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Living in Roma Settlements in Greece: Self-Perceived Health Status, Chronic Diseases and Associated Social Determinants of Health

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  • Ioanna Petraki

    (Department of Hygiene, Epidemiology, and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias Str., Goudi, 11527 Athens, Greece)

  • Natasa Kalpourtzi

    (Department of Hygiene, Epidemiology, and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias Str., Goudi, 11527 Athens, Greece)

  • Agapios Terzidis

    (International Medicine-Health Crisis Management, School of Medicine, National and Kapodistrian University of Athens, 1, Dilou & Mikras Asias Str., Goudi, 11527 Athens, Greece)

  • Magda Gavana

    (Department of Primary Health Care, General Practice, and Health Services Research, Medical School of Aristotle University, 54124 Thessaloniki, Greece)

  • Apostolos Vantarakis

    (Environmental Microbiology Unit of Public Health, Medical School, University of Patras, Rio Achaia, 26504 Patra, Greece)

  • Georgios Rachiotis

    (Department of Hygiene and Epidemiology, Medical Faculty, University of Thessaly, 3, Panepistimiou Str., Viopolis, 41500 Larisa, Greece)

  • Argiro Karakosta

    (Department of Hygiene, Epidemiology, and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias Str., Goudi, 11527 Athens, Greece)

  • Vana Sypsa

    (Department of Hygiene, Epidemiology, and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias Str., Goudi, 11527 Athens, Greece)

  • Giota Touloumi

    (Department of Hygiene, Epidemiology, and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias Str., Goudi, 11527 Athens, Greece)

  • Hprolipsis Study Group

    (See Acknowledgments.)

Abstract

We aimed to assess the self-perceived health status and the presence of chronic diseases of adult Roma living in settlements in Greece, and to explore associated social determinants of health. Data were derived from the Hprolipsis Health Survey. Multivariable regression models were applied. In total, 534 adults, 287 women, and 247 men were recruited from twelve Roma settlements in four prefectures. Although 62% of the participants perceived their health status as good/very good, about half of them had been diagnosed with at least one chronic disease. Several structural and intermediary social determinants of health were found to be significantly associated with the health outcomes; prefecture, settlement type, sex, age group, living with a partner, presence of depression symptoms, food insecurity, and alcohol consumption were associated with self-perceived health status; settlement type, sex, age group, presence of anxiety symptoms, food insecurity and number of persons living in the house with the presence of a chronic disease. This is one of the few studies assessing the self-perceived health status and presence of chronic diseases in Roma settlements in Greece and investigating the associated social determinants of health in the world. Community-based participatory action research and health literacy programs are needed to mitigate health inequalities in Roma settlements.

Suggested Citation

  • Ioanna Petraki & Natasa Kalpourtzi & Agapios Terzidis & Magda Gavana & Apostolos Vantarakis & Georgios Rachiotis & Argiro Karakosta & Vana Sypsa & Giota Touloumi & Hprolipsis Study Group, 2021. "Living in Roma Settlements in Greece: Self-Perceived Health Status, Chronic Diseases and Associated Social Determinants of Health," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8403-:d:610952
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    References listed on IDEAS

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    1. Evelina Pappa & Simela Chatzikonstantinidou & George Chalkiopoulos & Angelos Papadopoulos & Dimitris Niakas, 2015. "Health-Related Quality of Life of the Roma in Greece: The Role of Socio-Economic Characteristics and Housing Conditions," IJERPH, MDPI, vol. 12(6), pages 1-13, June.
    2. Monica Robayo-Abril & Natalia Millan, 2019. "Breaking the Cycle of Roma Exclusion in the Western Balkans," World Bank Publications - Reports 31393, The World Bank Group.
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    6. Benjamin Cook & Geoffrey Wayne & Anne Valentine & Anna Lessios & Ethan Yeh, 2013. "Revisiting the evidence on health and health care disparities among the Roma: a systematic review 2003–2012," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 885-911, December.
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