Differences between Roma and non-Roma in how social support from family and friends helps to overcome health care accessibility problems

International Journal for Equity in Health

Research

Ingrid Babinska¹  Zuzana Dankulincova Veselska²  Daniela Bobakova³  Andrea Madarasova Geckova³  Lydia Cislakova⁴  Daniel Klein⁵ 

[1]Department of Epidemiology, Regional Public Health Authority with the seat in Kosice, Ipelska 1, 040 11, Kosice, Slovak Republic

[2]Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic

[3]Department of Health Psychology, Medical Faculty, Safarik University, Trieda SNP 1, 040 11, Kosice, Slovak Republic

[4]Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic

[5]Department of Health Psychology, Medical Faculty, Safarik University, Trieda SNP 1, 040 11, Kosice, Slovak Republic

[6]Olomouc University Social Health Institute, Palacky University in Olomouc, Univerzitni 22, 771 11, Olomouc, Czech Republic

[7]Institute of Epidemiology – Medical Faculty, Safarik University, Srobarova 2, 041 80, Kosice, Slovak Republic

[8]Institute of Mathematics, Science Faculty, Safarik University, Jesenna 5, 040 01, Kosice, Slovak Republic

关键词: Roma;    Ethnicity;    Health care accessibility problems;    Social support;    Slovakia;   

DOI  :  10.1186/s12939-015-0165-z

 received in 2014-06-26, accepted in 2015-03-23,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundRoma are the most deprived ethnic minority in Slovakia, suffering from discrimination, poverty and social exclusion. Problematic access to good quality health care as result of institutional and interpersonal discrimination affects their health; therefore, factors which affect health care accessibility of Roma are of high importance for public health and policy makers. The aim of this study was to explore the association between health care accessibility problems and ethnicity and how different levels of social support from family and friends affect this association.MethodsWe 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.ResultsRoma in comparison with non-Roma have a more than 3-times higher chance of reporting health care accessibility problems. Social support from family and friends significantly decreases the likelihood of reporting health care accessibility problems in both Roma and non-Roma, while the family seems to be the more important factor.ConclusionThe worse access to health care of Roma living in so-called settlements seems to be partially mediated by social support. Interventions should focus on Roma health mediators and community workers who can identify influential individuals who are able to change a community’s fear and distrust and persuade and teach Roma to seek and appropriately use health care services.

【 授权许可】

CC BY   
© Bobakova et al.; licensee BioMed Central. 2015