Why don't segregated Roma do more for their health? An explanatory framework from an ethnographic study in Slovakia: An explanatory framework from an ethnographic study in Slovakia

Research output: Contribution to journalArticleAcademicpeer-review

14 Citations (Scopus)
196 Downloads (Pure)

Abstract

OBJECTIVES: The 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.

METHODS: We 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.

RESULTS: Our 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.

CONCLUSIONS: Non-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.

Original languageEnglish
Pages (from-to)1123-1131
Number of pages9
JournalInternational Journal of Public Health
Volume63
Issue number9
Early online date16-Jun-2018
DOIs
Publication statusPublished - Dec-2018

Keywords

  • Slovakia
  • Roma health
  • Health inequality
  • Adherence
  • Ethnographic study
  • MAJORITY POPULATION
  • SETTLEMENTS DIFFER
  • SOCIAL SUPPORT
  • CARE
  • ADOLESCENTS
  • ETHNICITY
  • INEQUALITIES
  • DISPARITIES
  • BEHAVIOR
  • HUNGARY

Cite this