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The Roma Population Living in Segregated Settlements in Eastern Slovakia Has a Higher Prevalence of Metabolic Syndrome, Kidney Disease, Viral Hepatitis B and E, and Some Parasitic Diseases Compared to the Majority Population

Author

Listed:
  • Zelmira Macejova

    (1st Department of Internal Medicine, Faculty of Medicine, Pavol Jozef Safarik University and Louis Pasteur University Hospital, 040 11 Kosice, Slovakia)

  • Pavol Kristian

    (Department of Infectology and Travel Medicine, Faculty of Medicine, Pavol Jozef Safarik University and Louis Pasteur University Hospital, 040 01 Kosice, Slovakia)

  • Martin Janicko

    (2nd Department of Internal Medicine, Faculty of Medicine, Pavol Jozef Safarik University and Louis Pasteur University Hospital, 040 11 Kosice, Slovakia)

  • Monika Halanova

    (Department of Epidemiology, Faculty of Medicine, Pavol Jozef Safarik University, 040 01 Kosice, Slovakia)

  • Sylvia Drazilova

    (Department of Internal Medicine, Hospital Poprad and Faculty of Medicine, Pavol Jozef Safarik University, 058 01 Poprad, Slovakia)

  • Daniela Antolova

    (Department of Parasitic Diseases, Institute of Parasitology SAS, Hlinkova 3, 040 01 Kosice, Slovakia)

  • Maria Marekova

    (Department of Medical and Clinical Biochemistry, Faculty of Medicine, Pavol Jozef Safarik University, 040 11 Kosice, Slovakia)

  • Daniel Pella

    (2nd Department of Cardiology, Faculty of Medicine, Pavol Jozef Safarik University and East Slovak, Institute of Cardiovascular Diseases, Faculty of Medicine, Pavol Jozef Safarik University, 040 11 Kosice, Slovakia)

  • Andrea Madarasova-Geckova

    (Department of Health Psychology, Faculty of Medicine, Pavol Jozef Safarik University, 040 11 Kosice, Slovakia)

  • Peter Jarcuska

    (2nd Department of Internal Medicine, Faculty of Medicine, Pavol Jozef Safarik University and Louis Pasteur University Hospital, 040 11 Kosice, Slovakia)

  • HepaMeta Team

    (HepaMeta Team members are listed in Appendix A .)

Abstract

Background : The Roma population is one of the largest marginalized population groups in Europe. The aim of our work was to summarize the morbidity of lifestyle-related diseases and infectious diseases in the Roma population living in segregated settlements. Methods : We used data from the cross-sectional study HepaMeta, in which we examined 452 Roma subjects with an average age of 34.7 ± 9.1 years, 35.2% of which were men, and 403 non-Roma subjects with an average age of 33.5 ± 7.4 years, 45.9% of which were men. We collected data by means of a questionnaire, anthropometric measures, and we analyzed blood and urine samples. Results : Roma subjects had a higher incidence of metabolic syndrome (RR: 1.478 (1.159–1.885), p < 0.0001), obesity or waist circumference >94 cm in men/80 cm in women (RR: 1.287 (1.127–1.470), p < 0.0001), and HDL-C < 1.03 mmol/L in men or <1.29 in women (RR: 2.004 (1.730–2.321), p < 0.0001) than their non-Roma counterparts. Subjects of the Roma population were more frequently diagnosed with kidney disease (RR: 1.216 (1.096–1.349), p < 0.0001), HBsAg positivity (RR: 4.468 (2.373–8.415), p < 0.0001), anti HBc IgG positivity (RR: 3.13 (2.598–4.224), p < 0.0001), and anti HEV positivity (RR: 2.972 (1.226–7.287), p < 0.0001). Serological markers of Toxoplasma gondii infection and Toxocara spp. were observed much more frequently among Roma than non-Roma subjects (RR: 1.868 (1.520–2.296), p < 0.0001, for Toxoplasma gondii ; and RR: 21.812 (8.097–58.761), p < 0.0001, for Toxocara spp.). Conclusions : Poor socio-economic conditions, an unhealthy lifestyle, and barriers precluding access to healthcare are factors that affect the Roma population in settlements and lead to an increased prevalence of metabolic syndrome and its components, kidney disease, viral hepatitis B and E, and some parasitic diseases.

Suggested Citation

  • Zelmira Macejova & Pavol Kristian & Martin Janicko & Monika Halanova & Sylvia Drazilova & Daniela Antolova & Maria Marekova & Daniel Pella & Andrea Madarasova-Geckova & Peter Jarcuska & HepaMeta Team, 2020. "The Roma Population Living in Segregated Settlements in Eastern Slovakia Has a Higher Prevalence of Metabolic Syndrome, Kidney Disease, Viral Hepatitis B and E, and Some Parasitic Diseases Compared to," IJERPH, MDPI, vol. 17(9), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3112-:d:352087
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    References listed on IDEAS

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    1. 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.
    2. Sylvia Drazilova & Martin Janicko & Pavol Kristian & Ivan Schreter & Monika Halanova & Ingrid Urbancikova & Andrea Madarasova-Geckova & Maria Marekova & Daniel Pella & Peter Jarcuska & HepaMeta Team, 2018. "Prevalence and Risk Factors for Hepatitis B Virus Infection in Roma and Non-Roma People in Slovakia," IJERPH, MDPI, vol. 15(5), pages 1-11, May.
    3. Daniela Antolová & Monika Halánová & Martin Janičko & Peter Jarčuška & Katarína Reiterová & Júlia Jarošová & Andrea Madarasová Gecková & Daniel Pella & Sylvia Dražilová & HepaMeta Team, 2018. "A Community-Based Study to Estimate the Seroprevalence of Trichinellosis and Echinococcosis in the Roma and Non-Roma Population of Slovakia," IJERPH, MDPI, vol. 15(2), pages 1-9, February.
    4. 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.
    5. 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.
    6. Daniela Antolová & Martin Janičko & Monika Halánová & Peter Jarčuška & Andrea Madarasová Gecková & Ingrid Babinská & Zuzana Kalinová & Daniel Pella & Mária Mareková & Eduard Veseliny & HepaMeta Team, 2018. "Exposure to Toxoplasma gondii in the Roma and Non-Roma Inhabitants of Slovakia: A Cross-Sectional Seroprevalence Study," IJERPH, MDPI, vol. 15(3), pages 1-9, February.
    7. Lenka Sedova & Valerie Tothova & Dita Novakova & Vera Olisarova & Sylva Bartlova & Frantisek Dolak & Alena Kajanova & Radka Prokesova & Vera Adamkova, 2018. "Qualification of Food Intake by the Roma Population in the Region of South Bohemia," IJERPH, MDPI, vol. 15(2), pages 1-8, February.
    8. Ingrid Babinska & Zuzana Veselska & Daniela Bobakova & Daniel Pella & Salvatore Panico & Sijmen Reijneveld & Peter Jarcuska & Pavol Jarcuska & Ivan Zezula & Andrea Geckova, 2013. "Is the cardiovascular risk profile of people living in Roma settlements worse in comparison with the majority population in Slovakia?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(3), pages 417-425, June.
    9. Monika Halánová & Eduard Veseliny & Zuzana Kalinová & Peter Jarčuška & Martin Janičko & Ingrid Urbančíková & Daniel Pella & Sylvia Dražilová & Ingrid Babinská & HepaMeta Team, 2018. "Seroprevalence of Hepatitis E Virus in Roma Settlements: A Comparison with the General Population in Slovakia," IJERPH, MDPI, vol. 15(5), pages 1-8, May.
    10. Jana Petrikova & Martin Janicko & Jan Fedacko & Sylvia Drazilova & Andrea Madarasova Geckova & Maria Marekova & Daniel Pella & Peter Jarcuska, 2018. "Serum Uric Acid in Roma and Non-Roma—Its Correlation with Metabolic Syndrome and Other Variables," IJERPH, MDPI, vol. 15(7), pages 1-15, July.
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    2. Riikka Lämsä & Anu E. Castaneda & Anneli Weiste & Marianne Laalo & Päivikki Koponen & Hannamaria Kuusio, 2020. "The Role of Perceived Unjust Treatment in Unmet Needs for Primary Care Among Finnish Roma Adults," IJERPH, MDPI, vol. 17(16), pages 1-15, August.

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