Top

Published in:

01-06-2013 | Original Article

Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma

Authors: A. Sudzinova, I. Nagyova, M. Studencan, J. Rosenberger, Z. Skodova, H. Vargova, B. Middel, S. A. Reijneveld, J. P. van Dijk

Published in: International Journal of Public Health | Issue 3/2013

Abstract

Objectives

Coronary heart disease (CHD) is the most common cause of mortality and morbidity world-wide. Evidence on ethnic differences between the Roma and non-Roma regarding medical risk factors is scarce. The aim of this study was to assess differences in medical risk factors and the severity of CHD in Roma compared with non-Roma CHD patients, adjusted for gender, age and education.

Methods

Six hundred seventy four patients were included in this cross-sectional study (132 Roma, 542 non-Roma). Data on medical risk factors, symptoms, medication and severity of CHD were obtained from medical records. After matching Roma and non-Roma according to education, linear and logistic regression analyses with adjustments for gender and age were used.

Results

Compared with non-Roma, Roma patients had significantly more risk factors and more severe types of CHD. They were treated less frequently with statins and beta-blockers, were more frequently left on pharmacotherapy and surgically revascularised. These differences remained after controlling for education, gender and age.

Conclusions

Roma CHD patients have a worse risk profile at entry of care and seem to be undertreated compared with non-Roma CHD patients.

Allender S, Scarborough P, Peto V, Rayner M, Leal J, Luengo-Fernandez R, Gray A (2012) European Cardiovascular Disease Statistics 2008 edition, European Heart Network. Available: www.ehnheart.org. Accessed 5 June, 2012

Bahonar A, Sarrafzadegan N, Kelishadi R, Shirani S, Ramezani MA, Taghdisi MH, Gharipour M (2011) Association of socioeconomic profiles with cardiovascular risk factors in Iran: the Isfahan Healthy Heart Program. Int J Pub Health 56:37–44CrossRef

Baker D, Mead N, Campbell S (2002) Inequalities in morbidity and consulting behaviour for socially vulnerable groups. Br J Gen Pract 52:124–130PubMed

Bonaccio M, Di Castelnuovo A, Costanzo S, De Lucia F, Olivieri M, Donati MD, De Gaetano G, Iacoviello L, Bonanni A (2012) Mass media information and adherence to Mediterranean diet: results from the Moli-sani study. Int J Pub Health 57:589–597CrossRef

Brazdova Z, Fiala J, Hrstkova H (1998) Dietary habits of Romany children. Cs Pediatrie 53:419–423

Britton A, Shipley M, Marmot M, Hemingway H (2004) Does access to cardiac investigation and treatment contribute to social and ethnic differences in coronary heart disease? Whitehall II prospective cohort study. BMJ Clin Res Ed 329:318CrossRef

Cappuccio FP (1997) Ethnicity and cardiovascular risk: variations in people of African ancestry and South Asian origin. J Hum Hypertens 11:571–576PubMedCrossRef

Cappuccio FP, Cook DG, Atkinson RW, Strazzullo P (1997) Prevalence, detection, and management of cardiovascular risk factors in different ethnic groups in south London. Heart Br Cardiac Soc) 78:555–563

Cappuccio FP, Oakeshott P, Strazzullo P, Kerry SM (2002) Application of Framingham risk estimates to ethnic minorities in United Kingdom and implications for primary prevention of heart disease in general practice: cross sectional population based study. BMJ Clin Res Ed 325:1271CrossRef

Cirera L, Huerta JM, Chirlaque MD, Buckland G, Larranaga N, Sanchez MJ, Agudo A, Amiano P, Quiros JR, Ardanaz E, Arriola L, Molina E, Dorronsoro M, Barricarte A, Gonzalez CA (2013) Moreno-Iribas C and Carmen Navarro. Int J Pub Health 58:65–77CrossRef

D’Agostino RBS, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, Kannel WB (2008) General cardiovascular risk profile for use in primary care: the Framingham heart study. Circulation 117:743–753PubMedCrossRef

Filadelfiova J, Gerbery D, Skobla D (2007) Report on the living conditions of Roma in Slovakia. UNDP Regional Bureau for Europe and the Commonwealth of Independent States, Bratislava

Foets M (2011) Improving the quality of research into the health of migrant and ethnic groups. Int J Pub Health 56:455–456CrossRef

Foldes ME, Covaci A (2012) Research on Roma health and access to healthcare: state of the art and future challenges. Int J Pub Health 57:37–39CrossRef

Ginter E (1998) The health of Gypsies. Governments and Roma communities must help to improve outlook for Gypsies. BMJ Clin Res Ed 316:1825

Ginter E, Krajcovicova-Kudlackova M, Kacala O, Kovacic V, Valachovicova M (2001) Health status of Romanies (Gypsies) in the Slovak Republic and in the neighbouring countries. Bratisl Lek Listy 102:479–484PubMed

Graham I, Atar D, Borch-Johnsen K, Boysen G, Burell G, Cifkova R, Dallongeville J, De Backer G, Ebrahim S, Gjelsvik B, Herrmann-Lingen C, Hoes A, Humphries S, Knapton M, Perk J, Priori SG, Pyorala K, Reiner Z, Ruilope L, Sans-Menendez S, Scholte OP, Reimer W, Weissberg P, Wood D, Yarnell J, Zamorano JL, Walma E, Fitzgerald T, Cooney MT, Dudina A, European Society of Cardiology (ESC), Committee for Practice Guidelines (CPG) (2007) European guidelines on cardiovascular disease prevention in clinical practice: executive summary: Fourth joint task force of the European society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Europ Heart J 28:2375–2414CrossRef

Hajioff S, Mckee M (2000) The health of the Roma people: a review of the published literature. J Epidemiol Commun Health 54:864–869CrossRef

Hajsheikholeslami F, Hatami M, Hadaegh F, Ghanbarian A, Azizi F (2011) Association of educational status with cardiovascular disease: Teheran lipid and glucose study. Int J Pub Health 56:281–287CrossRef

Kolvek G, Rosicova K, Rosenberger J, Podracka L, Stewart RE, Nagyova I, Reijneveld SA, van Dijk JP (2012) End-stage renal disease among Roma and non-Roma: Roma are at risk. Int J Pub Health 57:751–754CrossRef

Koupilova I, Epstein H, Holcik J, Hajioff S, Mckee M (2001) Health needs of the Roma population in the Czech and Slovak Republics. Soc Sci Med 53:1191–1204PubMedCrossRef

Mckee M (1997) The health of gypsies. BMJ Clin Res Ed 315:1172–1173CrossRef

Nozdrovicky P (1991) Mortality from cardiovascular diseases in Gypsy. Slov Lekar 15:13–14

Reijneveld SA (2010) Ethnic differences in health and use of health care: the questions to be answered. Int J Pub Health 55:353–355CrossRef

Rosicova K, Madarasova Geckova A, van Dijk JP, Kollarova J, Rosic M, Groothoff JW (2011) Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia. Int J Pub Health 56:523–531CrossRef

Vano B (2001) Demographic characteristics of the Roma population in the SR. INFOSTAT, Demographic Research Center, Bratislava

Vozarova De Courten B, De Courten M, Hanson RL, Zahorakova A, Egyenes HP, Tataranni PA, Bennett PH, Vozar J (2003) Higher prevalence of type 2 diabetes, metabolic syndrome and cardiovascular diseases in gypsies than in non-gypsies in Slovakia. Diabetes Res Clin Pract 62:95–103PubMedCrossRef

Title: Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma
Authors: A. Sudzinova
I. Nagyova
M. Studencan
J. Rosenberger
Z. Skodova
H. Vargova
B. Middel
S. A. Reijneveld
J. P. van Dijk
Publication date: 01-06-2013
Publisher: SP Birkhäuser Verlag Basel
Published in: International Journal of Public Health / Issue 3/2013
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-013-0462-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2013

Health-related quality of life in rural children living in four European countries: the GABRIEL study

The mediating effect of parents’ educational status on the association between adherence to the Mediterranean diet and childhood obesity: the PANACEA study

Smoking behavior of Mexicans: patterns by birth-cohort, gender, and education

The current prevalence of child sexual abuse worldwide: a systematic review and meta-analysis

Scaling up alcohol intervention among youth and experiments of naturalistic settings

Measuring the prevalence of chronic diseases using population surveys by pooling self-reported symptoms, diagnosis and treatments: results from the World Health Survey of 2003 for South Asia