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赫帕梅塔——生活在分散隔离的罗姆人聚居区人群中乙肝/丙肝和代谢综合征的患病率:一项采用基于社区方法的横断面人群研究方法。

Hepameta-- prevalence of hepatitis B/C and metabolic syndrome in population living in separated and segregated Roma settlements: a methodology for a cross-sectional population-based study using community-based approach.

作者信息

Gecková Andrea Madarasová, Jarcuska Peter, Mareková Mária, Pella Daniel, Siegfried Leonard, Jarcuska Pavol, Halánová Monika

出版信息

Cent Eur J Public Health. 2014 Mar;22 Suppl:S6-11. doi: 10.21101/cejph.a3972.

DOI:10.21101/cejph.a3972
PMID:24847607
Abstract

BACKGROUND

Roma represent one of the largest and oldest minorities in Europe. Health of many of them, particularly those living in settlements, is heavily compromised by poor dwelling, low educational level, unemployment, and poverty rooted in generational poverty, segregation and discrimination. The cross-sectional population-based study using community based approach aimed to map the prevalence of viral hepatitis B/C and metabolic syndrome in the population living in separated and segregated Roma settlements and to compare it with the occurrence of the same health indicators in the majority population, considering selected risk and protective factors of these health indicators.

METHODS

The sample consisted of 452 Roma (mean age = 34.7; 35.2% men) and 403 non-Roma (mean age = 33.5; 45.9% men) respondents. Data were collected in 2011 via questionnaire, anthropometric measures and analysed blood and urine samples. A methodology used in the study as well as in the following scientific papers is described in the Methods section (i.e. study design, procedures, samples, methods including questionnaire, anthropometric measurements, physical measurements, blood and urine measurements).

CONCLUSIONS

There are regions of declining prosperity due to high unemployment, long-term problems with poverty and depleted resources. Populations living in these areas, i.e. in Central and Eastern Europe in Roma settlements, are at risk of poverty, social exclusion and other factors affecting health. Therefore, we should look for successful long-term strategies and tools (e.g. Roma mediators, terrain work) in order to improve the future prospects of these minorities.

摘要

背景

罗姆人是欧洲最大且最古老的少数群体之一。他们中的许多人,尤其是居住在定居点的罗姆人的健康,因居住条件差、教育水平低、失业以及源于代际贫困、隔离和歧视的贫困而受到严重影响。这项基于社区方法的横断面人群研究旨在摸清居住在分散且隔离的罗姆人定居点的人群中乙型/丙型病毒性肝炎和代谢综合征的患病率,并将其与多数人群中这些健康指标的发生率进行比较,同时考虑这些健康指标的选定风险因素和保护因素。

方法

样本包括452名罗姆人(平均年龄 = 34.7岁;男性占35.2%)和403名非罗姆人(平均年龄 = 33.5岁;男性占45.9%)受访者。2011年通过问卷调查、人体测量以及对血液和尿液样本进行分析来收集数据。研究以及后续科学论文中使用的方法在“方法”部分进行了描述(即研究设计、程序、样本、方法,包括问卷调查、人体测量、身体测量、血液和尿液测量)。

结论

由于高失业率、长期贫困问题和资源枯竭,存在繁荣程度下降的地区。生活在这些地区,即中东欧罗姆人定居点的人群面临贫困、社会排斥和其他影响健康的因素的风险。因此,我们应该寻找成功的长期战略和工具(如罗姆调解人、实地工作),以改善这些少数群体的未来前景。

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