IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-01385007.html
   My bibliography  Save this paper

The Roma vaccination gap: Evidence from twelve countries in Central and South-East Europe

Author

Listed:
  • Laetitia Duval

    (Imperial College London)

  • François-Charles Wolff

    (LEMNA - Laboratoire d'économie et de management de Nantes Atlantique - IEMN-IAE Nantes - Institut d'Économie et de Management de Nantes - Institut d'Administration des Entreprises - Nantes - UN - Université de Nantes)

  • Martin Mckee

    (ECOHOST - LSHTM - London School of Hygiene and Tropical Medicine)

  • Bayard Roberts

    (ECOHOST - LSHTM - London School of Hygiene and Tropical Medicine)

Abstract

Aim: To investigate differences in vaccination coverage between Roma and otherwise comparable non-Roma children, including factors associated with the vaccination gap, health care access and discrimination faced by Roma. Methods: We analyse data from the Roma Regional Survey 2011 implemented in twelve countries of Central and SouthEast Europe. Our sample comprises 8,233 children aged up to 6 with 7,072 Roma children and 1,161 non-Roma children. Estimates of the Roma vaccination gap are estimated using Logit regressions. Results: We find that the Roma children have a lower probability of being vaccinated compared to non-Roma (odds ratio = 0.325). The odds of being vaccinated for a Roma child is 33.9% that of a non-Roma child for DPT, 34.4% for Polio, 38.6% for MMR and 45.7% for BCG. These differences do not appear to be explained entirely by their worse socioeconomic status. The ethnic gap narrows by about 50% once individual characteristics are controlled for, with odds ratios of 0.548 for DPT, 0.559 for Polio, 0.598 for MMR and 0.704 for BCG. The probability of being vaccinated increases with access to health care, especially when Roma have a doctor to approach when needed. Conclusions: Our findings point out a large difference in vaccination coverage between Roma and non-Roma and support the need for better understanding of factors influencing vaccination among Roma as well as policies that might improve services for Roma in Central and SouthEast Europe.

Suggested Citation

  • Laetitia Duval & François-Charles Wolff & Martin Mckee & Bayard Roberts, 2016. "The Roma vaccination gap: Evidence from twelve countries in Central and South-East Europe," Post-Print hal-01385007, HAL.
    • Handle: RePEc:hal:journl:hal-01385007
    DOI: 10.1016/j.vaccine.2016.10.003
    Note: View the original document on HAL open archive server: https://hal.science/hal-01385007
    as

    Download full text from publisher

    File URL: https://hal.science/hal-01385007/document
    Download Restriction: no
    File URL: https://libkey.io/10.1016/j.vaccine.2016.10.003?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
    ---><---

    References listed on IDEAS

    as
    1. Laetitia Duval & François-Charles Wolff, 2016. "“I even met happy gypsies”," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 24(4), pages 727-764, October.
    2. Gabor Kertesi & Gabor Kezdi, 2011. "The Roma/Non-Roma Test Score Gap in Hungary," American Economic Review, American Economic Association, vol. 101(3), pages 519-525, May.
    3. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    4. 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.
    5. A. Colin Cameron & Douglas L. Miller, 2015. "A Practitioner’s Guide to Cluster-Robust Inference," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 317-372.
    6. 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.
    7. Maria Földes & Alina Covaci, 2012. "Research on Roma health and access to healthcare: state of the art and future challenges," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 37-39, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Róza Ádány & Péter Pikó & Szilvia Fiatal & Zsigmond Kósa & János Sándor & Éva Bíró & Karolina Kósa & György Paragh & Éva Bácsné Bába & Ilona Veres-Balajti & Klára Bíró & Orsolya Varga & Margit Balázs, 2020. "Prevalence of Insulin Resistance in the Hungarian General and Roma Populations as Defined by Using Data Generated in a Complex Health (Interview and Examination) Survey," IJERPH, MDPI, vol. 17(13), pages 1-22, July.
    2. Belak, Andrej & Filakovska Bobakova, Daniela & Madarasova Geckova, Andrea & van Dijk, Jitse P. & Reijneveld, Sijmen A., 2020. "Why don't health care frontline professionals do more for segregated Roma? Exploring mechanisms supporting unequal care practices," Social Science & Medicine, Elsevier, vol. 246(C).
    3. Siciliani, Luigi & Wild, Claudia & McKee, Martin & Kringos, Dionne & Barry, Margaret M. & Barros, Pedro Pita & De Maeseneer, Jan & Murauskiene, Liubove & Ricciardi, Walter, 2020. "Strengthening vaccination programmes and health systems in the European Union: A framework for action," Health Policy, Elsevier, vol. 124(5), pages 511-518.
    4. Kabir Tombat & Jitse P. van Dijk, 2020. "Roma Health: An Overview of Communicable Diseases in Eastern and Central Europe," IJERPH, MDPI, vol. 17(20), pages 1-12, October.
    5. Escobar-Ballesta, M. & García-Ramírez, M. & De Freitas, C., 2018. "Taking stock of Roma health policies in Spain: Lessons for health governance," Health Policy, Elsevier, vol. 122(4), pages 444-451.

    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. Laetitia Duval & François-Charles Wolff, 2016. "Emigration intentions of Roma: evidence from Central and South-East Europe," Post-Communist Economies, Taylor & Francis Journals, vol. 28(1), pages 87-107, January.
    2. Laetitia Duval & François-­charles Wolff, 2015. "" I Even Met Happy Gypsies " : Life Satisfaction of Roma Youth in the Balkans," Working Papers hal-01219250, HAL.
    3. Mugizi, Francisco M.P. & Matsumoto, Tomoya, 2021. "A curse or a blessing? Population pressure and soil quality in Sub-Saharan Africa: Evidence from rural Uganda," Ecological Economics, Elsevier, vol. 179(C).
    4. Hauk, Esther & Oviedo, Mónica & Ramos, Xavier, 2022. "Perception of corruption and public support for redistribution in Latin America," European Journal of Political Economy, Elsevier, vol. 74(C).
    5. 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.
    6. 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.
    7. Gundersen, Sara & McKay, Michael, 2019. "Reward or punishment? An examination of the relationship between teacher and parent behavior and test scores in the Gambia," International Journal of Educational Development, Elsevier, vol. 68(C), pages 20-34.
    8. Jacopo Bonan & Laura Pagani, 2018. "Junior Farmer Field Schools, Agricultural Knowledge and Spillover Effects: Quasi-Experimental Evidence from Northern Uganda," Journal of Development Studies, Taylor & Francis Journals, vol. 54(11), pages 2007-2022, November.
    9. 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.
    10. repec:lic:licosd:36215 is not listed on IDEAS
    11. Laetitia Duval & François-Charles Wolff, 2016. "“I even met happy gypsies”," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 24(4), pages 727-764, October.
    12. Mete, Cem & Bossavie, Laurent & Giles, John T. & Alderman, Harold, 2019. "Is Consanguinity an Impediment to Child Development Outcomes?," IZA Discussion Papers 12665, Institute of Labor Economics (IZA).
    13. 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.
    14. Escobar-Ballesta, M. & García-Ramírez, M. & De Freitas, C., 2018. "Taking stock of Roma health policies in Spain: Lessons for health governance," Health Policy, Elsevier, vol. 122(4), pages 444-451.
    15. Djavad Salehi-Isfahani & Sara Taghvatalab, 2019. "Education and the allocation of time of married women in Iran," Review of Economics of the Household, Springer, vol. 17(3), pages 889-921, September.
    16. 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.
    17. Burchardt, Tania & Obolenskaya, Polina & Vizard, Polly & Battaglini, Mario, 2018. "Experience of multiple disadvantage among Roma, Gypsy and Traveller children in England and Wales," LSE Research Online Documents on Economics 103529, London School of Economics and Political Science, LSE Library.
    18. Mugizi, Francisco M.P. & Matsumoto, Tomoya, 2020. "Population pressure and soil quality in Sub-Saharan Africa: Panel evidence from Kenya," Land Use Policy, Elsevier, vol. 94(C).
    19. 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.
    20. Jeffery, Karli & Chatterjee, Ishita & Lavin, Tina & Li, Ian W., 2020. "Young lives and wealthy minds: The nexus between household consumption capacity and childhood cognitive ability," Economic Analysis and Policy, Elsevier, vol. 65(C), pages 89-104.
    21. 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.

    More about this item

    Keywords

    immunization; Vaccination; ethnicity; Roma; Central and South-East Europe; discrimination;
    All these keywords.

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    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:hal:journl:hal-01385007. 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: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    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.