The decade of Roma Inclusion: did it make a difference to health and use of health care services?

János, S; Zsigmond, K; Klára, B; Julianna, B; Ildikó, T; Martin, M; Róza, Á, ; (2017) The decade of Roma Inclusion: did it make a difference to health and use of health care services? International journal of public health. ISSN 1661-8556 DOI:

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: We investigated whether the severely disadvantaged health of Hungarian Roma adults living in segregated settlements changed by the Decade of Roma Inclusion program.<br/> : We compared the results of two paired health interview surveys that we carried out using the same methodology before and after the Decade, on the general Hungarian and Roma populations.<br/> : Self-perceived health status of younger Roma worsened, while it improved among older Roma. Reported experience of discrimination reduced considerably and health care utilization improved in general. Positive changes in smoking and nutrition, and negative changes in alcohol consumption and overweight were observed. Many of observed changes can plausibly be linked to various government policies, including a quadrupling of public works expenditure, banning smoking in public places, restricting marketing of tobacco products, increasing cigarette prices, and a new tax on unhealthy foods. Liberalization of rules on alcohol distillation coincided with worsening alcohol consumption.<br/> : We have shown that Roma remain severely disadvantaged and present an innovative sampling method which can be used to monitor changes in groups where identification is a challenge.<br/>

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
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PubMed ID: 28357445
Web of Science ID: 409346100012


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