ArticleInternational journal for equity in health2015
The mediating effect of discrimination, social support and hopelessness on self-rated health of Roma adolescents in Slovakia.
Article in International journal for equity in health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Comparison of the Number and Reasons for Self-Perceived Barriers to Accessing Primary Health Care Services Between Roma and Ethnic Albanians.Zdravstveno varstvo · 2026Article
- Perceived Discrimination Among Adolescents in Ireland.Health education & behavior : the official publication of the Society for Public Health Education · 2023Article
- African Americans, Caribbean Blacks and Depression: Which Biopsychosocial Factors Should Social Workers Focus On? Results from the National Survey of American Life (NSAL).Community mental health journal · 2022Article
- Neurocognitive performance differences between black and white individuals with HIV disease are mediated by health literacy.The Clinical neuropsychologist · 2022Article
- The Role of Perceived Unjust Treatment in Unmet Needs for Primary Care Among Finnish Roma Adults.International journal of environmental research and public health · 2020Article
- To Comply or Not to Comply: Roma Approach to Health Laws.International journal of environmental research and public health · 2020Article
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Authors and funding
4 authors.
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Abstract
backgroundAccording to the EU-MIDIS report on discrimination, Roma are the most discriminated against group in Europe. Research suggests that experiencing discrimination may itself be detrimental to health. The aim of this paper is to investigate whether discrimination, hopelessness and social support mediate differences in self-rated health (SRH) between Roma and non-Roma adolescents.
methodsWe conducted a cross-sectional study among Roma from separated and segregated settlements in the eastern part of Slovakia (N = 330; mean age = 14.50; interview) and non-Roma adolescents (N = 722; mean age = 14.86; questionnaire); only non-missing data were used for analyses (n = 759). The effect of perceived discrimination, mother and father social support, and hopelessness on SRH was analysed as crude and adjusted for ethnicity, age, gender, parental education and social desirability. Mediating effects were separately assessed using the Sobel test and structural equation modelling.
resultsRoma adolescents reported poorer SRH and more discrimination, mother and father social support, hopelessness and social desirability. Roma ethnicity (Odds ratio/95 %-Confidence interval 3.27/2.40-4.47), discrimination (2.66/1.82-3.88), hopelessness (1.35/1.20-1.51) and mother (0.92/0.88-0.97) and father social support (0.96/0.93 - 0.997) were statistically significant predictors of poor SRH. Perceived discrimination, social support and hopelessness mediated the ethnicity-health association, with adjustment for social support increasing its strength and the other two variables decreasing it.
conclusionsPerceived discrimination, social support and hopelessness mediate a part of the association between Roma ethnicity and poor SRH, with discrimination and hopelessness being risk factors and social support a protective factor.
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