Jackson Institute for Global Affairs, Global Health Initiative, Yale University, New Haven, CT 06520-8206, USA.
Int J Public Health. 2012 Feb;57(1):49-55. doi: 10.1007/s00038-011-0277-1. Epub 2011 Aug 4.
Roma experience high levels of discrimination and social exclusion. Our objective was to examine differences in self-rated health (SRH) between Roma and non-Roma in Serbia.
Using data from the 2007 Living Standards Measurement Survey in Serbia (n = 14,313), we used binomial regression to estimate the relative risk (RR) of poor (SRH) among Roma (n = 267) relative to non-Roma. We additionally conducted group comparisons of combinations of Romani ethnicity, poverty, and gender, relative to the baseline group of non-Roma males not in poverty.
Adjusting for age, Roma were more than twice as likely as non-Roma to report poor SRH (RR = 2.3, 95% Confidence Interval (CI) = 1.8, 2.8). After adjustment for household consumption, employment, and education, the RR was reduced to 1.6 (95% CI = 1.3, 2.0). Romani women, regardless of whether they were living in poverty or not, experienced the greatest risk of poor SRH, with risks relative to non-Roma males not in poverty of 3.2 (95% CI = 2.3, 4.2) and 3.1 (95% CI = 2.4, 4.0), respectively.
Roma in Serbia are at increased risk of poor SRH; Romani women experience the greatest burden of poor SRH.
罗姆人经历着高度的歧视和社会排斥。我们的目的是研究塞尔维亚罗姆人和非罗姆人之间自我报告健康状况（SRH）的差异。
使用塞尔维亚 2007 年生活水平衡量调查的数据（n = 14313），我们使用二项式回归估计罗姆人（n = 267）中较差 SRH 的相对风险（RR）与非罗姆人相比。我们还对罗曼尼族裔、贫困和性别组合进行了组间比较，与非贫困非罗姆男性的基线组相比。
调整年龄因素后，罗姆人报告较差 SRH 的可能性是非罗姆人的两倍多（RR = 2.3，95%置信区间[CI] = 1.8，2.8）。在调整家庭消费、就业和教育因素后，RR 降低至 1.6（95% CI = 1.3，2.0）。无论是否生活贫困，罗姆女性都经历着极差 SRH 的最大风险，与非贫困非罗姆男性相比，风险分别为 3.2（95% CI = 2.3，4.2）和 3.1（95% CI = 2.4，4.0）。
塞尔维亚的罗姆人面临更高的较差 SRH 风险；罗姆女性面临极差 SRH 的最大负担。
