The Role of Perceived Unjust Treatment in Unmet Needs for Primary Care Among Finnish Roma Adults

Lämsä, Riikka; Castaneda, Anu E.; Weiste, Anneli; Laalo, Marianne; Koponen, Päivikki; Kuusio, Hannamaria

doi:10.3390/ijerph17165825

Cited by 4 publications

(2 citation statements)

References 47 publications

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“…The particular concern about children's health found in this research has earlier been described similarly concerning immunization uptake (46). In line with other studies in different Roma populations, we identified an interplay of day-to-day priorities, ignorance of long-term implications, fear of a diagnosis, distance to healthcare facilities, low levels of health literacy, discrimination-fueled distrust of healthcare providers, and a strong masculine culture to negatively influence health behavior (45,(47)(48)(49). Our study is the first, however, to relate this interplay specifically to CRDs and potentially other chronic diseases.…”

Section: Interpretation Of Findings In Relation To Literaturesupporting

confidence: 87%

“…It has been suggested that Roma "nonadherence norms" to medical recommendations are less likely to be present in environments that hold less anti-Roma views (52). This underlines the importance to support non-Roma HPs in their interaction with Roma, as expressed in previous studies (47)(48)(49)51). Considering that most CRD-related care in Greece takes place in hospital settings (52), the importance of welcoming interactions should be duly noted.…”

Section: Interpretation Of Findings In Relation To Literaturementioning

confidence: 85%

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Beliefs, Perceptions, and Behaviors Regarding Chronic Respiratory Diseases of Roma in Crete, Greece: A Qualitative FRESH AIR Study

Anastasaki

Bree

Brakema

et al. 2022

Front. Public Health

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BackgroundThe global burden of chronic respiratory diseases (CRDs) disproportionally affects Roma populations. Health interventions addressing CRD among Roma or other vulnerable groups often fail to be effective, as their implementation strategy misaligns with the local context. To design context-driven strategies, we studied CRD-related beliefs, perceptions, and behaviors among a Greek Roma population, focussing on asthma and COPD.MethodsFor this qualitative study in Crete, Greece, we used a Rapid Assessment Process. We conducted interviews and focus groups with purposively selected Roma community members (CMs), key informants (KIs) and healthcare professionals (HPs) serving the population. Data were triangulated using observations of households and clinical consultations. Key themes were identified using Thematic Content Analysis. The Health Belief Model, the Explanatory Model of Illness, and the Theory of Planned Behavior that are complementary is some aspects, guided our methodology with the several variables from them to be integrated to better understand CRD risk preventative behavior.ResultsWe conducted six focus groups, seven interviews and 13 observations among 15 CMs, four KIs, and three HPs. Five themes emerged: (1) Poor CRD-awareness (smoking and household air pollution were perceived as harmful, but almost exclusively associated with acute rather than chronic symptoms); (2) Low perceived susceptibility to CRD (and CMs tended to ignore respiratory symptoms); (3) High risk exposure (smoking was common, and air pollution was perceived inevitable due to financial constraints); (4) Healthcare seeking (healthcare was sought only for persistent, severe symptoms, daily needs were a priority); (5) Perceived barriers/facilitators to care (health illiteracy, perceived discrimination and financial constraints were main barriers; established trust the main facilitator).ConclusionThese five themes highlight that strategies to tackle CRD in the studied Roma setting require a multilevel approach: bridging awareness gaps at the population level, providing resources to enhance the adoption of healthy behaviors, and fighting discrimination at the societal level, whilst establishing trusted relationships at the local level. Similar methodologies to address local context may strengthen the implementation of effective interventions for similarly vulnerable and/or low-resource populations.

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Section: Interpretation Of Findings In Relation To Literaturesupporting

confidence: 87%

Section: Interpretation Of Findings In Relation To Literaturementioning

confidence: 85%

Beliefs, Perceptions, and Behaviors Regarding Chronic Respiratory Diseases of Roma in Crete, Greece: A Qualitative FRESH AIR Study

Anastasaki

Bree

Brakema

et al. 2022

Front. Public Health

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Low prevalence of spectacle use in the Hungarian Roma population indicates unmet health needs

Losonczy

Pikó

Klevering

et al. 2022

Sci Rep

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The Roma population is the largest transnational ethnic minority group in Europe, often facing socioeconomic inequalities and various health problems. In the present study, we investigated visual acuity and its influencing factors along with spectacle use of the Roma population in comparison with the general population in Hungary. A cross-sectional survey was carried out including 832 participants aged 20–64 years. We recorded the uncorrected visual acuity along with anthropometric, demographic, socioeconomic and health-related data of each individual. Although the average uncorrected visual acuity was somewhat higher, the use of a visual aid was significantly less frequent in the Roma population, especially in the group with a visual acuity below 0.5 in both eyes (14.3% vs. 77.1%, p < 0.001). Age, abdominal obesity and disturbances of carbohydrate metabolism had a negative impact on visual acuity in both populations; however, the latter was a much stronger risk factor in the Roma population (OR 5.789, 95% CI 2.239–14.964, p < 0.001) than in the general population (OR 2.075, 95% CI 1.097–3.926, p = 0.025). Our results show serious unmet health needs within the Roma population, which calls for public health programs to improve poor primary care indicators on regular eye examination and much more rigorous diabetes control.

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The Range of Countermeasures to Reduce Inequalities in Mental Health Care for Socially Marginalized or Medically Vulnerable Adults

Zupančič,

Erjavec

2024

Preprint

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Background Socially marginalized or medically vulnerable adults are affected by severe health inequalities and are at increased risk of poorer accessibility and quality of integrated mental health care. Health professionals often have stigmatizing attitudes towards people with mental health disorders. This study aimed to identify groups of socially marginalized or medically vulnerable adults and to collect the already implemented or proposed countermeasures to reduce inequalities in high-quality integrated mental health care for such individuals with mental health disorders. Methods A qualitative research approach was used for the study – a systematic literature review conducted according to PRISMA guidelines and an analysis of previous research and relevant literature on mental health care for socially marginalized and medically vulnerable adults. The time frame for the search in the respective databases ranged from 2014 to the present. Results This research identifies the gaps and that marginalized individuals are medically vulnerable. A spectrum of countermeasures to reduce inequalities for quality integrated mental health care for socially marginalized or medically vulnerable adults was compiled. The countermeasures need to be addressed comprehensively as part of integrated mental health and social care for marginalized or vulnerable people and promote culturally competent ethical attitudes among health professionals and in society at large. Discussion The countermeasures can usefully be applied to another marginalized or vulnerable group in mental health care, regardless of the level or area in which it has been identified. The range of countermeasures for individual marginalized and vulnerable groups differs only slightly, and they can usefully complement one another. The findings of this review provide a basis for a better understanding of interventions aimed at reducing stigma in health care. Trial registration Not applicable for a systematic review.

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The Role of Perceived Unjust Treatment in Unmet Needs for Primary Care Among Finnish Roma Adults

Cited by 4 publications

References 47 publications

Beliefs, Perceptions, and Behaviors Regarding Chronic Respiratory Diseases of Roma in Crete, Greece: A Qualitative FRESH AIR Study

Beliefs, Perceptions, and Behaviors Regarding Chronic Respiratory Diseases of Roma in Crete, Greece: A Qualitative FRESH AIR Study

Low prevalence of spectacle use in the Hungarian Roma population indicates unmet health needs

The Range of Countermeasures to Reduce Inequalities in Mental Health Care for Socially Marginalized or Medically Vulnerable Adults

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