Department of Gastroenterology, University Hospital Merkur, Zagreb 10000, Croatia.
Department of Medicine, County Hospital Cakovec, Cakovec 40000, Croatia.
World J Gastroenterol. 2021 Jan 14;27(2):143-151. doi: 10.3748/wjg.v27.i2.143.
Roma people make up a significant ethnic minority in many European countries, with the vast majority living in Central and Eastern Europe. Roma are a vulnerable population group in social, economic, and political terms. Frequent migrations, life in segregated communities, substandard housing, poverty, and limited access to quality health care, including low immunization coverage, affect their health status and predispose them to various diseases, including viral hepatitis. Hepatitis A, B, and E are highly prevalent among Roma and mainly associated with low socioeconomic status. In contrast, hepatitis C does not seem to be more frequent in the Roma population. Enhanced efforts should be directed towards the implementation of screening programs, preventive measures, and treatment of viral hepatitis in Roma communities throughout Europe.
罗姆人在许多欧洲国家构成了一个重要的少数民族群体,其中绝大多数居住在中东欧地区。罗姆人在社会、经济和政治方面属于弱势群体。频繁的迁徙、聚居社区生活、住房条件差、贫困以及获得高质量医疗保健的机会有限,包括免疫接种率低,这些都影响了他们的健康状况,使他们容易患上各种疾病,包括病毒性肝炎。甲型、乙型和戊型肝炎在罗姆人中非常普遍,主要与社会经济地位低有关。相比之下,丙型肝炎在罗姆人群中似乎并不更为常见。应该加强努力,在整个欧洲的罗姆人社区实施病毒性肝炎的筛查计划、预防措施和治疗。