ArticleInternational journal of public health2018
Why don't segregated Roma do more for their health? An explanatory framework from an ethnographic study in Slovakia.
Article in International journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Health Care and Access to Quality Social-Health Services of the Roma and Sinti: A Scoping Review.International journal of environmental research and public health · 2025Article
- Cross-sectional comparison of health care delivery and reimbursement between segregated and nonsegregated communities in Hungary.Frontiers in public health · 2024Article
- An Evidence-Based Approach for Treating Stress and Trauma due to Racism.Cognitive and behavioral practice · 2023Article
- Beliefs, Perceptions, and Behaviors Regarding Chronic Respiratory Diseases of Roma in Crete, Greece: A Qualitative FRESH AIR Study.Frontiers in public health · 2022Article
- Sanitation Infrastructure at the Systemic Edge: Segregated Roma Settlements and Multiple Health Risks in Slovakia.International journal of environmental research and public health · 2021Article
- How to improve access to health care for Roma living in social exclusion: a concept mapping study.International journal for equity in health · 2021Article
- Facilitating equal access to primary care for all: work experiences of health mediators in a primary health care model programme in Hungary.BMC family practice · 2020Article
- Appropriate Employment for Segregated Roma: Mechanisms in a Public-Private Partnership Project.International journal of environmental research and public health · 2020Article
- Article
- To Comply or Not to Comply: Roma Approach to Health Laws.International journal of environmental research and public health · 2020Article
- Aspects of Illness and Death among Roma-Have They Changed after More than Two Hundred Years?International journal of environmental research and public health · 2019Article
- Romani maternal and child health: moving from documenting disparities to testing progress and interventions to achieve equity.International journal of public health · 2019Article
- Challenges for research, policy and practice in the field of Roma health.International journal of public health · 2019Article
- What Roma nonadherence is likely and what drives it? Reply to Broz and Nunes.International journal of public health · 2019Article
- Why don't segregated Roma do more for their health? A complex question.International journal of public health · 2019Article
- Roma health: Do we know enough?International journal of public health · 2019Article
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Abstract
objectivesThe health status of segregated Roma is poor. To understand why segregated Roma engage in health-endangering practices, we explored their nonadherence to clinical and public health recommendations.
methodsWe examined one segregated Roma settlement of 260 inhabitants in Slovakia. To obtain qualitative data on local-level mechanisms supporting Roma nonadherence, we combined ethnography and systematic interviewing over 10 years. We then performed a qualitative content analysis based on sociological and public health theories.
resultsOur explanatory framework summarizes how the nonadherence of local Roma was supported by an interlocked system of seven mechanisms, controlled by and operating through both local Roma and non-Roma. These regard the Roma situation of poverty, segregation and substandard infrastructure; the Roma socialization into their situation; the Roma-perceived value of Roma alternative practices; the exclusionary non-Roma and self-exclusionary Roma ideologies; the discrimination, racism and dysfunctional support towards Roma by non-Roma; and drawbacks in adherence.
conclusionsNon-Roma ideologies, internalized by Roma into a racialized ethnic identity through socialization, and drawbacks in adherence might present powerful, yet neglected, mechanisms supporting segregated Roma nonadherence.
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