Search Results (91)

Background: Stereotypes and prejudices about the Roma community are common due to the fact that little information has been documented in a scientific way, as this population is difficult to access and study. Aim: Through this study, we aimed to investigate and disseminate the values by which members of a Roma community in Northeastern Romania live their lives, to be the first to provide written documentation of the values of this ethnic group, and to make this information available to anyone interested. Method: 28 participants of Roma ethnicity, aged between 19–52 years old, took part in the study. The study design is qualitative, and data were collected through three focus groups, based on a semi-structured interview. Results: The values of the Roma community that emerged as representative were family, care and sacrifice for others, respect, unity, responsibility, fidelity and faith in God. Any change in their lifestyles is seen as a betrayal, a departure from family and culture, which makes the integration of new values and customs difficult. Conclusions: These data are an important source of up-to-date information from which state institutions can benefit and adapt their actions in relation to Roma ethnic groups. Full article

This review examines how demographic knowledge is framed and reimagined within a Scottish widening access higher education programme. Drawing on my positionality as a former international student and widening access graduate, alongside over 15 years of community-based work with disadvantaged Roma populations, I reflect on how notions of population “need” are often shaped by national policy priorities and narrow imaginaries of populations—typically white, Scottish, and urban. While these narratives reflect lived realities, they risk overlooking multilingual, racialised, and globally mobile populations increasingly present in both the student body and the communities that graduates will serve. Based on my work since 2021 in placement coordination and teaching, I outline how applied changes to placement partnerships, thematic content, and assessment practice can challenge and reframe these dominant narratives. Drawing on Foucault’s concepts of population, discipline, and control, and Esposito’s theorisation of community, immunity, and exclusion, and coupled with anti-oppressive pedagogies, I argue for a reorientation of demographic literacy toward more plural, critically engaged, and globally attuned understandings of population. In reframing demographic literacy as a site of justice, I move it beyond a technical skill of interpreting population data toward a critical practice of interrogating how populations are constructed, which groups are rendered visible or invisible, and how imaginaries of “need” shape inclusion and exclusion in higher education. Such a shift positions international students not only as beneficiaries of widening access but as active population actors whose experiences and knowledges expand the terms of justice and belonging in higher education. Full article

The purpose of this paper is to provide a comparative policy analysis of successful strategies that have been implemented across European countries to address early school leaving (ESL) and academic underachievement. Employing a transformative and multidimensional approach, the study examines systemic and local interventions that integrate cognitive and socio-emotional dimensions of learning. Using Eurostat data to categorise countries based on their ESL reduction progress, the analysis evaluates legislative frameworks, policy initiatives, and educational practices through the prevention, intervention, and compensation model. The findings identify common themes such as the expansion of early childhood education and care (ECEC), enhancement of guidance and counselling services, targeted support for socio-economically disadvantaged groups, inclusive policies for marginalised populations including Roma communities, and the development of vocational and second-chance education pathways. The paper highlights the critical importance of coherent and scalable policy design to reduce educational inequalities and contribute to achieving European Union ESL reduction targets by 2030. It advances policy discourse by emphasising the essential need for balanced preventive and compensatory measures to improve educational outcomes and to foster social inclusion across varied national contexts. Full article

Background: Women from Roma communities face considerable health inequalities, primarily due to limited access to healthcare systems, alongside broader social and structural disadvantages. Among Roma women these disparities are reflected in poorer perinatal outcomes when compared to non-Roma populations. This systematic review aims at: (a) exploring disparities in neonatal health outcomes between Roma and non-Roma populations in relation to maternal factors such as health status, lifestyle, and education; (b) summarizing key perinatal characteristics in these groups; (c) assessing the influence of prenatal care on neonatal outcomes. Comprehending these disparities is crucial for guiding effective interventions and promoting health equity. Methods: A systematic literature review was conducted in major databases, such as PubMed and Scopus, to identify studies published up to 2025. The eligible studies focused on observational research that compared perinatal outcomes, including preterm birth, low birth weight (LBW), stillbirth, and neonatal mortality, between Roma and non-Roma populations. The potential discrepancies between these populations are thoroughly discussed in the review. Results: A comprehensive search yielded a total of 157 studies. After meticulous screening, 48 relevant studies were identified, reporting substantial health disparities between Roma and non-Roma mothers and their newborns. Roma populations exhibited significantly increased rates of preterm birth, LBW, and neonatal mortality vs. non-Roma populations. Socioeconomic status, access to prenatal care, maternal education, and systemic discrimination were identified as the primary contributing factors to these disparities. Conclusions: The findings highlight the significant and enduring disparities in perinatal health between Roma and non-Roma populations. In order to effectively address these disparities, it is necessary to have a comprehensive and multi-level strategy that prioritizes the social determinants of health, ensures equitable access to high-quality maternal care, and mitigates actively systemic discrimination. Future research should prioritize the development and rigorous evaluation of targeted interventions to reduce these inequities and improve perinatal outcomes among Roma populations. Full article

Helminthiases remain a significant global health concern, affecting both the Global South and increasingly the Global North. In Slovakia, intestinal parasitic infections impact marginalised populations, particularly the population of Roma inhabitants, who often face inadequate housing, poor sanitation, and limited access to clean water. This study examines the prevalence of intestinal parasites in the “Hungry Valleys”, an economically challenged region of eastern Slovakia, with a higher number of Roma inhabitants. A total of 3816 stool samples were analysed using sedimentation methods, revealing an overall positivity rate of 5.06%. The highest prevalence was found among Roma inhabitants, with 23 times higher chance for infection than non-Roma inhabitants, rural residents, and children under 18. The most common parasites were Ascaris lumbricoides and Trichuris trichiura. Statistical analyses revealed strong associations between infection rates and factors such as density of the population of Roma inhabitants and inadequate access to water. Risk maps created in QGIS identified areas of high transmission. These findings highlight the urgent need for targeted public health interventions, especially in vulnerable Roma communities. Integrating spatial analysis with epidemiological data can guide more effective prevention efforts. Addressing structural inequalities is key to reducing the burden of parasitic diseases in marginalised populations. Full article

The most recent scientific literature shows the effects of the COVID-19 pandemic on socially vulnerable groups such as Roma people. Non-profit social initiative organizations were active agents in overcoming the effects of the pandemic. This article shows the role that Third Sector of Social Action organizations played in alleviating the impact of the pandemic in collaboration with the Roma community itself, as part of the R&D&I research project ROM21, which studied the social agency of the Roma population in Spain regarding overcoming inequalities caused by the pandemic in relation to education, social services, and civic organizations. Based on the communicative methodology, discussion groups and interviews were conducted with Roma people and professionals from social services, civic organizations, and the health and education sectors, with 54 Roma women, 24 Roma men, 40 professionals, and 5 social activists participating. The results show the social initiative entities’ social action strategies in collaboration with the Roma community and the public administrations that responded to the needs that arose during the pandemic and in the post-pandemic context. Full article

The article examines the support structures available to Roma women faced with domestic violence, focusing on the role of the church as a sanctuary. The research includes a case study of the Roma community in Međimurje County, Croatia, which is characterized by (Catholic) religious homogenization. Analysis reveals that Roma women who fear the perpetrator prefer confidentiality, anticipate disbelief, or feel they are themselves to blame are more likely to seek support from the church. The findings show that Roma women who report domestic violence to the police are also likely to turn to the church for help. The research further examines the correlation between different types of violence and the likelihood of Roma women contacting the church for support. Full article

Preterm birth is a leading cause of perinatal morbidity and mortality and is particularly prevalent among socially disadvantaged female populations. This quantitative, cross-sectional study aimed to explore the prevalence of preterm birth in three segregated Roma communities in Hungary and to identify health behavior and care factors associated with its occurrence. In our study, preterm birth was defined as delivery before 37 completed weeks of gestation (i.e., <259 days). Data were collected from 231 Roma women living in three municipalities of Szabolcs-Szatmár-Bereg County, one of Hungary’s most disadvantaged regions, using a structured interview questionnaire. The participants were women aged 18–65 years. Of these, 209 had been pregnant at least once in their lifetime. The questionnaire covered socio-demographic characteristics (age, level of education, employment status, housing conditions, marital status), health behaviors (smoking, alcohol consumption, drug use, vitamin supplementation, other substance use), antenatal care attendance, and birth outcomes (preterm birth, gestational age, low birth weight, newborn status). Statistical analyses included descriptive statistics, chi-square tests, and binary logistic regression with significance set at p < 0.05. Preterm birth was significantly more common among women who smoked, consumed alcohol or drugs during pregnancy, or had vaginal infections. Drug use showed the strongest association with a 22-fold increase in risk, followed by alcohol (nearly fivefold), smoking (over threefold), and infections (threefold). Although non-attendance at antenatal care was associated with increased risk, this relationship was not statistically significant. In the multivariate logistic regression model, alcohol consumption (OR = 1.744, p < 0.01), smoking (OR = 2.495, p < 0.01), drug use (OR = 25.500, p < 0.001), and vaginal infections (OR = 4.014, p < 0.01) during pregnancy were independently associated with an increased risk of preterm birth, whereas folic acid supplementation (OR = 0.448, p < 0.05) showed a significant protective effect. These findings highlight that preterm birth is intricately linked to socioeconomic disadvantage and adverse health behaviors. Culture-specific, community-based prevention strategies are essential to reduce perinatal risks in marginalized populations. Full article

Background/Objectives: Policy implementers play a crucial role in the effective delivery of policies aiming at promoting a healthy lifestyle in the most vulnerable populations. This study aimed to explore (a) policy implementers’ knowledge and perceptions of the policy framework promoting physical activity and healthy nutrition among children in need in Greece, and (b) self-perceived barriers and facilitators of the framework implementation. The term children in need refers to children who are at risk of poverty and/or social exclusion. Methods: A qualitative study design was employed consisting of semi-structured interviews with 25 policy implementers, who represented four delivery systems (health, social protection, food, and education sectors) from three geographical regions in Greece. Interviews were completed between November and December 2023. Thematic analysis was conducted using inductive and deductive approaches to identify key themes, following data management in the N-VIVO 14 software. Results: Commonly mentioned policies that study participants were involved in included school- and/or community-level-based behavioral interventions. Participants perceived policy implementation efforts that often relied on individual initiatives as inconsistent. Most participants argued that existing policies were not tailored to the needs of children in need. Major self-perceived barriers included limited personnel training, limited facilities and infrastructure, and lack of incentives or opportunities to encourage active participation. Major self-perceived facilitators included personnel motivation, integration of nutrition and physical education into school curricula, and provision of free school meals, which was associated with regular school attendance of children from the Roma communities. Conclusions: Individual, sociocultural, and structural issues are shown to persist across different delivery systems indicating the complexity of tackling obesogenic environments, especially among children in need. This is the first study in Greece to provide evidence on self-perceived barriers and facilitators and could inform ongoing national and European efforts to address obesogenic environments in children in need. Full article

Background/Objectives: Alport syndrome (AS) predominantly presents with X-linked inheritance worldwide. However, the epidemiological landscape remains poorly characterized, particularly among ethnic minority groups like the Roma minority in Slovakia. Our study aimed to investigate the inheritance patterns of AS in this region and determine whether a distinct pattern predominates. Methods: Selective genetic screening for pathogenic variants previously occurring in Slovakia was performed. Samples from patients with persistent (familial) hematuria ± hearing loss who had not yet undergone biopsy or genetic testing were analyzed by high-resolution melting analysis. The prevalence of AS per million (pm) population was calculated by adding information on patients with previously confirmed AS. Results: Twenty-five new cases of ARAS, one digenic form, and two cases of XLAS were identified by screening. In total, we collected information on 46 patients with genetically or bioptically confirmed AS in the region of eastern Slovakia, corresponding to a prevalence of 29 pm population. The c.1598G>A (p.Gly533Asp) pathogenic variant of the collagen type IV alpha 4 chain, which follows an autosomal recessive inheritance pattern, was the most prevalent variant that was exclusively confirmed in Roma patients (n = 35), suggesting a founder effect. Within the Roma community, the prevalence of ARAS (the most prevalent inheritance pattern) corresponds to 133 pm of the Roma population, based on midpoint population estimates. Conclusions: Our findings demonstrate a unique genetic profile of AS in the Roma population, characterized by a high prevalence of ARAS, with implications for genetic counseling and screening strategies. Full article

Commitments to carbon neutrality at both international and national levels have spurred the development of market-based mechanisms that incentivize low-carbon technologies while penalizing emissions-intensive activities. These policies have wide ranging impacts for the Australian agricultural sector, and associated rural communities, where the majority of carbon credits and biodiversity credits are sourced in Australia. Undeniably, the introduction of carbon and environmental markets has created the opportunity for an expansion and diversification of local, rural economies beyond a traditional agricultural base. However, there is much complexity for the agricultural sector to navigate as environmental markets intersect and compete with food and fiber livelihoods, and entrenched ideologies of rural identity and purpose. As carbon and environmental markets focused on primary producers have expanded rapidly, there is little understanding of the associated situated and relational impacts for farming households and rural communities. Nor has there been much work to identify the barriers to engagement. This study explores these tensions through qualitative research in Stanthorpe and Roma, Queensland, offering insights into the barriers and benefits of market engagement. The findings inform policy development aimed at balancing climate goals with agricultural sustainability and rural community resilience. Full article

Background: The aim of this scoping review is to analyze the health status of Roma and Sinti in Europe, highlighting the issues faced by children and women. In addition, we want to examine the access of these groups to health care services and to identify possible interventions to increase their use. Methods: Our research was conducted on Pubmed, Google Scholar, and the Trip Database. We selected articles written in English, Spanish, and Italian published since 2015. Results: Studies have shown that the health status of Roma and Sinti populations is generally worse than that of the rest of the population. Limited access to care is due to several specific factors, such as beliefs, traditions, and the lack of awareness of widespread direct and indirect discrimination against these groups by healthcare professionals. The studies reviewed have shown how mistrust can be broken down through multi-centered interventions linked to information, education, and communication through mediators able to interact with these populations, as well as through appropriate training of the health workers in charge. Conclusions: The health of the Roma and Sinti populations is commonly worse than that of the rest of the population. This is particularly true for the large proportion of people confined to suburban camps. However, the available evidence signals the low quality of life they experience and the need for interventions involving the communities and the establishment of ad hoc orientation or initial care contact points in the segregated areas. This could lead to an improvement in the integration of this population into the National Health Systems’ activities. Full article

The Roma population is one of Europe’s largest ethnic minorities, often living in inadequate living conditions, worse than those of the majority population. They frequently lack access to essential services, even in high-income countries. This lack of basic services—particularly in combination with proximity to (stray) animals and human and solid waste—significantly increases environmental health risks, and leads to a higher rate of endoparasitic infections. Our study sheds light on the living conditions and health situation in Roma communities in Slovakia, focusing on the prevalence of intestinal endoparasitic infections across various settlement localisations. It highlights disparities and challenges in access to safe drinking water, sanitation, and hygiene (WASH) and other potentially disease-exposing factors among these marginalised populations. This study combines a comprehensive review of living conditions as per national data provided through the Atlas of Roma communities with an analysis of empirical data on parasitological infection rates in humans, animals, and the environment in settlements, applying descriptive statistical methods. It is the first study in Europe to provide detailed insights into how living conditions vary and cause health risks across Roma settlements, ranging from those integrated within villages (inside, urban), to those isolated on the outskirts (edge, sub-urban) or outside villages (natural/rural). Our study shows clear disparities in access to services, and in health outcomes, based on where people live. Our findings underscore the fact that (i) place—geographical centrality in particular—in an already challenged population group plays a major role in health inequalities and disease exposure, as well as (ii) the urgent need for more current and comprehensive data. Our study highlights persistent disparities in living conditions within high-income countries and stresses the need for greater attention and more sensitive targeted health-promoting approaches with marginalised communities in Europe that take into consideration any and all of the humans, ecology, and animals affected (=One Health). Full article

Background/Objective: The priority task of each country is to ensure the protection of and improvement in its people’s health. One of the key aspects of health is related to food culture, consuming foods that ensure growth and normal development in a person and also prevent diseases. The consumption of foods that contain essential nutrients and functional foods, which include those containing probiotics, is the basis of a healthy diet. Methods: A structured anonymous interview was conducted with 90 parents from the Roma minority group to assess the nutritional culture of children from these families. The knowledge of Roma parents about probiotics, as well as their attitudes to apply them to their children, was examined. The survey was based on a questionnaire that was distributed among the respondents, Roma students, under the guidance of a mentor. Roma students study health specialties and are also participants in a Scholarship Programme. Results: We have established that the daily diet of children from this minority group consists of foods containing hydrogenated fats and sugar, which was indicated by 53.3% of respondents, and only 28.9% of respondents noted that their children consume fresh fruit every day. We have established that less than half of the children (35.6%) consume yoghurt daily as a source of valuable probiotics. We applied a nonparametric Kruskal–Wallis test and found statistically significant differences in the respondents’ knowledge of probiotics (χ² = 16.186, p = 0.001): those receiving secondary specialized education were better informed, but education has not affected their knowledge of the health benefits of probiotics (χ² = 5.462, p = 0.141). Children from minority groups tend to eat unhealthy foods. Conclusions: The role of Roma students studying health specialties as participants in the Scholarship Programme is to assist parents in forming a nutritional culture in their children. Roma students, due to their ethnic and cultural proximity and potential to be health professionals, contribute to sustainable health improvements among the Roma community as a whole. Full article

During the last few years, the local government in Greece has been at the center of continuous reforms in both its political and administrative operations. In general, a systematic expansion of its responsibilities has been observed, which has also included the exercise of social policy, which is based on European and national strategies and includes programs for the social integration of the Roma, one of the largest national minorities in the European region. The aim of this article is to present the satisfaction level of vulnerable social groups with the services provided by the local government. In particular, this article examines the case of the Roma of the Municipality of Heraklia as an empirical example in order to reveal the strong and weak topics of social policy which is practiced by this particular municipality. This paper is based on a quantitative method, and the sample comprises 91 Roma people, beneficiaries of the social services of the Municipality of Heraklia. According to the results, the level of satisfaction is high, especially with the services of the Department of Social Protection, Education and Culture and the community center of the Municipality of Heraklia. However, this particular social group needs more services in more social areas. Full article