Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai str 26/B, 4028, Debrecen, Hungary.
Department of Preventive Medicine, Faculty of Public Health, WHO Collaborating Centre on Vulnerability and Health, University of Debrecen, Debrecen, Hungary.
Int J Public Health. 2017 Sep;62(7):803-815. doi: 10.1007/s00038-017-0954-9. Epub 2017 Mar 29.
We investigated whether the severely disadvantaged health of Hungarian Roma adults living in segregated settlements changed by the Decade of Roma Inclusion program.
We compared the results of two paired health interview surveys that we carried out using the same methodology before and after the Decade, on the general Hungarian and Roma populations.
Self-perceived health status of younger Roma worsened, while it improved among older Roma. Reported experience of discrimination reduced considerably and health care utilization improved in general. Positive changes in smoking and nutrition, and negative changes in alcohol consumption and overweight were observed. Many of observed changes can plausibly be linked to various government policies, including a quadrupling of public works expenditure, banning smoking in public places, restricting marketing of tobacco products, increasing cigarette prices, and a new tax on unhealthy foods. Liberalization of rules on alcohol distillation coincided with worsening alcohol consumption.
We have shown that Roma remain severely disadvantaged and present an innovative sampling method which can be used to monitor changes in groups where identification is a challenge.
我们调查了在隔离定居点生活的匈牙利罗姆人成年人的健康状况是否因罗姆人包容十年计划而得到改善。
我们使用相同的方法，在该计划实施前后，对普通匈牙利人和罗姆人进行了两次配对健康访谈调查，并对结果进行了比较。
年轻罗姆人的自我感知健康状况恶化，而年长罗姆人的健康状况则有所改善。报告的歧视经历大大减少，总体上医疗保健利用率有所提高。观察到的积极变化包括吸烟和营养状况的改善，以及饮酒和超重状况的恶化。许多观察到的变化可能与各种政府政策有关，包括公共工程支出增加四倍、公共场所禁烟、限制烟草产品营销、提高香烟价格以及对不健康食品征税。酒精蒸馏规则的放宽恰逢饮酒状况的恶化。
我们已经表明，罗姆人仍然处于严重的劣势地位，并提出了一种创新的抽样方法，可用于监测那些身份难以识别的群体的变化。
