Socioeconomic position, gender, and inequalities in self-rated health between Roma and non-Roma in Serbia

Janević, Teresa; Janković, Janko; Bradley, Elizabeth H.

doi:10.1007/s00038-011-0277-1

Cited by 53 publications

(41 citation statements)

References 32 publications

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“…Findings from studies comparing self-rated health of Roma and non-Roma population support our findings regarding worse health and extremely low educational level of Roma (Kosa et al 2007;Janevic et al 2012). We found 80 % of Roma attained at most an elementary education, which represents a hugely significant gap between Roma living in separated or segregated settlements and the majority population.…”

Section: Discussionsupporting

confidence: 86%

“…Published studies on the health of the Roma are often fragmentary and burdened with methodological problems (Voko et al 2009). Very few studies (Filadelfiova et al 2007;Kosa et al 2007;Janevic et al 2012) asked respondents to report their own perception of their health status (self-rated health). Self-rated health has been shown to have multiple independent health-related correlates, including medical diagnosis, health complaints and mortality (Gold et al 1996).…”

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confidence: 99%

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Are barriers in accessing health services in the Roma population associated with worse health status among Roma?

Jarčuška

Bobakova

Uhrin

et al. 2013

Int J Public Health

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Are barriers in accessing health services in the Roma population associated with worse health status among Roma? Jarcuska, P.; Bobakova, D.; Uhrin, J.; Bobak, L.; Babinska, I.; Kolarcik, P.; Veselska, Z.; Madarasova-Geckova, A. Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Jarcuska, P., Bobakova, D., Uhrin, J., Bobak, L., Babinska, I., Kolarcik, P., ... Madarasova-Geckova, A. (2013). Are barriers in accessing health services in the Roma population associated with worse health status among Roma? International Journal of Public Health, 58(3), 427-434. CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Abstract Objectives The health of Roma has been found to be poorer than that of the majority population. The aim of this study was to explore the differences between Roma and non-Roma regarding perceived barriers in accessing health services. Furthermore, we aimed to assess the association between self-rated health status and Roma ethnicity and explore to what degree barriers in accessing health services explain this association. Methods We used data from the cross-sectional HepaMeta study conducted in 2011 in Slovakia. The final sample comprised 452 Roma (mean age 34.7; 35.2 % men) and 403 (mean age 33.5; 45.9 % men) non-Roma respondents. Results Roma ethnicity was found to be significantly associated with poorer self-rated health status. A considerable part of this association can be explained by barriers in accessing health services as perceived by Roma. Conclusions Worse health in Roma is partially mediated by worse access to health services, apart from a large educational gap between Roma living in settlements and the majority population. Interventions should focus not only on health literacy among Roma but also on the health care system and health care professionals.

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Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

Are barriers in accessing health services in the Roma population associated with worse health status among Roma?

Jarčuška

Bobakova

Uhrin

et al. 2013

Int J Public Health

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“…A closer look at health of the Roma population shows that in general, Roma have poorer health than the national average (3,5,(12)(13)(14)(15). Despite the fact that studies regarding the health of Roma are scarce, we can find several that report higher infant mortality rates than among the majority population (the rates are between 2 and 6 per 1,000 live births and differ among various countries) and a shorter life expectancy (4,16).…”

Section: Introductionmentioning

confidence: 94%

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

Gecková¹,

Babinská²,

Bobakova³

et al. 2014

Cent Eur J Public Health

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SUMMARYBackground: The aim of this study was to compare socioeconomic characteristics of the Roma population living in Roma settlements with the majority population. Moreover, it was aimed to assess socioeconomic differences in health and health-related behaviour within the population living in Roma settlements.Methods: Data from the cross-sectional HepaMeta study conducted in Slovakia in 2011 were used. The sample consisted of 452 Roma (mean age = 34.7; 35.2% men) and 403 non-Roma (mean age = 33.5; 45.9% men) respondents. Roma in selected settlements were recruited by local Roma community workers. Respondents from the major population were randomly selected from a list of patients from general practitioners. Data were collected via questionnaire, anthropometric measures and analysed blood samples. Differences in socioeconomic characteristics between the population living in Roma settlements and the majority population were tested using the chi-square test. The contribution of selected socioeconomic characteristics on health and health-related behaviour of the population living in Roma settlements was assessed by logistic regression models adjusted for age and gender.Results: The population living in Roma settlements is characterised by significantly lower socioeconomic standards, and the living conditions are significantly worse compared with the majority. With few exceptions, the study did not confirm any significant association between socioeconomic indicators and health and health-related behaviour within the population living in Roma settlements.Conclusions: The deteriorating effect of living in Roma settlement on health and health-related behaviour seems to be immense regardless differences in socioeconomic characteristics or living condition within the settlement population.

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“…Adequate housing is a major issue faced by the Roma population in Serbia, as many occupy dwellings made of unstable cheap materials and only 28 % of Romani settlements registered in Serbia in 2002 were constructed in accordance with standard urban building codes (UNDP 2006). Obviously, the poor living conditions of Roma have led to increased vulnerability of this minority group (Parekh and Rose 2011;Milcher 2010;Janevic et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Social determinants of malnutrition among Serbian children aged <5 years: ethnic and regional disparities

Brcanski

Jovic-Vranes

Marinković

et al. 2014

Int J Public Health

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Socioeconomic position, gender, and inequalities in self-rated health between Roma and non-Roma in Serbia

Abstract: Roma in Serbia are at increased risk of poor SRH; Romani women experience the greatest burden of poor SRH.

Cited by 53 publications

References 32 publications

Are barriers in accessing health services in the Roma population associated with worse health status among Roma?

Are barriers in accessing health services in the Roma population associated with worse health status among Roma?

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

Social determinants of malnutrition among Serbian children aged <5 years: ethnic and regional disparities

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