Coronary heart disease (CHD) is the most common cause of mortality and morbidity world-wide. Evidence on ethnic differences between the Roma and non-Roma regarding medical risk factors is scarce. The aim of this study was to assess differences in medical risk factors and the severity of CHD in Roma compared with non-Roma CHD patients, adjusted for gender, age and education.
Six hundred seventy four patients were included in this cross-sectional study (132 Roma, 542 non-Roma). Data on medical risk factors, symptoms, medication and severity of CHD were obtained from medical records. After matching Roma and non-Roma according to education, linear and logistic regression analyses with adjustments for gender and age were used.
Compared with non-Roma, Roma patients had significantly more risk factors and more severe types of CHD. They were treated less frequently with statins and beta-blockers, were more frequently left on pharmacotherapy and surgically revascularised. These differences remained after controlling for education, gender and age.
Roma CHD patients have a worse risk profile at entry of care and seem to be undertreated compared with non-Roma CHD patients.
This is a preview of subscription content, access via your institution.
Buy single article
Instant access to the full article PDF.
Price includes VAT (USA)
Tax calculation will be finalised during checkout.
Allender S, Scarborough P, Peto V, Rayner M, Leal J, Luengo-Fernandez R, Gray A (2012) European Cardiovascular Disease Statistics 2008 edition, European Heart Network. Available: www.ehnheart.org. Accessed 5 June, 2012
Bahonar A, Sarrafzadegan N, Kelishadi R, Shirani S, Ramezani MA, Taghdisi MH, Gharipour M (2011) Association of socioeconomic profiles with cardiovascular risk factors in Iran: the Isfahan Healthy Heart Program. Int J Pub Health 56:37–44
Baker D, Mead N, Campbell S (2002) Inequalities in morbidity and consulting behaviour for socially vulnerable groups. Br J Gen Pract 52:124–130
Bonaccio M, Di Castelnuovo A, Costanzo S, De Lucia F, Olivieri M, Donati MD, De Gaetano G, Iacoviello L, Bonanni A (2012) Mass media information and adherence to Mediterranean diet: results from the Moli-sani study. Int J Pub Health 57:589–597
Brazdova Z, Fiala J, Hrstkova H (1998) Dietary habits of Romany children. Cs Pediatrie 53:419–423
Britton A, Shipley M, Marmot M, Hemingway H (2004) Does access to cardiac investigation and treatment contribute to social and ethnic differences in coronary heart disease? Whitehall II prospective cohort study. BMJ Clin Res Ed 329:318
Cappuccio FP (1997) Ethnicity and cardiovascular risk: variations in people of African ancestry and South Asian origin. J Hum Hypertens 11:571–576
Cappuccio FP, Cook DG, Atkinson RW, Strazzullo P (1997) Prevalence, detection, and management of cardiovascular risk factors in different ethnic groups in south London. Heart Br Cardiac Soc) 78:555–563
Cappuccio FP, Oakeshott P, Strazzullo P, Kerry SM (2002) Application of Framingham risk estimates to ethnic minorities in United Kingdom and implications for primary prevention of heart disease in general practice: cross sectional population based study. BMJ Clin Res Ed 325:1271
Cirera L, Huerta JM, Chirlaque MD, Buckland G, Larranaga N, Sanchez MJ, Agudo A, Amiano P, Quiros JR, Ardanaz E, Arriola L, Molina E, Dorronsoro M, Barricarte A, Gonzalez CA (2013) Moreno-Iribas C and Carmen Navarro. Int J Pub Health 58:65–77
D’Agostino RBS, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, Kannel WB (2008) General cardiovascular risk profile for use in primary care: the Framingham heart study. Circulation 117:743–753
Filadelfiova J, Gerbery D, Skobla D (2007) Report on the living conditions of Roma in Slovakia. UNDP Regional Bureau for Europe and the Commonwealth of Independent States, Bratislava
Foets M (2011) Improving the quality of research into the health of migrant and ethnic groups. Int J Pub Health 56:455–456
Foldes ME, Covaci A (2012) Research on Roma health and access to healthcare: state of the art and future challenges. Int J Pub Health 57:37–39
Ginter E (1998) The health of Gypsies. Governments and Roma communities must help to improve outlook for Gypsies. BMJ Clin Res Ed 316:1825
Ginter E, Krajcovicova-Kudlackova M, Kacala O, Kovacic V, Valachovicova M (2001) Health status of Romanies (Gypsies) in the Slovak Republic and in the neighbouring countries. Bratisl Lek Listy 102:479–484
Graham I, Atar D, Borch-Johnsen K, Boysen G, Burell G, Cifkova R, Dallongeville J, De Backer G, Ebrahim S, Gjelsvik B, Herrmann-Lingen C, Hoes A, Humphries S, Knapton M, Perk J, Priori SG, Pyorala K, Reiner Z, Ruilope L, Sans-Menendez S, Scholte OP, Reimer W, Weissberg P, Wood D, Yarnell J, Zamorano JL, Walma E, Fitzgerald T, Cooney MT, Dudina A, European Society of Cardiology (ESC), Committee for Practice Guidelines (CPG) (2007) European guidelines on cardiovascular disease prevention in clinical practice: executive summary: Fourth joint task force of the European society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Europ Heart J 28:2375–2414
Hajioff S, Mckee M (2000) The health of the Roma people: a review of the published literature. J Epidemiol Commun Health 54:864–869
Hajsheikholeslami F, Hatami M, Hadaegh F, Ghanbarian A, Azizi F (2011) Association of educational status with cardiovascular disease: Teheran lipid and glucose study. Int J Pub Health 56:281–287
Kolvek G, Rosicova K, Rosenberger J, Podracka L, Stewart RE, Nagyova I, Reijneveld SA, van Dijk JP (2012) End-stage renal disease among Roma and non-Roma: Roma are at risk. Int J Pub Health 57:751–754
Koupilova I, Epstein H, Holcik J, Hajioff S, Mckee M (2001) Health needs of the Roma population in the Czech and Slovak Republics. Soc Sci Med 53:1191–1204
Mckee M (1997) The health of gypsies. BMJ Clin Res Ed 315:1172–1173
Nozdrovicky P (1991) Mortality from cardiovascular diseases in Gypsy. Slov Lekar 15:13–14
Reijneveld SA (2010) Ethnic differences in health and use of health care: the questions to be answered. Int J Pub Health 55:353–355
Rosicova K, Madarasova Geckova A, van Dijk JP, Kollarova J, Rosic M, Groothoff JW (2011) Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia. Int J Pub Health 56:523–531
Vano B (2001) Demographic characteristics of the Roma population in the SR. INFOSTAT, Demographic Research Center, Bratislava
Vozarova De Courten B, De Courten M, Hanson RL, Zahorakova A, Egyenes HP, Tataranni PA, Bennett PH, Vozar J (2003) Higher prevalence of type 2 diabetes, metabolic syndrome and cardiovascular diseases in gypsies than in non-gypsies in Slovakia. Diabetes Res Clin Pract 62:95–103
This work was supported by a grant from the Slovak Society of Cardiology, year 2005. This work was supported by the Slovak Research and Development Agency under contract No. APVV- 20-038305 (20 %) and APVV-0220-10 (60 %). Furthermore, this work was partially supported by the Agency of the Slovak Ministry of the Education, Science, Research and Sport of the Slovak Republic for the Structural Funds of the EU under project No. ITMS: 26220120058 (20 %).
About this article
Cite this article
Sudzinova, A., Nagyova, I., Studencan, M. et al. Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma. Int J Public Health 58, 409–415 (2013). https://doi.org/10.1007/s00038-013-0462-5
- Coronary heart disease
- Medical risk factors
- Coronary angiography