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001-es BibID:BIBFORM006424
Első szerző:Vokó Zoltán (epidemiológus)
Cím:Does socioeconomic status fully mediate the effect of ethnicity on the health of Roma people in Hungary? / Voko, Z., Csepe, P., Nemeth, R., Kosa, K., Kosa, Z., Szeles, G., Adany, R.
Dátum:2009
ISSN:1470-2738 (Electronic)
Megjegyzések:We investigated whether the association between Roma ethnicity and health is fully mediated by socioeconomic status in Hungary. METHODS: Comparative health interview surveys were performed in 2003-2004 on representative samples of the Hungarian population and inhabitants of Roma settlements. Logistic regression models were applied to study whether the relationship between Roma ethnicity and health is fully mediated by socioeconomic status, and whether Roma ethnicity modifies the association between socioeconomic status and health. RESULTS: The health status of people living in Roma settlements was poorer than that of the general population (odds ratio of severe functional limitation after adjustment for age and gender 1.8 (95% confidence interval 1.4-2.3)). The difference in self-reported health and in functionality was fully explained by the socioeconomic status. The less healthy behaviours of people living in Roma settlements was also related very strongly to their socioeconomic status, but remained significantly different from the general population when differences in the socioeconomic status was taken into account, (e.g., odds ratio of daily smoking 1.6 (95% confidence interval 1.3-2.0) after adjustment for age, gender, education, income, and employment). CONCLUSIONS: Socioeconomic status is a strong determinant of health of people living in Roma settlements in Hungary. It fully explains their worse health status but only partially determines their less healthy behaviours. Efforts to improve the health of Roma people should include a focus on socioeconomic status, but it is important to note that cultural differences must be taken into account in developing public health interventions.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Journal of Epidemiology and Community Health. - 63 : 6 (2009), p. 455-460. -
További szerzők:Csépe Péter Németh Renáta Kósa Karolina (1962-) (népegészségügyi szakember) Kósa Zsigmond (1953-) (orvos) Széles György (1969-) (epidemiológus) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
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