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Erschienen in: Wiener klinische Wochenschrift 5/2015

01.12.2015 | original article

Attitudes of the Prekmurje Roma towards health and healthcare

verfasst von: Erika Zelko, MD, MSc, Igor Švab, MD, PhD, Alem Maksuti, Zalika Klemenc-Ketiš, PhD

Erschienen in: Wiener klinische Wochenschrift | Sonderheft 5/2015

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Summary

Background

Knowledge of the culture, traditions and values of the Roma is important for understanding their relationship to health and the health system. The Roma in Prekmurje, the far northeastern part of Slovenia, are a unique ethnic group and in many respects different from other Roma. The aim of the study was to determine their attitudes towards health and the healthcare system.

Methods and materials

We conducted 25 interviews in Roma settlements. The participants were between 18 and 64 years of age, with the average age being 23.46 years old; 48 % were men and 52 % women. We used qualitative content analysis as the data analysis technique. As a tool to facilitate the qualitative data analysis, we used the software Atlas.ti. In the study, we used a data-driving coding scheme. Two independent coders carried out the coding.

Results

We determined eight logical categories that explain the attitudes of the Roma towards health, satisfaction, problems and prospects and the functioning of the health system at the local level. These are experiences with the healthcare system, personal healthcare, the perception of health and illness, suggestions for improvement, common diseases as perceived by the Roma, poverty and socioeconomic status of the Roma, discrimination and the need for a better understanding of the Roma.

Conclusion

Roma culture and their customs affect the Roma’s relationship with health and the healthcare services in Prekmurje. The Roma are willing to participate in health status improvement, but require special attention within the national healthcare system.
Literatur
1.
Zurück zum Zitat Josipovič D, Repolusk P. Demographic characteristics of the Romany in Prekmurje. Acta Geographica Slovenica. 2003;3(1):127–40.CrossRef Josipovič D, Repolusk P. Demographic characteristics of the Romany in Prekmurje. Acta Geographica Slovenica. 2003;3(1):127–40.CrossRef
4.
Zurück zum Zitat Zadravec J. Zdravstvena kultura Romov v Prekmurju. Murska Sobota: Pomurska Založba; 1989. Zadravec J. Zdravstvena kultura Romov v Prekmurju. Murska Sobota: Pomurska Založba; 1989.
5.
Zurück zum Zitat Maksuti N. Samozdravljenje Romov v Prekmurju: specialistična naloga. Univ.Ljubljana; Medicinska Fakulteta. Ljubljana; 2009. Maksuti N. Samozdravljenje Romov v Prekmurju: specialistična naloga. Univ.Ljubljana; Medicinska Fakulteta. Ljubljana; 2009.
6.
Zurück zum Zitat Jagodic D. Javnozdravstveni vidiki obravnave ogroženih in ranljivih skupin prebivalstva. Ljubljana: Ministrstvo za zdravje; 2007. Jagodic D. Javnozdravstveni vidiki obravnave ogroženih in ranljivih skupin prebivalstva. Ljubljana: Ministrstvo za zdravje; 2007.
7.
Zurück zum Zitat Van Cleemput P, Parry G, Thomas K, Peters J, Cooper C. Health-related beliefs and experiences of Gypsies and travellers: a qualitative study. J Epidemiol Community Health. 2007;61:205–10.CrossRefPubMedPubMedCentral Van Cleemput P, Parry G, Thomas K, Peters J, Cooper C. Health-related beliefs and experiences of Gypsies and travellers: a qualitative study. J Epidemiol Community Health. 2007;61:205–10.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Koupilová I, Epstein H, Holcík J, Haijoff S, McKee M. Health needs of the Roma population in the Czech and Slovak republics. Soc Sci Med. 2001;53:1191–204.CrossRefPubMed Koupilová I, Epstein H, Holcík J, Haijoff S, McKee M. Health needs of the Roma population in the Czech and Slovak republics. Soc Sci Med. 2001;53:1191–204.CrossRefPubMed
9.
Zurück zum Zitat Zeman CL, Depken DE, Senchina DS. Roma health issues: a review of the literature and discussion. Ethn Health. 2003;8(3):223–49.CrossRefPubMed Zeman CL, Depken DE, Senchina DS. Roma health issues: a review of the literature and discussion. Ethn Health. 2003;8(3):223–49.CrossRefPubMed
10.
Zurück zum Zitat Goulet D, Walshok M. Values among underdeveloped marginals: the case of Spanish Gypsies. Comparative Stud Soc Hist. 1971;13(4):452–72.CrossRef Goulet D, Walshok M. Values among underdeveloped marginals: the case of Spanish Gypsies. Comparative Stud Soc Hist. 1971;13(4):452–72.CrossRef
11.
Zurück zum Zitat Niksić D, Kurspahić-Mujcić A. The presence of health-risk behaviour in Roma families. Bosn J Basic Med Sci. 2007;7:144–9.PubMed Niksić D, Kurspahić-Mujcić A. The presence of health-risk behaviour in Roma families. Bosn J Basic Med Sci. 2007;7:144–9.PubMed
12.
Zurück zum Zitat Vivian C, Dundes L. The crossroads of culture and health among the Roma (Gypsies). J Nurs Scholarsh. 2004;36(1):86–91.CrossRefPubMed Vivian C, Dundes L. The crossroads of culture and health among the Roma (Gypsies). J Nurs Scholarsh. 2004;36(1):86–91.CrossRefPubMed
13.
Zurück zum Zitat Pavlič D, Zelko E, Kersnik J, Lolić V. Health beliefs and practices among Slovenian Roma and their response to febrile illnesses: a qualitative study. Zdrav Var. 2011;503:169–74. Pavlič D, Zelko E, Kersnik J, Lolić V. Health beliefs and practices among Slovenian Roma and their response to febrile illnesses: a qualitative study. Zdrav Var. 2011;503:169–74.
14.
Zurück zum Zitat Hajoff S, McKee M. The health of the Roma people: a review of published literature. J Epidemiol Community Health. 2000;54:864–9.CrossRef Hajoff S, McKee M. The health of the Roma people: a review of published literature. J Epidemiol Community Health. 2000;54:864–9.CrossRef
15.
Zurück zum Zitat Kósa Z, Széles G, Kardos L, Kosa K, Nemeth R, Orszagh S. A comparative health survey of the inhabitants of Roma settlements in Hungary. Am J Public Health. 2007;97(5):853–9.CrossRefPubMedPubMedCentral Kósa Z, Széles G, Kardos L, Kosa K, Nemeth R, Orszagh S. A comparative health survey of the inhabitants of Roma settlements in Hungary. Am J Public Health. 2007;97(5):853–9.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Peters J, Parry GD, Van Cleemput P, Moore J, Cooper Cl, Walters SJ. Health and use of health services: a comparison between Gypsies and travellers and other ethnic groups. Ethn Health. 2009;14(4):359–77.CrossRefPubMed Peters J, Parry GD, Van Cleemput P, Moore J, Cooper Cl, Walters SJ. Health and use of health services: a comparison between Gypsies and travellers and other ethnic groups. Ethn Health. 2009;14(4):359–77.CrossRefPubMed
17.
Zurück zum Zitat Ringold D. Roma and the transition in Central and Eastern Europe: trends and challenges. Washington D.C.: The World Bank; 2000.CrossRef Ringold D. Roma and the transition in Central and Eastern Europe: trends and challenges. Washington D.C.: The World Bank; 2000.CrossRef
18.
Zurück zum Zitat Parry G, Van Cleemput P, Peters J, Walters S, Thomas K, Cooper C. Health status of Gypsies and travellers in England. J Epidemiol Commun Health. 2007;61:198–204.CrossRef Parry G, Van Cleemput P, Peters J, Walters S, Thomas K, Cooper C. Health status of Gypsies and travellers in England. J Epidemiol Commun Health. 2007;61:198–204.CrossRef
19.
Zurück zum Zitat Colombini M, Rechel B, Mayhew HS. Access of Roma to sexual and reproductive health services: qualitative findings from Albania, Bulgaria and Macedonia. Global Public Health. 2012;7(5):522–34.CrossRefPubMed Colombini M, Rechel B, Mayhew HS. Access of Roma to sexual and reproductive health services: qualitative findings from Albania, Bulgaria and Macedonia. Global Public Health. 2012;7(5):522–34.CrossRefPubMed
20.
Zurück zum Zitat Goward P, Repper J, Appleton L, Hagan T. Crossing boundaries. Identifying and meeting the mental health needs of Gypsies and travellers. J Mental Health. 2006;15(3):315–27.CrossRef Goward P, Repper J, Appleton L, Hagan T. Crossing boundaries. Identifying and meeting the mental health needs of Gypsies and travellers. J Mental Health. 2006;15(3):315–27.CrossRef
21.
Zurück zum Zitat Binni GAC, Ginter E. The health of Gypsies. BJM. 1998;316(7147):1824–5.CrossRef Binni GAC, Ginter E. The health of Gypsies. BJM. 1998;316(7147):1824–5.CrossRef
22.
Zurück zum Zitat Jakšić B, Bašić G. Umetnost preživljavanja: gde i kako žive Romi u Srbiji. Beograd: Institut za filozofiju I društvenu teoriju; 2005. Jakšić B, Bašić G. Umetnost preživljavanja: gde i kako žive Romi u Srbiji. Beograd: Institut za filozofiju I društvenu teoriju; 2005.
23.
Zurück zum Zitat Filadelfiová J, Gerbery D, Škobla D. Report on the living conditions of Roma in Slovakia. Bratislava: Friedrich-Ebert-Stiftung; 2007. Filadelfiová J, Gerbery D, Škobla D. Report on the living conditions of Roma in Slovakia. Bratislava: Friedrich-Ebert-Stiftung; 2007.
25.
Zurück zum Zitat Belović B, Buzeti Verban Z, Copot M, Kranjc Nikolić T. Determinants affecting the health of Roma in Pomurje. Murska Sobota: Institute of Public Health; 2011. Belović B, Buzeti Verban Z, Copot M, Kranjc Nikolić T. Determinants affecting the health of Roma in Pomurje. Murska Sobota: Institute of Public Health; 2011.
26.
27.
Zurück zum Zitat Petek D, Rotar-Pavlič D, Švab I, Lolić D. Attitudes of Roma toward smoking: qualitative study in Slovenia. Croat Med J. 2006;47(2):344–7.PubMedPubMedCentral Petek D, Rotar-Pavlič D, Švab I, Lolić D. Attitudes of Roma toward smoking: qualitative study in Slovenia. Croat Med J. 2006;47(2):344–7.PubMedPubMedCentral
28.
Zurück zum Zitat McKee M. The health of Gypsies: lack of understanding exemplifies wider disregard of the health of minorities in Europe. BJM. 1997;315(7117):1172–3.CrossRef McKee M. The health of Gypsies: lack of understanding exemplifies wider disregard of the health of minorities in Europe. BJM. 1997;315(7117):1172–3.CrossRef
30.
Zurück zum Zitat Žagar M, Komac M, Medvešek M, Bešter M. The aspect of culture in the social inclusion of ethnic minorities. MEU Programme. Minorities in the EU. Ljubljana: The Institute for Ethnic Studies; 2006. Žagar M, Komac M, Medvešek M, Bešter M. The aspect of culture in the social inclusion of ethnic minorities. MEU Programme. Minorities in the EU. Ljubljana: The Institute for Ethnic Studies; 2006.
31.
Zurück zum Zitat Posavec K. Sociokulturna obilježja Roma u Europi—od izgona do integracije. Društvena iztraživanja. 2000;9:229–50. Posavec K. Sociokulturna obilježja Roma u Europi—od izgona do integracije. Društvena iztraživanja. 2000;9:229–50.
32.
Zurück zum Zitat Pfeffer N. Theories in health care and research: theories of race, ethnicity and culture. BJM. 1998;317(7169):1381–4.CrossRef Pfeffer N. Theories in health care and research: theories of race, ethnicity and culture. BJM. 1998;317(7169):1381–4.CrossRef
33.
Zurück zum Zitat Kelleher S, Hillier S, editors. Researching cultural differences in health. London: Routledge; 2002. Kelleher S, Hillier S, editors. Researching cultural differences in health. London: Routledge; 2002.
34.
Zurück zum Zitat Kronenfeld JJ, editor. Health care services, racial and ethnic minorities and underserved populations: patient and provider perspectives. Amsterdam: Elsevier; 2005. Kronenfeld JJ, editor. Health care services, racial and ethnic minorities and underserved populations: patient and provider perspectives. Amsterdam: Elsevier; 2005.
35.
Zurück zum Zitat Kutalek R. Diversity competence in medicine: equality, culture and practice. Wien Klin Wochenschr. 2012; 124(Suppl 3):3–9.CrossRefPubMed Kutalek R. Diversity competence in medicine: equality, culture and practice. Wien Klin Wochenschr. 2012; 124(Suppl 3):3–9.CrossRefPubMed
36.
Zurück zum Zitat Anderson G, Tighe B. Gypsy culture and health care. Am J Nurs. 1973;73(2):282–5.PubMed Anderson G, Tighe B. Gypsy culture and health care. Am J Nurs. 1973;73(2):282–5.PubMed
37.
Zurück zum Zitat Zoon I. On the margins. Roma and public services in Slovakia. New York: Open Society Institute; 2001. Zoon I. On the margins. Roma and public services in Slovakia. New York: Open Society Institute; 2001.
38.
Zurück zum Zitat Anstead A. Litigating discrimination in access to health care. Roma Rights Quarterly. 2004;9(1):75–7. Anstead A. Litigating discrimination in access to health care. Roma Rights Quarterly. 2004;9(1):75–7.
39.
Zurück zum Zitat Dobrushi A. Litigating discrimination in access to social services. Roma Rights Quarterly. 2007;12(1–2):59–62. Dobrushi A. Litigating discrimination in access to social services. Roma Rights Quarterly. 2007;12(1–2):59–62.
40.
Zurück zum Zitat Iszak R. “Gypsy rooms” and other discriminatory treatment against Romani women in Hungarian hospitals. Roma Rights Q. 2004;3–4:7–11. Iszak R. “Gypsy rooms” and other discriminatory treatment against Romani women in Hungarian hospitals. Roma Rights Q. 2004;3–4:7–11.
41.
Zurück zum Zitat Kravchuk N. Discrimination of Roma in Russia: an update. Roma Rights Quarterly. 2008;13(2):47–9. Kravchuk N. Discrimination of Roma in Russia: an update. Roma Rights Quarterly. 2008;13(2):47–9.
42.
Zurück zum Zitat Čvorović J. Sexual and reproductive strategies among Serbian Gypsies. Popul Environ. 2004; 25(3):217–42. Čvorović J. Sexual and reproductive strategies among Serbian Gypsies. Popul Environ. 2004; 25(3):217–42.
43.
Zurück zum Zitat Herzog H. Interview location and its social meaning. The Sage handbook of interview research: the complexity of the craft. 2nd ed. Los Angeles: Sage; 2012. pp. 207–17.CrossRef Herzog H. Interview location and its social meaning. The Sage handbook of interview research: the complexity of the craft. 2nd ed. Los Angeles: Sage; 2012. pp. 207–17.CrossRef
44.
Zurück zum Zitat Flick U, Kardorff EV, Steinke I. Qualitative interviews: an overview. A companion to qualitative research. London: Sage; 2004. pp. 203–8. Flick U, Kardorff EV, Steinke I. Qualitative interviews: an overview. A companion to qualitative research. London: Sage; 2004. pp. 203–8.
45.
Zurück zum Zitat Flick U, Kardorff EV, Steinke I. Qualitative content analysis. A companion to qualitative research. London: Sage; 2004. pp. 266–9. Flick U, Kardorff EV, Steinke I. Qualitative content analysis. A companion to qualitative research. London: Sage; 2004. pp. 266–9.
46.
Zurück zum Zitat Schreier M. Qualitative content analysis in practice. Los Angeles: Sage; 2012. Schreier M. Qualitative content analysis in practice. Los Angeles: Sage; 2012.
47.
Zurück zum Zitat Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nursing. 2008;62(1):107–15.CrossRef Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nursing. 2008;62(1):107–15.CrossRef
48.
Zurück zum Zitat Saldaña J. The coding manuals for qualitative researchers. Los Angeles: Sage; 2009. Saldaña J. The coding manuals for qualitative researchers. Los Angeles: Sage; 2009.
49.
Zurück zum Zitat Krippendorff KH. Content analysis: an introduction to its methodology. Thousand Oaks: Sage; 1980. Krippendorff KH. Content analysis: an introduction to its methodology. Thousand Oaks: Sage; 1980.
50.
Zurück zum Zitat Švab I, Petek Šter M, Kersnik J, Živec-Kalan G, Car J. Presečna študija o delu zdravnikov splošne medicine v Sloveniji. Zdrav Var. 2005;44(4):183–92. Švab I, Petek Šter M, Kersnik J, Živec-Kalan G, Car J. Presečna študija o delu zdravnikov splošne medicine v Sloveniji. Zdrav Var. 2005;44(4):183–92.
Metadaten
Titel
Attitudes of the Prekmurje Roma towards health and healthcare
verfasst von
Erika Zelko, MD, MSc
Igor Švab, MD, PhD
Alem Maksuti
Zalika Klemenc-Ketiš, PhD
Publikationsdatum
01.12.2015
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe Sonderheft 5/2015
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-015-0704-z

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