 48 weeks. Viral response was evaluated after 24 weeks, at the end of treatment, and 24 weeks after the end of treatment. Results. Complete treatment course was finished by 79.1% of Roma patients compared to all patients from the control group (p = 0.0009). There was a tendency toward lower viral response rate in Roma at all time points; however significant difference was only at end of treatment viral response (51.2% Roma versus 81.4% majority, p = 0.003). We also did not find significant difference at the rate of HBsAg loss. Conclusion. Roma patients with chronic hepatitis B have significantly worse compliance to treatment with pegylated interferon and they have significantly lower rate of end of treatment viral response.

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Socioeconomic Characteristics of the Population Living in Roma Settlements and Their Association with Health and Health-Related Behaviour

Cited by 35 publications

References 22 publications

Demographic, Reproductive, and Dietary Determinants of Perfluorooctane Sulfonic (PFOS) and Perfluorooctanoic Acid (PFOA) Concentrations in Human Colostrum

Demographic, Reproductive, and Dietary Determinants of Perfluorooctane Sulfonic (PFOS) and Perfluorooctanoic Acid (PFOA) Concentrations in Human Colostrum

Prevalence of Chlamydia trachomatis Infection and Its Association with Sexual Behaviour and Alcohol Use in the Population Living in Separated and Segregated Roma Settlements in Eastern Slovakia

Lower Viral Response to Pegylated Interferon Alpha 2a Treatment of Chronic Hepatitis B in Roma People in Eastern Slovakia

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