Seven years’ mortality in Roma and non-Roma patients after coronary angiography

Sudzinová, Adriana; Nagyová, Iveta; Rosenberger, Jaroslav; Studenčan, Martin; Vargova, H.; Middel, Berry; Dijk, Jitse P. van; Reijneveld, Sijmen A.

doi:10.1093/eurpub/ckv057

Cited by 11 publications

(13 citation statements)

References 18 publications

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“…Our observations of Roma-specific healthcare utilization pattern are in concordance of published results of Roma studies from European countries, which were based on self-declared Roma ethnicity assessment [ 25 , 26 , 27 , 28 , 29 , 30 ]. The elevated risk of all-cause premature death among Roma adults living in SRS is also consistent with the Hungarian observations of the poor health status and poor self-rated health of adults living in SRS [ 16 , 21 , 22 ].…”

Section: Discussionsupporting

confidence: 91%

Healthcare Utilization and All-Cause Premature Mortality in Hungarian Segregated Roma Settlements: Evaluation of Specific Indicators in a Cross-Sectional Study

Sándor

Pálinkás

Vincze

et al. 2018

IJERPH

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Roma is the largest ethnic minority of Europe with deprived health status, which is poorly explored due to legal constrains of ethnicity assessment. We aimed to elaborate health indicators for adults living in segregated Roma settlements (SRS), representing the most vulnerable Roma subpopulation. SRSs were mapped in a study area populated by 54,682 adults. Records of all adults living in the study area were processed in the National Institute of Health Insurance Fund Management. Aggregated, age-sex standardized SRS-specific and non-SRS-specific indicators on healthcare utilization and all-cause premature death along with the ratio of them (RR) were computed with 95% confidence intervals. The rate of GP appointments was significantly higher among SRS inhabitants (RR = 1.152, 95% CI: 1.136–1.167). The proportion of subjects hospitalized (RR = 1.286, 95% CI: 1.177–1.405) and the reimbursement for inpatient care (RR = 1.060, 95% CI: 1.057–1.064) were elevated for SRS. All-cause premature mortality was significantly higher in SRSs (RR = 1.711, 1.085–2.696). Our study demonstrated that it is possible to compute the SRS-specific version of routine healthcare indicators without violating the protection of personal data by converting a sensitive ethical issue into a non-sensitive small-area geographical analysis; there is an SRS-specific healthcare utilization pattern, which is associated with elevated costs and increased risk of all-cause premature death.

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Section: Discussionsupporting

confidence: 91%

Healthcare Utilization and All-Cause Premature Mortality in Hungarian Segregated Roma Settlements: Evaluation of Specific Indicators in a Cross-Sectional Study

Sándor

Pálinkás

Vincze

et al. 2018

IJERPH

View full text Add to dashboard Cite

show abstract

“…Our observations of Roma-specific health care utilization pattern are in concordance of published results of Roma studies from European countries, which were based on self-declared Roma ethnicity assessment [24][25][26][27][28][29]. The elevated risk of premature death among Roma adults living in SRS is also consistent with the Hungarian observations of the poor health status and poor self-rated health of adults living in SRS [16,21,22].…”

Section: Main Findingssupporting

confidence: 90%

Special Health Care Utilization Pattern with Elevated Costs and High Risk of Premature Death Among Adults Living in Segregated Roma Settlements

Sándor¹,

Pálinkás²,

Vincze³

et al. 2018

Preprint

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Roma is the largest ethnic minority of Europe with poor health status, which is poorly explored due to legal constrains of ethnicity assessment. We aimed to elaborate health-indicators for adults living in segregated Roma settlements (SRS) representing the most vulnerable Roma subpopulation.SRSs were mapped in a study area populated by 54682 adults. Records of all adults living in the study area were processed in the National Institute of Health Insurance Fund Management. Aggregated, age-sex standardized SRS-specific and non-SRS-specific indicators on healthcare utilization and premature death along with the ratio of them (RR) were computed with 95% confidence intervals.The rate of GP appointments was significantly higher among SRS inhabitants (RR=1.152, 95%CI: 1.136-1.167). The proportion of subjects hospitalized (RR=1.286, 1.177-1.405), and the reimbursement for inpatient care (RR=1.060, 1.057-1.064) were elevated for SRS. Premature mortality was significantly higher in SRSs (RR=1.711, 1.085-2.696).Our study demonstrated that it is possible to compute the SRS-specific version of the routine healthcare indicators without violating the protection of personal data by converting a sensitive ethical issue to a non-sensitive small area geographical analysis; there is an SRS-specific healthcare utilization pattern, which is associated with elevated costs and increased risk of premature death.

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“…This study focused on finding differences in the distribution of cholesterol in lipoprotein subfractions, since average values of TC and LDL-C in Roma are more convenient when compared to majority population of eastern Slovakia [ 3 ], although they do not correlate with a higher risk of CVD in Roma [ 11 ]. In our study, the participants were selected to be representative of people with physiological and pathological values of the lipid profile both in the study group (Roma) as well in the control group (the majority population of eastern Slovakia).…”

Section: Discussionmentioning

confidence: 99%

Lipoprotein-Cholesterol Fractions in Marginalized Roma versus Majority Population

Hubková

Bódy

Mašlanková

et al. 2018

IJERPH

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The trend of modern clinical biochemistry is to emphasize the composition and the quality of lipoproteins over their quantity. The serum lipoprotein fractions and subfractions were analyzed by the Lipoprint Lipoprotein Subfractions Testing System, the parameters of lipid profile, as total cholesterol (TC), low-density lipoprotein-cholesterol (LDL-C), high-density lipoprotein-cholesterol (HDL-C) and triacylglycerides (TAG) were determined by an automated selective biochemical analyzer. Our results showed a significantly lower concentration of cholesterol in the LDL fractions 1 and 2 and in the HDL fractions 8 to 10 in Roma compared to the majority population. The most significant differences between Roma and the majority population when considering body mass index (BMI), waist-to-hip ratio and the index of central obesity were in very low-density lipoproteins (VLDL), intermediate-density lipoproteins, fraction A (IDL-A) and LDL-2. The last two listed were significantly higher in the majority population. VLDL was significantly higher in overweight or obese Roma men and in Roma men with central obesity compared to men from the majority population, as well as in Roma women with normal weight and physiological waist-to-hip ratio compared to the women from majority population. Our study is among the first describing the distribution of lipoprotein subfractions in different ethnic groups.

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Seven years’ mortality in Roma and non-Roma patients after coronary angiography

Abstract: Mortality after CAG is higher among Roma, and this is not due to differences in age, gender or education. These results warrant further reconsideration of the management of Roma cardiac patients.

Cited by 11 publications

References 18 publications

Healthcare Utilization and All-Cause Premature Mortality in Hungarian Segregated Roma Settlements: Evaluation of Specific Indicators in a Cross-Sectional Study

Healthcare Utilization and All-Cause Premature Mortality in Hungarian Segregated Roma Settlements: Evaluation of Specific Indicators in a Cross-Sectional Study

Special Health Care Utilization Pattern with Elevated Costs and High Risk of Premature Death Among Adults Living in Segregated Roma Settlements

Lipoprotein-Cholesterol Fractions in Marginalized Roma versus Majority Population

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