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001-es BibID:	BIBFORM072391
035-os BibID:	(Scopus)85042269715 (WOS)000426721400178 (cikkazonosító)353
Első szerző:	Janka Eszter Anna (bőrgyógyász, népegészségügyi szakember)
Cím:	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 / Eszter Anna Janka, Ferenc Vincze, Róza Ádány, János Sándor
Dátum:	2018
ISSN:	1661-7827 1660-4601
Megjegyzések:	The Roma population is typified by a poor and, due to difficulties in ethnicity assessment, poorly documented health status. We aimed to compare the usefulness of self-reporting and observer-reporting in Roma classification for surveys investigating differences between Roma and non-Roma populations. Both self-reporting and observer-reporting of Roma ethnicity were applied in a population-based health interview survey. A questionnaire was completed by 1849 people aged 18?64 years; this questionnaire provided information on 52 indicators (morbidity, functionality, lifestyle, social capital, accidents, healthcare use) indicators. Multivariate logistic regression models controlling for age, sex, education and employment were used to produce indicators for differences between the self-reported Roma (N = 124) and non-Roma (N = 1725) populations, as well as between observer-reported Roma (N = 179) and non-Roma populations (N = 1670). Differences between interviewer-reported and self-reported individuals of Roma ethnicity in statistical inferences were observed for only seven indicators. The self-reporting approach was more sensitive for two indicators, and the observer-reported assessment for five indicators. Based on our results, the selfreported identity can be considered as a useful approach, and the application of observer-reporting cannot considerably increase the usefulness of a survey, because the differences between Roma and non-Roma individuals are much bigger than the differences between indicators produced by selfreported or observer-reported data on individuals of Roma ethnicity.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Roma health ethnicity assessment self-reporting observer-reporting health interview survey
Megjelenés:	International Journal of Environmental Research and Public Health. - 15 : 2 (2018), p. 353-374. -
További szerzők:	Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:	TÁMOP-6.2.5-B-13/1-2014-0001 TÁMOP GINOP-2.3.2-15-2016-00005 GINOP WHO 2015/580661-1 Egyéb (MTA-TKI: 2011TKI473 MTA
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001-es BibID:	BIBFORM074749
035-os BibID:	(Scopus)85052505330 (WOS)000445765600044 (cikkazonosító)1835
Első szerző:	Sándor János (orvos-epidemiológus)
Cím:	Healthcare utilization and all-cause premature mortality in Hungarian segregated roma settlements : evaluation of specific indicators in a cross-sectional study / János Sándor, Anita Pálinkás, Ferenc Vincze, Nóra Kovács, Valéria Sipos, László Kőrösi, Zsófia Falusi, László Pál, Gergely Fürjes, Magor Papp, Róza Ádány
Dátum:	2018
ISSN:	1661-7827 1660-4601
Megjegyzések:	Roma is the largest ethnic minority of Europe with deprived health status, which is poorly explored due to legal constrains of ethnicity assessment. We aimed to elaborate health indicatorsfor adults living in segregated Roma settlements (SRS), representing the most vulnerable Roma subpopulation. SRSs were mapped in a study area populated by 54,682 adults. Records of alladults living in the study area were processed in the National Institute of Health Insurance Fund Management. Aggregated, age-sex standardized SRS-specific and non-SRS-specific indicators onhealthcare utilization and all-cause premature death along with the ratio of them (RR) were computed with 95% confidence intervals. The rate of GP appointments was significantly higher among SRS inhabitants (RR = 1.152, 95% CI: 1.136?1.167). The proportion of subjects hospitalized (RR = 1.286, 95% CI: 1.177?1.405) and the reimbursement for inpatient care (RR = 1.060, 95% CI: 1.057?1.064) were elevated for SRS. All-cause premature mortality was significantly higher in SRSs (RR = 1.711, 1.085?2.696). Our study demonstrated that it is possible to compute the SRS-specific version of routine healthcare indicators without violating the protection of personal data by converting a sensitive ethical issue into a non-sensitive small-area geographical analysis; there is an SRS-specific healthcare utilization pattern, which is associated with elevated costs and increased risk of all-cause premature death.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Roma minority legal constraints healthcare utilization health status geographical inequality
Megjelenés:	International Journal of Environmental Research and Public Health. - 15 : 9 (2018), p. 1-13. -
További szerzők:	Pálinkás Anita (1988-) (népegészségügyi szakember) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Kovács Nóra (1989-) (népegészségügyi szakember) Sipos Valéria (1988-) (népegészségügyi szakember) Kőrösi László Falusi Zsófia Pál László Fürjes Gergely Papp Magor Csongor (1978-) (háziorvostan szakorvos) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:	MTA 11003 MTA MTA 2006TKI227 MTA TÁMOP-4.2.2.AA-11/1/KONV-2012-0031) TÁMOP GINOP-2.3.2-15-2016-00005 GINOP
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001-es BibID:	BIBFORM068196
Első szerző:	Sándor János (orvos-epidemiológus)
Cím:	The decade of Roma Inclusion: did it make a difference to health and use of health care services? / Sándor János, Kósa Zsigmond, Boruzs Klára, Boros Julianna, Tokaji Ildikó, McKee Martin, Ádány Róza
Dátum:	2017
Megjegyzések:	Objectives We investigated whether the severely disadvantagedhealth of Hungarian Roma adults living in segregatedsettlements changed by the Decade of Roma Inclusionprogram.Methods We compared the results of two paired healthinterview surveys that we carried out using the same methodologybefore and after the Decade, on the general Hungarianand Roma populations.Results Self-perceived health status of younger Romaworsened, while it improved among older Roma. Reported experience of discrimination reduced considerably andhealth care utilization improved in general. Positivechanges in smoking and nutrition, and negative changes inalcohol consumption and overweight were observed. Manyof observed changes can plausibly be linked to various governmentpolicies, including a quadrupling of public worksexpenditure, banning smoking in public places, restrictingmarketing of tobacco products, increasing cigarette prices,and a new tax on unhealthy foods. Liberalization of ruleson alcohol distillation coincided with worsening alcoholconsumption.Conclusions We have shown that Roma remain severelydisadvantaged and present an innovative sampling methodwhich can be used to monitor changes in groups whereidentification is a challenge.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban Roma Decade of Roma Inclusion Health behaviour survey Public policy
Megjelenés:	International Journal of Public Health 62 (2017), p. 1-13. -
További szerzők:	Kósa Zsigmond (1953-) (orvos) Boruzs Klára (1983-) (környezetkutató vegyész és MBA) Boros Julianna Tokaji Ildikó McKee, Martin Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
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