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 languageEnglish
Pages (from-to)409-415
Number of pages7
JournalInternational Journal of Public Health
Volume58
Issue number3
DOIs
Publication statusPublished - 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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