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Int. J. Environ. Res. Public Health 2018, 15(2), 360; https://doi.org/10.3390/ijerph15020360

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

1
Pediatric Department, Faculty of Medicine, Safarik University, 040 11 Kosice, Slovak Republic
2
Graduate School Kosice Institute for Society and Health, Faculty of Medicine, Safarik University, 040 11 Kosice, Slovak Republic
3
Nephrology and Dialysis Centre Fresenius Nitra, 949 01 Nitra Slovak Republic
4
Nephrology and Dialysis Centre Fresenius Kosice, 040 11Kosice, Slovak Republic
5
Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, 9712 CP Groningen, The Netherlands
*
Author to whom correspondence should be addressed.
Received: 18 December 2017 / Revised: 12 February 2018 / Accepted: 14 February 2018 / Published: 18 February 2018
(This article belongs to the Special Issue Roma Health)
Full-Text   |   PDF [272 KB, uploaded 23 February 2018]

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 R2 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. View Full-Text
Keywords: Roma; health; dialysis; Slovakia Roma; health; dialysis; Slovakia
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Kolvek, G.; Straussova, Z.; Majernikova, M.; Rosenberger, J.; Dijk, J.P. Health Differences between Roma and Non-Roma in the Slovak Dialyzed Population. Int. J. Environ. Res. Public Health 2018, 15, 360.

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