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Comparison of the health of Roma and non-Roma children living in the district of Teplice

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

To compare the morbidity of 66 Roma and 466 non-Roma children born and living in a diffused type of habitation in the district of Teplice.

Methods

For each child, a complete list of illnesses that pediatricians recorded using ICD-10 codes for all physician visits and/or hospitalizations was obtained.

Results

At the age 0–2 years the Roma/non-Roma rate ratios (RR) of the incidence of influenza (RR 1.6), otitis media (RR 2.3), intestinal infectious diseases (RR 1.7) and viral illnesses (RR 6.3) were statistically associated with ethnicity. The higher incidence of bronchitis (RR 1.7) and pneumonia (RR 2.2) in the Roma children was associated with the low education of mothers and not with ethnicity.

Conclusions

At the age of 0–2 years the incidence of influenza, otitis media, intestinal infectious diseases and of viral diseases was significantly higher in Roma than in non-Roma children and was not associated with education of mothers. There was no increase in the morbidity of Roma children over the non-Roma children at the age of 2–6 years. The prevalence of allergies in Roma children was extremely low.

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References

  • Bobak M, Dejmek J, Solansky I, Sram RJ (2005) Unfavourable birth outcomes of the Roma women in the Czech Republic and the potential explanations: a population-based study. BMC Pub Health 5:106–111

    Article  Google Scholar 

  • Brauer M, Gehring U, Brunekreef B et al (2006) Traffic-related air pollution and otitis media. Environ Health Perspect 114:1414–1418

    Article  PubMed  Google Scholar 

  • Daly KA, Brown WM, Segade F et al (2004) Chronic and recurrent otitis media: a genome scan for susceptibility loci. Am J Hum Genet 75:988–997

    Article  PubMed  Google Scholar 

  • Dejmek J, Selevan SG, Benes I, Solansky I, Sram RJ (1999) Fetal growth and maternal exposure to particulate matter during pregnancy. Environ Health Perspect 107:475–480

    PubMed  Google Scholar 

  • Dejmek J, Ginter E, Solansky I, Podrazilova K, Stavkova Z, Benes I, Sram RJ (2002) Vitamin C, E and A levels in maternal and fetal blood for Czech and Gypsy ethnic groups in the Czech Republic. Int J Vitam Nutr Res 72:183–190

    Article  PubMed  Google Scholar 

  • DiFranza JR, Aligne CA, Weitzman M (2004) Prenatal and postnatal environmental tobacco smoke exposure and children’s health. Pediatrics 113(Suppl 4):1007–1015

    PubMed  Google Scholar 

  • 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

    PubMed  Google Scholar 

  • Hajioff S, McKee M (2000) The health of the Roma people: a review of the published literature. J Epidemiol Commun Health 54:864–869

    Article  Google Scholar 

  • Heinrich J, Raghuyamshi VS (2004) Air pollution and otitis media: a review of evidence from epidemiologic studies. Curr Allergy Asthma Rep 4:302–309

    Article  PubMed  Google Scholar 

  • Hertz-Picciotto I, Baker RJ, Yap PS, Dostal M, Joad JP, Lipsett M, Greenfield T, Herr CE, Benes I, Shumway RH, Pinkerton KE, Sram R (2007) Early childhood lower respiratory illness and air pollution. Environ Health Perspect 115:1510–1518

    PubMed  Google Scholar 

  • Joubert K (1991) Size at birth and some sociodemographic factors in gypsies in Hungary. J Biosoc Sci 23:39–47

    Article  PubMed  Google Scholar 

  • Kanapeckiene V, Valinteliene R, Berzanskyte A, Kevalas R, Supranowicz P (2009) Health of Roma children in Vilnius and Ventspils. Medicina (Kaunas) 45:153–161

    Google Scholar 

  • Kolarcik P, Madarasova Geckova A, Olga Orosova O, van Dijk JP, Reijneveld SA (2009) To what extent does socioeconomic status explain differences in health between Roma and non-Roma adolescents in Slovakia? Soc Sci Med 68:1279–1284

    Article  PubMed  Google Scholar 

  • Lawlor DA, Sterne JA (2007) Socioeconomic inequalities in health. BMJ 334(7601):963–964

    Article  PubMed  Google Scholar 

  • Monasta L, Andersson N, Ledogar RJ, Cockcroft A (2008) Minority health and small numbers epidemiology: a case study of living conditions and the health of children in 5 foreign Roma camps in Italy. Am J Public Health 98:2035–2041

    Article  PubMed  Google Scholar 

  • Nazroo J, Jackson J, Karlsen S, Torres M (2007) The Black diaspora and health inequalities in the US and England: does where you go and how you get there make a difference? Sociol Health Illn 29:811–830

    Article  PubMed  Google Scholar 

  • Pawlinska-Chmara R, Wronka I (2007) Assessment of the effect of socioeconomic factors on the prevalence of respiratory disorders in children. J Physiol Pharmacol 58(Suppl 5):523–529

    PubMed  Google Scholar 

  • Pettigrew MM, Gent JF, Triche EW, Belanger KD, Bracken MB, Leaderer BP (2004a) Association of early-onset otitis media in infants and exposure to household mould. Paediatr Perinat Epidemiol 18:441–447

    Article  PubMed  Google Scholar 

  • Pettigrew MM, Gent JF, Triche EW, Belanger KD, Bracken MB, Leaderer BP (2004b) Infant otitis media and the use of secondary heating sources. Epidemiology 15:13–20

    Article  PubMed  Google Scholar 

  • Pukander J, Luotonen J, Timonen M, Karma P (1985) Risk factors affecting the occurrence of acute otitis media among 2–3-year-old urban children. Acta Otolaryngol 100(3–4):260–265

    Article  PubMed  Google Scholar 

  • Rambouskova J, Dlouhy P, Krizova E, Prochazka B, Hrncirova D, Andel M (2009) Health behaviors, nutritional status, and anthropometric parameters of Roma and non-Roma mothers and their infants in the Czech Republic. J Nutr Educ Behav 41:58–64

    Article  PubMed  Google Scholar 

  • Rimarova K, Ostro A, Bernasovska K, Holecyova G (2004) Reproductive indicators of Roma mothers: cross-sectional study. In: Aghova L (ed) Living conditions and health. Public Health Office of the Slovak Republic, Bratislava, pp 110–114

    Google Scholar 

  • Rovers MM, de Kok IMCM, Schilder AGM (2006) Risk factors for otitis media: an international perspective. Int J Pediatr Otorhinolaryngol 70:1251–1256

    Article  PubMed  Google Scholar 

  • Sram RJ, Benes I, Binkova B, Dejmek J, Horstman D, Kotesovec F, Otto D, Perreault SD, Rubes J, Selevan SG, Skalik I, Stevens RK, Lewtas J (1996) Teplice program—the impact of air pollution on human health. Environ Health Perspect 104(Suppl 4):699–714

    Article  PubMed  Google Scholar 

  • Suarez NC, Malluguiza C Jr, Barthe GP (1984) Climatic and racial factors related to the aetiology of secretory otitis media. ORL J Otorhinolaryngol Relat Spec 46:318–326

    Google Scholar 

  • Uhari M, Mäntisaari K, Niemelä M (1996) A meta-analytic review of the risk factors for acute otitis media. Clin Infect Dis 22:1079–1083

    PubMed  Google Scholar 

  • Voko Z, Csepe P, Nemeth R, Kosa K, Kosa Z, Szeles G, Adany R (2009) Does socioeconomic status fully mediate the effect of ethnicity on the health of Roma people in Hungary? J Epidemiol Commun Health 63:455–460

    Article  Google Scholar 

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Authors and Affiliations

  1. Institute of Experimental Medicine, Academy of Sciences of the Czech Republic, Videnska 1083, 142 20, Prague, Czech Republic

    Miroslav Dostal, Jan Topinka & Radim J. Sram

Authors
  1. Miroslav Dostal
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  2. Jan Topinka
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  3. Radim J. Sram
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Correspondence to Miroslav Dostal.

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This paper belongs to the special issue “Health of ethnic minorities in Europe”.

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Dostal, M., Topinka, J. & Sram, R.J. Comparison of the health of Roma and non-Roma children living in the district of Teplice. Int J Public Health 55, 435–441 (2010). https://doi.org/10.1007/s00038-010-0133-8

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  • DOI: https://doi.org/10.1007/s00038-010-0133-8

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