Revisiting the evidence on health and health care disparities among the Roma: a systematic review 2003–2012
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To conduct a systematic review of the epidemiological and health service utilization literature related to the Roma population between 2003 and 2012.
Systematic review of empirical research related to Roma health and health care utilization published between 2003 and 2012 identified through electronic databases (PsycInfo, Medline, Google Scholar). Methodological rigor was evaluated using a six-point set of design criteria.
We found evidence for lower self-reported health and significantly higher mortality risk for Roma compared to non-Roma, and greater prevalence of health risk factors for Roma children, including environmental risks, low birth weight, and lower vaccination coverage. Studies of non-communicable and infectious disease remain insufficient to make firm conclusions on disparities. Barriers to care include lack of documentation and affordability of care, though more studies on health care utilization are needed.
Roma youth and adults are in need of programs that reduce health disparities and their increased mortality risk. Reducing exposure to risk factors such as smoking, obesity, and poor living conditions may be a target for interventions. More intervention studies and rigorous evaluations are needed.
KeywordsRoma Romani Travelers Systematic review Health Health care utilization
- Balázs P, Rákóczi I, Grenzer A, Foley KL (2012) Risk factors of preterm birth and low birth weight babies among Roma and non-Roma mothers: a population-based study. Eur J Public Health: 1–5Google Scholar
- European Union (2008) European parliament resolution of 31 January 2008 on a European strategy on the Roma, 2009/C 68 E06. P6 TA (2008) 0035Google Scholar
- Hidvegi T, Hetyesi K, Biro L, Nadas J, Jermendy G (2011) Screening for metabolic syndrome within a minority ethnic group (adult Gypsy people) in Hungary. Bratisl Lek Listy 113:721–724Google Scholar
- Hrivniaková L, Sláčiková M, Kolcunová S, Payne L, Coulombier D (2009) Hepatitis A outbreak in a Roma village in Eastern Slovakia, August–November 2008. Euro Surveill 14Google Scholar
- Janevic T, Jankovic J, Bradley E (2011) Socioeconomic position, gender, and inequalities in self-rated health between Roma and non-Roma in Serbia. Int J Public Health: 1–7Google Scholar
- Jiménez-Sánchez S, Fernández-de-las-Peñas C, Jiménez-García R, Hernández-Barrera V, Alonso-Blanco C, Palacios-Ceña D, Carrasco-Garrido P (2013) Prevalence of migraine headaches in the Romany population in Spain sociodemographic factors, lifestyle and co-morbidity. J Transcult Nurs 24:6–13CrossRefPubMedGoogle Scholar
- Kelly JA, Amirkhanian YA, Kabakchieva E, Vassileva S, Vassilev B, McAuliffe TL, DiFranceisco WJ, Antonova R, Petrova E, Khoursine RA, Dimitrov B (2006) Prevention of HIV and sexually transmitted diseases in high risk social networks of young Roma (Gypsy) men in Bulgaria: randomised controlled trial. BMJ 333:1098CrossRefPubMedCentralPubMedGoogle Scholar
- Kojouharova M, Zuber PL, Gyurova S, Fiore L, Buttinelli G, Kunchev A, Vladimirova N, Korsun N, Filipova R, Boneva R, Gavrilin E, Deshpande JM, Oblapenko G, Wassilak SG (2003) Importation and circulation of poliovirus in Bulgaria in 2001. Bull World Health Organ 81:476–481PubMedCentralPubMedGoogle Scholar
- Molnar MZ, Langer RM, Remport A, Czira ME, Rajczy K, Kalantar-Zadeh K, Kovesdy CP, Novak M, Mucsi I, Rosivall L (2011) Roma ethnicity and clinical outcomes in kidney transplant recipients. Int Urol Nephrol: 1–10Google Scholar
- Orlikova H, Rogalska J, Kazanowska-Zielinska E, Jankowski T, Slodzinski J, Kess B, Stefanoff P (2010) Spotlight on measles 2010: a measles outbreak in a Roma population in Pulawy, eastern Poland, June to August 2009. Euro Surveill 15Google Scholar
- Pinkney K (2012) The practice and attitudes of gypsy and traveller women towards early infant feeding. Comm Prac 85:26–29Google Scholar
- Skaric-Juric T, Klaric IM, Narancic NS, Drmic S, Salihovic MP, Lauc LB, Milicic J, Barabalic M, Zajc M, Janicijevic B (2007) Trapped between tradition and transition–anthropological and epidemiological cross-sectional study of Bayash Roma in Croatia. Croat Med J 48:708–719PubMedCentralPubMedGoogle Scholar
- Stefanoff P, Orlikova H, Rogalska J, Kazanowska-Zielinska E, Slodzinski J (2010) Mass immunisation campaign in a Roma settled community created an opportunity to estimate its size and measles vaccination uptake, Poland, 2009. Euro Surveill 33:16–21Google Scholar
- Vašečka M, Radičová I (2001) Social exclusion and double marginalisation of the Roma in the Slovak Republic after 1989. Labor, employment and social policies in the EU enlargement process. The World Bank, Washington D.CGoogle Scholar
- Vermeersch P, Ram MH (2009) The Roma. In: Rechel B (ed) Minority rights in central and Eastern Europe. Routledge, LondonGoogle Scholar
- 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 62:95–103CrossRefPubMedGoogle Scholar
- Zeljko HM, Škarić-Jurić T, Narančić NS, Barešić A, Tomas Ž, Petranović MZ, Miličić J, Salihović MP, Janićijević B (2012) Age trends in prevalence of cardiovascular risk factors in Roma minority population of Croatia. Econ Hum BiolGoogle Scholar