Abstract
Abstract
Background
Previous research has shown that Roma people report worse health outcomes than the general population and suffer from a myriad of economic and social disadvantages. The objective of this study was to assess the differences in the health-related quality of life (HRQoL) between the Roma people and the Romanian general population.
Methods
Two cross-sectional surveys were conducted face-to-face in 2018 and 2019 in two nationally representative samples of both the general population and Roma communities, recruited from all regions of Romania. Both samples completed the EQ-5D-5L and EQ-VAS questionnaires, as well as a range of sociodemographic questions. Coarsened Exact Matching and several different regression models were used to assess the differences in HRQoL between the two groups.
Results
2308 respondents were included in the matched sample: 1,621 general population individuals; 687 Roma people. Roma people had more problems with self-care, pain/discomfort, and anxiety/depression than the general population. They also reported a lower overall level of HRQoL than the general population of Romania, as reflected by the lower EQ-5D-5L and EQ-VAS scores. Our sensitivity analysis between Coarsened Exact Matching and other matching procedures showed consistent results across all regression models.
Conclusions
In Romania, the Roma community has a lower level of HRQoL than the general population. Understanding the underlying causes of this inequality should be the focus of future research. Policies aimed at reducing the level of health inequality between the Roma and the general populations should be promoted locally.
Funder
HORIZON EUROPE Marie Sklodowska-Curie Actions
Publisher
Springer Science and Business Media LLC
Subject
Health Information Management,Health Informatics
Reference49 articles.
1. Carrasco-Garrido P, Lopez de Andres A, Hernandez Barrera V, Jimenez-Trujillo I, Jimenez-Garcia R (2011) Health status of Roma women in Spain. Eur J Public Health 21(6):793–798. https://doi.org/10.1093/eurpub/ckq153
2. Powell Doherty R, Telionis PA, Muller-Demary D, Hosszu A, Duminica A, Bertke A, Lewis B, Eubank S (2017) A survey of quality of life indicators in the Romanian Roma population following the “Decade of Roma Inclusion.” F1000Res 6:1692. https://doi.org/10.12688/f1000research.12546.3
3. Marin A, Csonta A (2012) Discrimination of Roma communities. Romania National Report. Workstream 1 Report NET KARD Project. https://www.gitanos.org/upload/44/68/Discrimination_of_Roma_National_Report_ROMANIA_Net_Kard.pdf. Accessed 22 Apr 2021
4. Parekh N, Rose T (2011) Health inequalities of the Roma in Europe: a literature review. Cent Eur J Public Health 19(3):139–142. https://doi.org/10.21101/cejph.a3661
5. Masseria C, Mladovsky P, Hernandez-Quevedo C (2010) The socio-economic determinants of the health status of Roma in comparison with non-Roma in Bulgaria, Hungary and Romania. Eur J Public Health 20(5):549–554. https://doi.org/10.1093/eurpub/ckq102
Cited by
5 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献