IDEAS home Printed from https://ideas.repec.org/a/spr/soinre/v153y2021i3d10.1007_s11205-020-02533-2.html
   My bibliography  Save this article

Mortality, Health Status and Self-Perception of Health in Slovak Roma Communities

Author

Listed:
  • Branislav Šprocha

    (Slovak Academy of Sciences)

  • Branislav Bleha

    (Comenius University in Bratislava)

Abstract

The impact of specific living conditions on the population of geographically and socially segregated Roma settlements in Eastern Slovakia is considerable. They are characterized by high unemployment, lower education, poor housing and sanitary conditions, a poor quality of life, which all affects significantly their higher mortality rates and worse health status. In this paper we try to approach the problem of adverse mortality conditions and health with a deeper demographic insight. The fundamental goal of the paper is to analyse mortality in the population from Roma settlements over the past two decades using complex demographic methods such as life tables, direct standardization with the objective of eliminating differences in the age structure, single and multi-dimensional decomposition of age, sex and causes of death. We also analyse mortality using the concept of avoidable mortality. The results obtained from Roma settlements confirmed significantly worse mortality rates for both sexes. In addition, it appears that the disparities between them and the majority population are growing over time. The primary reason is the higher mortality of the youngest children and persons at post-reproductive age. Basically, all main chapters of the causes of death shorten the life expectancy of persons from Roma settlements, but cardiovascular diseases have the greatest negative impact. Conclusions obtained from the avoidable mortality analysis point to problems related to the accessibility and quality of health care, as well as the lack of interest of population from Roma settlements in their own health, along with the need for more targeted prevention and screening campaigns in this environment. Although the answers of respondents from Roma settlements to their own health confirm the deteriorating quality of health, increasing morbidity and the degree of restriction of normal daily activities with increasing age, they also point to some problems associated with the use of this approach.

Suggested Citation

  • Branislav Šprocha & Branislav Bleha, 2021. "Mortality, Health Status and Self-Perception of Health in Slovak Roma Communities," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 153(3), pages 1065-1086, February.
    • Handle: RePEc:spr:soinre:v:153:y:2021:i:3:d:10.1007_s11205-020-02533-2
    DOI: 10.1007/s11205-020-02533-2
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11205-020-02533-2
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s11205-020-02533-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. 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.
    2. Valentina Gallo & Johan P Mackenbach & Majid Ezzati & Gwenn Menvielle & Anton E Kunst & Sabine Rohrmann & Rudolf Kaaks & Birgit Teucher & Heiner Boeing & Manuela M Bergmann & Anne Tjønneland & Susanne, 2012. "Social Inequalities and Mortality in Europe – Results from a Large Multi-National Cohort," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-10, July.
    3. Nader Fergany, 1971. "On the human survivorship function and life table construction," Demography, Springer;Population Association of America (PAA), vol. 8(3), pages 331-334, August.
    4. Muennig, P. & Schweinhart, L. & Montie, J. & Neidell, M., 2009. "Effects of a prekindergarten educational intervention on adult health: 37-Year follow-up results of a randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 99(8), pages 1431-1437.
    5. Rechel, Bernd & Mladovsky, Philipa & Devillé, Walter, 2012. "Monitoring migrant health in Europe: A narrative review of data collection practices," Health Policy, Elsevier, vol. 105(1), pages 10-16.
    6. J. Pollard, 1988. "On the decomposition of changes in expectation of life and differentials in life expectancy," Demography, Springer;Population Association of America (PAA), vol. 25(2), pages 265-276, May.
    7. Zahid Ansari & Norman Carson & Michael Ackland & Loretta Vaughan & Adrian Serraglio, 2003. "A public health model of the social determinants of health," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 48(4), pages 242-251, July.
    8. Nazroo, J.Y., 2003. "The structuring of ethnic inequalities in health: Economic position, racial discrimination, and racism," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 277-284.
    9. Roelfs, David J. & Shor, Eran & Davidson, Karina W. & Schwartz, Joseph E., 2011. "Losing life and livelihood: A systematic review and meta-analysis of unemployment and all-cause mortality," Social Science & Medicine, Elsevier, vol. 72(6), pages 840-854, March.
    10. Kawachi, I. & Kennedy, B.P. & Lochner, K. & Prothrow-Stith, D., 1997. "Social capital, income inequality, and mortality," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1491-1498.
    11. Santana, Paula, 2002. "Poverty, social exclusion and health in Portugal," Social Science & Medicine, Elsevier, vol. 55(1), pages 33-45, July.
    12. Katarina Rosicova & Andrea Madarasova Geckova & Jitse Dijk & Jana Kollarova & Martin Rosic & Johan Groothoff, 2011. "Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 523-531, October.
    13. Dena Ringold & Mitchell A. Orenstein & Erika Wilkens, 2005. "Roma in an Expanding Europe : Breaking the Poverty Cycle," World Bank Publications - Books, The World Bank Group, number 14869.
    14. Kósa, Z. & Széles, G. & Kardos, L. & Kósa, K. & Németh, R. & Országh, S. & Fésüs, G. & McKee, M. & Ádány, R. & Vokó, Z., 2007. "A comparative health survey of the inhabitants of Roma settlements in Hungary," American Journal of Public Health, American Public Health Association, vol. 97(5), pages 853-859.
    15. Koupilová, Ilona & Epstein, Helen & Holcík, Jan & Hajioff, Steve & McKee, Martin, 2001. "Health needs of the Roma population in the Czech and Slovak Republics," Social Science & Medicine, Elsevier, vol. 53(9), pages 1191-1204, November.
    16. Eduardo Arriaga, 1984. "Measuring and explaining the change in life expectancies," Demography, Springer;Population Association of America (PAA), vol. 21(1), pages 83-96, February.
    17. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 803-815, September.
    2. Kolarcik, Peter & Geckova, Andrea Madarasova & Orosova, Olga & van Dijk, Jitse P. & Reijneveld, Sijmen A., 2009. "To what extent does socioeconomic status explain differences in health between Roma and non-Roma adolescents in Slovakia?," Social Science & Medicine, Elsevier, vol. 68(7), pages 1279-1284, April.
    3. Katarina Rosicova & Andrea Madarasova Geckova & Jitse Dijk & Jana Kollarova & Martin Rosic & Johan Groothoff, 2011. "Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 523-531, October.
    4. 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.
    5. Juan F. Gamella & Elisa Martín Carrasco-Muñoz, 2017. "The decline of infant and child mortality among Spanish Gitanos or Calé (1871−2005): A microdemographic study in Andalusia," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(33), pages 945-988.
    6. Michala Lustigova & Dagmar Dzurova & Claudia Costa & Paula Santana, 2019. "Health Disparities in Czechia and Portugal at Country and Municipality Levels," IJERPH, MDPI, vol. 16(7), pages 1-16, March.
    7. Evgeny M. Andreev & Vladimir M. Shkolnikov & Alexander Z. Begun, 2002. "Algorithm for decomposition of differences between aggregate demographic measures and its application to life expectancies, Gini coefficients, health expectancies, parity-progression ratios and total ," MPIDR Working Papers WP-2002-035, Max Planck Institute for Demographic Research, Rostock, Germany.
    8. Marisa Usera-Clavero & Diana Gil-González & Daniel La Parra-Casado & Carmen Vives-Cases & Pilar Carrasco-Garrido & Pablo Caballero, 2020. "Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(3), pages 273-280, April.
    9. Per Kragh Andersen & Vladimir Canudas-Romo & Niels Keiding, 2013. "Cause-specific measures of life years lost," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 29(41), pages 1127-1152.
    10. 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.
    11. Michalis Koureas & Matthaios Speletas & Zacharoula Bogogiannidou & Dimitris Babalis & Vassilios Pinakas & Ourania Pinaka & Apostolos Komnos & Stella Tsoutsa & Georgia Papadamou & Maria A. Kyritsi & Al, 2021. "Transmission Dynamics of SARS-CoV-2 during an Outbreak in a Roma Community in Thessaly, Greece—Control Measures and Lessons Learned," IJERPH, MDPI, vol. 18(6), pages 1-13, March.
    12. Mario Battaglini & Tania Burchardt & Polina Obolenskaya & Polly Vizard, 2018. "Experience of multiple disadvantage among Roma, Gypsy and Traveller children in England and Wales," CASE Papers /208, Centre for Analysis of Social Exclusion, LSE.
    13. Dmitri A. Jdanov & Vladimir M. Shkolnikov & Alyson A. van Raalte & Evgeny M. Andreev, 2017. "Decomposing Current Mortality Differences Into Initial Differences and Differences in Trends: The Contour Decomposition Method," Demography, Springer;Population Association of America (PAA), vol. 54(4), pages 1579-1602, August.
    14. Haberman, Steven & Khalaf-Allah, Marwa & Verrall, Richard, 2011. "Entropy, longevity and the cost of annuities," Insurance: Mathematics and Economics, Elsevier, vol. 48(2), pages 197-204, March.
    15. Adriana Sudzinova & Jaroslav Rosenberger & Roy E. Stewart & Jitse P. Dijk & Sijmen A. Reijneveld, 2016. "Does poorer self-rated health mediate the effect of Roma ethnicity on mortality in patients with coronary artery disease after coronaro-angiography?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(3), pages 375-382, April.
    16. 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.
    17. Karina Acosta-Ordoñez & Julio E. Romero-Prieto, 2017. "Cambios recientes en las principales causas de mortalidad en Colombia," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 4, pages 79-119, Banco de la Republica de Colombia.
    18. 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.
    19. Barbora Silarova & Jitse Dijk & Iveta Nagyova & Jaroslav Rosenberger & Sijmen Reijneveld, 2014. "Differences in health-related quality of life between Roma and non-Roma coronary heart disease patients: the role of hostility," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(2), pages 271-277, April.
    20. Hiram Beltran-Sanchez & Samuel Preston & Vladimir Canudas-Romo, 2008. "An integrated approach to cause-of-death analysis: cause-deleted life tables and decompositions of life expectancy," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 19(35), pages 1323-1350.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:soinre:v:153:y:2021:i:3:d:10.1007_s11205-020-02533-2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.