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

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

doi:10.1007/s00038-013-0462-5

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

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

^*Corresponding author for this work

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Abstract

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.

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.

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.

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

Original language	English
Pages (from-to)	409-415
Number of pages	7
Journal	International Journal of Public Health
Volume	58
Issue number	3
DOIs	https://doi.org/10.1007/s00038-013-0462-5
Publication status	Published - Jun-2013

Keywords

Roma
Coronary heart disease
Medical risk factors
Coronary angiography
CARDIOVASCULAR RISK
ETHNIC-DIFFERENCES
HEALTH-CARE
GYPSIES
POPULATION
PREVENTION
PREVALENCE
SLOVAKIA
PEOPLE
ACCESS

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Sudzinova, A., Nagyova, I., Studencan, M., Rosenberger, J., Skodova, Z., Vargova, H., Middel, B., Reijneveld, S. A., & van Dijk, J. P. (2013). Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma. International Journal of Public Health, 58(3), 409-415. https://doi.org/10.1007/s00038-013-0462-5

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

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

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author = "A. Sudzinova and I. Nagyova and M. Studencan and J. Rosenberger and Z. Skodova and H. Vargova and B. Middel and Reijneveld, {S. A.} and {van Dijk}, {J. P.}",

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AU - Sudzinova, A.

AU - Nagyova, I.

AU - Studencan, M.

AU - Rosenberger, J.

AU - Skodova, Z.

AU - Vargova, H.

AU - Middel, B.

AU - Reijneveld, S. A.

AU - van Dijk, J. P.

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N2 - 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.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.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.Roma CHD patients have a worse risk profile at entry of care and seem to be undertreated compared with non-Roma CHD patients.

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

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KW - CARDIOVASCULAR RISK

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KW - GYPSIES

KW - POPULATION

KW - PREVENTION

KW - PREVALENCE

KW - SLOVAKIA

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JO - International Journal of Public Health

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ER -

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

Abstract

Keywords

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