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A comparative health survey of the inhabitants of Roma settlements in Hungary

Author

Listed:
  • Kósa, Z.
  • Széles, G.
  • Kardos, L.
  • Kósa, K.
  • Németh, R.
  • Országh, S.
  • Fésüs, G.
  • McKee, M.
  • Ádány, R.
  • Vokó, Z.

Abstract

Objectives. We compared the health of people living in Roma settlements with that of the general population in Hungary. Methods. We performed comparative health interview surveys in 2003 to 2004 in representative samples of the Hungarian population and inhabitants of Roma settlements. Results. In persons older than 44 years, 10% more of those living in Roma settlements reported their health as bad or very bad than did those in the lowest income quartile of the general population. Of those who used any health services, 35% of the Roma inhabitants and 4.4% of the general population experienced some discrimination. In Roma settlements, the proportion of persons who thought that they could do much for their own health was 13% to 15% lower, and heavy smoking and unhealthy diet were 1.5 to 3 times more prevalent, than in the lowest income quartile of the general population. Conclusions. People living in Roma settlements experience severe social exclusion, which profoundly affects their health. Besides tackling the socioeconomic roots of the poor health of Roma people, specific public health interventions, including health education and health promotion programs, are needed.

Suggested Citation

  • Kósa, Z. & Széles, G. & Kardos, L. & Kósa, K. & Németh, R. & Országh, S. & Fésüs, G. & McKee, M. & Ádány, R. & Vokó, Z., 2007. "A comparative health survey of the inhabitants of Roma settlements in Hungary," American Journal of Public Health, American Public Health Association, vol. 97(5), pages 853-859.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.072173_0
    DOI: 10.2105/AJPH.2005.072173
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    1. Zuzana Skodova & Jitse Dijk & Iveta Nagyova & Jaroslav Rosenberger & Daniela Ondusova & Martin Studencan & Sijmen Reijneveld, 2010. "Psychosocial factors of coronary heart disease and quality of life among Roma coronary patients: a study matched by socioeconomic position," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(5), pages 373-380, October.
    2. Eszter Anna Janka & Ferenc Vincze & Róza Ádány & János Sándor, 2018. "Is the Definition of Roma an Important Matter? The Parallel Application of Self and External Classification of Ethnicity in a Population-Based Health Interview Survey," IJERPH, MDPI, vol. 15(2), pages 1-22, February.
    3. Kolarcik, Peter & Geckova, Andrea Madarasova & Orosova, Olga & van Dijk, Jitse P. & Reijneveld, Sijmen A., 2009. "To what extent does socioeconomic status explain differences in health between Roma and non-Roma adolescents in Slovakia?," Social Science & Medicine, Elsevier, vol. 68(7), pages 1279-1284, April.
    4. Benjamin Cook & Geoffrey Wayne & Anne Valentine & Anna Lessios & Ethan Yeh, 2013. "Revisiting the evidence on health and health care disparities among the Roma: a systematic review 2003–2012," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 885-911, December.
    5. Maria Lacko, 2011. "The Poor Health Status of the Hungarians; Comparative Macro-Analysis of the Likely Explanatory Factors on Hungarian and Austrian Data, 1960-2004," DANUBE: Law and Economics Review, European Association Comenius - EACO, issue 3, pages 1-21, September.
    6. Róza Ádány & Péter Pikó & Szilvia Fiatal & Zsigmond Kósa & János Sándor & Éva Bíró & Karolina Kósa & György Paragh & Éva Bácsné Bába & Ilona Veres-Balajti & Klára Bíró & Orsolya Varga & Margit Balázs, 2020. "Prevalence of Insulin Resistance in the Hungarian General and Roma Populations as Defined by Using Data Generated in a Complex Health (Interview and Examination) Survey," IJERPH, MDPI, vol. 17(13), pages 1-22, July.
    7. Teresa Janevic & Janko Jankovic & Elizabeth Bradley, 2012. "Socioeconomic position, gender, and inequalities in self-rated health between Roma and non-Roma in Serbia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 49-55, February.
    8. Edit Paulik & László Nagymajtényi & Douglas Easterling & Todd Rogers, 2011. "Smoking behaviour and attitudes of Hungarian Roma and non-Roma population towards tobacco control policies," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 485-491, October.
    9. Zeljko, Hrvojka Marija & Škarić-Jurić, Tatjana & Narančić, Nina Smolej & Barešić, Ana & Tomas, Željka & Petranović, Matea Zajc & Miličić, Jasna & Salihović, Marijana Peričić & Janićijević, Branka, 2013. "Age trends in prevalence of cardiovascular risk factors in Roma minority population of Croatia," Economics & Human Biology, Elsevier, vol. 11(3), pages 326-336.
    10. János Sándor & Anita Pálinkás & Ferenc Vincze & Nóra Kovács & Valéria Sipos & László Kőrösi & Zsófia Falusi & László Pál & Gergely Fürjes & Magor Papp & Róza Ádány, 2018. "Healthcare Utilization and All-Cause Premature Mortality in Hungarian Segregated Roma Settlements: Evaluation of Specific Indicators in a Cross-Sectional Study," IJERPH, MDPI, vol. 15(9), pages 1-13, August.
    11. Branislav Šprocha & Branislav Bleha, 2021. "Mortality, Health Status and Self-Perception of Health in Slovak Roma Communities," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 153(3), pages 1065-1086, February.
    12. Ferenc Vincze & Anett Földvári & Anita Pálinkás & Valéria Sipos & Eszter Anna Janka & Róza Ádány & János Sándor, 2019. "Prevalence of Chronic Diseases and Activity-Limiting Disability among Roma and Non-Roma People: A Cross-Sectional, Census-Based Investigation," IJERPH, MDPI, vol. 16(19), pages 1-14, September.
    13. Evelina Pappa & Simela Chatzikonstantinidou & George Chalkiopoulos & Angelos Papadopoulos & Dimitris Niakas, 2015. "Health-Related Quality of Life of the Roma in Greece: The Role of Socio-Economic Characteristics and Housing Conditions," IJERPH, MDPI, vol. 12(6), pages 1-13, June.
    14. Barbora Silarova & Jitse Dijk & Iveta Nagyova & Jaroslav Rosenberger & Sijmen Reijneveld, 2014. "Differences in health-related quality of life between Roma and non-Roma coronary heart disease patients: the role of hostility," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(2), pages 271-277, April.
    15. Ingrid Babinska & Zuzana Veselska & Daniela Bobakova & Daniel Pella & Salvatore Panico & Sijmen Reijneveld & Peter Jarcuska & Pavol Jarcuska & Ivan Zezula & Andrea Geckova, 2013. "Is the cardiovascular risk profile of people living in Roma settlements worse in comparison with the majority population in Slovakia?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(3), pages 417-425, June.
    16. Marisa Usera-Clavero & Diana Gil-González & Daniel La Parra-Casado & Carmen Vives-Cases & Pilar Carrasco-Garrido & Pablo Caballero, 2020. "Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(3), pages 273-280, April.
    17. Juhász, Attila & Nagy, Csilla & Páldy, Anna & Beale, Linda, 2010. "Development of a Deprivation Index and its relation to premature mortality due to diseases of the circulatory system in Hungary, 1998-2004," Social Science & Medicine, Elsevier, vol. 70(9), pages 1342-1349, May.
    18. Barbara Pavlikova & Lenka Freel & Jitse P. van Dijk, 2020. "To Comply or Not to Comply: Roma Approach to Health Laws," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    19. Fésüs, Gabriella & Östlin, Piroska & McKee, Martin & Ádány, Róza, 2012. "Policies to improve the health and well-being of Roma people: The European experience," Health Policy, Elsevier, vol. 105(1), pages 25-32.
    20. Martin Boďa & David Cole & Mária Murray Svidroňová & Jolana Gubalová, 2022. "Prevailing narratives versus reality of a small and medium town decline in a CEE country," Operational Research, Springer, vol. 22(3), pages 3113-3145, July.
    21. Katarina Rosicova & Andrea Madarasova Geckova & Jitse Dijk & Jana Kollarova & Martin Rosic & Johan Groothoff, 2011. "Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 523-531, October.
    22. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 803-815, September.
    23. Mohammed Merzah & Zsigmond Kósa & János Sándor & Shewaye Natae & Péter Pikó & Róza Ádány & Szilvia Fiatal, 2021. "Roma Socioeconomic Status Has a Higher Impact on Smoking Behaviour than Genetic Susceptibility," IJERPH, MDPI, vol. 18(6), pages 1-12, March.

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