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Health Differences between Roma and Non-Roma in the Slovak Dialyzed Population

Author

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  • Gabriel Kolvek

    (Pediatric Department, Faculty of Medicine, Safarik University, 040 11 Kosice, Slovak Republic
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, Safarik University, 040 11 Kosice, Slovak Republic)

  • Zuzana Straussova

    (Nephrology and Dialysis Centre Fresenius Nitra, 949 01 Nitra Slovak Republic)

  • Maria Majernikova

    (Graduate School Kosice Institute for Society and Health, Faculty of Medicine, Safarik University, 040 11 Kosice, Slovak Republic
    Nephrology and Dialysis Centre Fresenius Kosice, 040 11Kosice, Slovak Republic)

  • Jaroslav Rosenberger

    (Graduate School Kosice Institute for Society and Health, Faculty of Medicine, Safarik University, 040 11 Kosice, Slovak Republic
    Nephrology and Dialysis Centre Fresenius Kosice, 040 11Kosice, Slovak Republic)

  • Jitse P. van Dijk

    (Graduate School Kosice Institute for Society and Health, Faculty of Medicine, Safarik University, 040 11 Kosice, Slovak Republic
    Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, 9712 CP Groningen, The Netherlands)

Abstract

Background: Roma health has not been studied systematically. Thus far, it has been shown that Roma compared to non-Roma have a significantly higher likelihood of getting end-stage renal disease and that their chances for survival on dialysis are lower. Evidence is lacking regarding morbidity between Roma and non-Roma. The aim was to compare the health status of dialyzed Roma and non-Roma using the Charlson comorbidity index (CCI). All Slovak dialysis centers for adults were asked to fill in a questionaire with demographic and clinical data, including comorbidity. Cross-sectional analysis of 2082 patients with an average age of 63.8 ± 13.8 years was performed. Comorbidity was expressed as the CCI, and ethnic differences were calculated. Linear regression was performed to adjust for differences in gender and age in both ethnic groups. Roma represented 13.0% of the whole dialyzed population (n = 270). Comorbidity expressed as CCI was significantly lower in the Roma population ( p < 0.001). After adjusting for gender and age, ethnicity failed to be associated with the CCI in the linear regression analysis ( p = 0.965, variance of the model—adjusted R 2 38.6%). The health status of dialyzed Slovak Roma does not differ cross-sectionally when adjusted for age and gender from the health status of dialyzed non-Roma.

Suggested Citation

  • Gabriel Kolvek & Zuzana Straussova & Maria Majernikova & Jaroslav Rosenberger & Jitse P. van Dijk, 2018. "Health Differences between Roma and Non-Roma in the Slovak Dialyzed Population," IJERPH, MDPI, vol. 15(2), pages 1-5, February.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:360-:d:132368
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    References listed on IDEAS

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    1. A. Sudzinova & I. Nagyova & M. Studencan & J. Rosenberger & Z. Skodova & H. Vargova & B. Middel & S. Reijneveld & J. Dijk, 2013. "Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(3), pages 409-415, June.
    2. Pavol Jarcuska & Daniela Bobakova & Jan Uhrin & Ladislav Bobak & Ingrid Babinska & Peter Kolarcik & Zuzana Veselska & Andrea Madarasova Geckova, 2013. "Are barriers in accessing health services in the Roma population associated with worse health status among Roma?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(3), pages 427-434, June.
    3. Gabriel Kolvek & Katarina Rosicova & Jaroslav Rosenberger & Ludmila Podracka & Roy Stewart & Iveta Nagyova & Sijmen Reijneveld & Jitse Dijk, 2012. "End-stage renal disease among Roma and non-Roma: Roma are at risk," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(4), pages 751-754, August.
    4. Gabriel Kolvek & Ludmila Podracka & Jaroslav Rosenberger & Roy Stewart & Jitse Dijk & Sijmen Reijneveld, 2014. "Kidney diseases in Roma and non-Roma children from eastern Slovakia: are Roma children more at risk?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(6), pages 1023-1026, December.
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    Cited by:

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    3. Michal Kozubik & Jitse P. van Dijk & Daniela Filakovska Bobakova, 2019. "Aspects of Illness and Death among Roma—Have They Changed after More than Two Hundred Years?," IJERPH, MDPI, vol. 16(23), pages 1-11, November.

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    Keywords

    Roma; health; dialysis; Slovakia;
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