Selected health indicators of the Roma and non-Roma population

2020 ◽

Vol 30 (5) ◽

pp. 906-910

Author(s):

Daniel La Parra-Casado ◽

Javier Arza-Porras ◽

Jesús Francisco Estévez

Keyword(s):

General Population ◽

Health Inequalities ◽

Traffic Accidents ◽

Social Inequalities ◽

Health Indicators ◽

Inequalities In Health ◽

Roma Population ◽

Integration Strategy ◽

Integration Strategies ◽

Two Populations

Abstract Background In 2011, the European Commission adopted the European framework for the National Roma Integration Strategies (NRISs) 2020, which focussed on four areas: education, employment, health and housing. In 2012 Spain approved its Strategy 2012–20, one of the central aims of which is to reduce social inequalities in health that affect the Roma population. Our objective was to analyze changes in health inequalities between the Roma population and the general population in Spain in the years 2006 and 2014. Methods The Spanish National Health Surveys (NHSs) 2006 (n = 29 478) and 2012 (n = 20 884) and the NHS of the Spanish Roma Population 2006 (n = 933) and 2014 (n = 1155) were compared. This study considered the variables included in NRIS 2012–20: self-perceived health, tobacco use in men, traffic accidents in men and women, obesity in women and gynaecological visits. Results Despite the adoption of the NRIS 2012–20, there were no observed improvements in health between 2006 and 2014 in the Roma population. Nor was there a reduction in inequalities in health concerning the general population in Spain. Also, there was no reduction in the health inequalities by gender for the two populations. Conclusions Health is determined in part by social factors including education, employment, housing and also by anti-Roma discourses and discrimination. Improving the health of the Roma population requires a multi-sectoral approach with a gender perspective.

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Roma health mediators in Serbia – good example of multisectoral cooperation in health promotion

European Journal of Public Health ◽

10.1093/eurpub/ckz186.544 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

B Kilibarda ◽

M Vasic ◽

V Knjeginjic

Keyword(s):

Health Promotion ◽

Health System ◽

Service Providers ◽

Health Indicators ◽

Target Population ◽

Lessons Learned ◽

Vulnerable Groups ◽

Roma Population ◽

The Republic ◽

Roma Health

Abstract Issue Within the framework of the JA CHRODIS plus participants of the WP5 worked on identification of factors that contribute to collaboration within healthcare and between the broader health system and other sectors, as well as their enablers and barriers. In Serbia, practice that was identified and elaborated was aimed at improvement of health of Roma population. Description of the problem Based on available data, health indicators among Roma population in Serbia were two to three times worse than national averages. In order to tackle this issue, government of the Republic of Serbia, started with implementation of the project of education and inclusion of Roma health mediators in the health system. This project has been implemented in Serbia since 2009. Roma Health mediators (Roma ethical minority females) were trained for fast and efficient provision of support to Roma families. Results As a result of the project there was increased number of visits to health institutions and preventive check-ups of target population. Established cooperation between Roma health mediators and other health professionals in centers for primary health care, social care, and local self-government helped them in fulfilling their tasks, but also built capacity of other service providers to work in Roma communities. Through trainings they increase knowledge on various health, social and child care topics. Lessons Capacity building and inclusion of memebrs of vulnerable population into health promotion of the own to this population in terms of better acceptance of specific population population is useful to access groups as they can better understand and adapt to the needs of groups they want to reach. They should have opportunity to share their experience and lessons learned with experts involved in planning interventions for other vulberable groups. Key messages Building capacity of Roma mediators empowers them for integration into society beyond the scope of the Project. Lessons learned should be used for planning further actions for vulnerable groups.

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Specificity of Socio-Economic Processes in the Hungarian Microregion

Regionalnaya ekonomika Yug Rossii ◽

10.15688/re.volsu.2021.4.10 ◽

2021 ◽

pp. 98-108

Author(s):

Katalin Kárász ◽

Keyword(s):

Social Mobility ◽

Social Inclusion ◽

Health Indicators ◽

Premature Mortality ◽

Ethnic Origin ◽

Roma Population ◽

Disadvantaged Children ◽

Economic Output ◽

Long Run ◽

Average Proportion

The Kunhegyesi District is the most disadvantaged district in the Northern Great Plain Region of Hungary. The aim of this study, which serves as a basis for a social comparative analysis of the District’s settlements in the future, is to understand the demographic processes. Population in the District has been steadily decreasing since 2011 besides lower income levels, poorer health indicators and a higher proportion of premature mortality. Two out of three children are disadvantaged, while the vast majority of young people drops out of secondary school without any qualification. The higherthan-average proportion of Roma population alone does not explain worsening economic output, economic performance has nothing to do with ethnic origin. Reasons are rather to be found in the deterioration of social mobility of the past two decades. Similarly to areas with a higher proportion of Roma population, the District also undergoes an exodus of nonRoma, resulting in ghettoization, thereby further diminishing chances of social mobility. Thanks to social inclusion and recovery programs, as well as the commitment of local Roma stakeholders, promising changes are coming true with an increase in qualification and employment levels and a decrease in the number of disadvantaged children, question is whether development is sustainable in the long run, and also, whether the District has a potential to independently selfsustain social development.

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Health Indicators for Conflict Prevention

Prehospital and Disaster Medicine ◽

10.1017/s1049023x0000978x ◽

2002 ◽

Vol 17 (S2) ◽

pp. S35

Author(s):

Rashid A. Chotani ◽

Jason M. M. Spangler

Keyword(s):

Health Indicators ◽

Conflict Prevention

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Development and Psychometric Evaluation of a Revised Sense of Coherence Scale

European Journal of Psychological Assessment ◽

10.1027/1015-5759/a000323 ◽

2018 ◽

Vol 34 (3) ◽

pp. 206-215 ◽

Cited By ~ 24

Author(s):

Rahel Bachem ◽

Andreas Maercker

Keyword(s):

Posttraumatic Growth ◽

Factor Structure ◽

Sense Of Coherence ◽

Psychological Health ◽

Psychometric Evaluation ◽

Health Indicators ◽

Structure Stability ◽

Confirmatory Factor Analyses ◽

Reliability Factor ◽

Two Samples

Abstract. The present study introduces a revised Sense of Coherence (SOC) scale, a new conceptualization and operationalization of the resilience indicator SOC. It outlines the scale development and aims for testing its reliability, factor structure, and validity. Literature on Antonovsky’s SOC (SOC-A) was critically reviewed to identify needs for improving the scale. The scale was investigated in two samples. Sample 1 consisted of 334 bereaved participants, Sample 2 of 157 healthy controls. The revised SOC Scale, SOC-A, and theoretically relevant questionnaires were applied. Explorative and confirmatory factor analyses established a three-factor structure in both samples. The revised SOC Scale showed significant but discriminative associations with related constructs, including self-efficacy, posttraumatic growth, and neuroticism. The revised measure was significantly associated with psychological health indicators, including persistent grief, depression, and anxiety, but not to the extent as the previous SOC-A. Stability over time was sufficient. The study provides psychometric support for the revised SOC conceptualization and scale. It has several advantages over the previous SOC-A scale (unique variance, distinct factor structure, stability). The scale could be used for clinical and health psychological testing or research into the growing field of studies on resilience over the life span.

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