Hassler Sven, Eklund Leena
Department of Health and Culture, University West, Gustava Melinsgata 2, Trollhättan, Sweden.
Int J Circumpolar Health. 2012 May 4;71(0):1-6. doi: 10.3402/ijch.v71i0.18438.
The Roma people have been known in Europe for a 1000 years, during which they have usually been the subject of discrimination and oppression leading to isolation, powerlessness and poor health. The objective of this study is to investigate the sense of coherence (SOC) in relation to self-reported health among a group of Roma people in southwest Sweden.
A cross-sectional, quantitative pilot study.
A questionnaire was constructed based on the Short-Form Health Survey (SF-12) and Antonovsky's Sense of Coherence Scale (SOC-13) and was distributed among Roma people in southwest Sweden (n =102). Self-reported health was summarised in a physical score (PCS) and a mental score (MCS). Comparisons were made with a general Swedish majority population and a Sami population.
The health scores were significantly lower among the Roma people compared to Swedes - PCS: Roma 46.0 (Swedes 52.0) and MCS: Roma 47.5 (Swedes 52.6). The SOC score for the Roma people (54.4) was significantly lower than that of the Swedes (65.2) and Sami (65.0).
The low SOC with the Swedish majority society is a strong indication of the marginalisation and exclusion of the Roma people from mainstream society. Low scores in self-reported health among the Roma people also establishes the serious health risks the Roma people are experiencing through their present life situation.
罗姆人在欧洲已为人所知达1000年之久，在此期间，他们通常一直是歧视和压迫的对象，导致孤立、无力和健康状况不佳。本研究的目的是调查瑞典西南部一群罗姆人的连贯感（SOC）与自我报告的健康状况之间的关系。
一项横断面定量试点研究。
基于简短健康调查问卷（SF - 12）和安托诺夫斯基的连贯感量表（SOC - 13）构建了一份问卷，并分发给瑞典西南部的罗姆人（n = 102）。自我报告的健康状况总结为身体得分（PCS）和心理得分（MCS）。与瑞典普通多数人群和萨米人群进行了比较。
与瑞典人相比，罗姆人的健康得分显著更低——PCS：罗姆人46.0（瑞典人52.0），MCS：罗姆人47.5（瑞典人52.6）。罗姆人的SOC得分（54.4）显著低于瑞典人（65.2）和萨米人（65.0）。
与瑞典多数社会的低SOC强烈表明罗姆人被边缘化并被排除在主流社会之外。罗姆人自我报告健康状况的低分也表明罗姆人因其当前生活状况正面临严重的健康风险。
