Abstract：
OBJECTIVES:The health of Roma has been found to be poorer than that of the majority population. The aim of this study was to explore the differences between Roma and non-Roma regarding perceived barriers in accessing health services. Furthermore, we aimed to assess the association between self-rated health status and Roma ethnicity and explore to what degree barriers in accessing health services explain this association. METHODS:We used data from the cross-sectional HepaMeta study conducted in 2011 in Slovakia. The final sample comprised 452 Roma (mean age 34.7; 35.2 % men) and 403 (mean age 33.5; 45.9 % men) non-Roma respondents. RESULTS:Roma ethnicity was found to be significantly associated with poorer self-rated health status. A considerable part of this association can be explained by barriers in accessing health services as perceived by Roma. CONCLUSIONS:Worse health in Roma is partially mediated by worse access to health services, apart from a large educational gap between Roma living in settlements and the majority population. Interventions should focus not only on health literacy among Roma but also on the health care system and health care professionals.
journal_name
Int J Public Healthjournal_title
International journal of public healthauthors
Jarcuska P,Bobakova D,Uhrin J,Bobak L,Babinska I,Kolarcik P,Veselska Z,Madarasova Geckova A,HEPA-META team.doi
10.1007/s00038-013-0451-8subject
Has Abstractpub_date
2013-06-01 00:00:00pages
427-34issue
3eissn
1661-8556issn
1661-8564journal_volume
58pub_type
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