TY - JOUR
T1 - Psychosocial factors of coronary heart disease and quality of life among Roma coronary patients
T2 - a study matched by socioeconomic position
AU - Skodova, Zuzana
AU - van Dijk, Jitse P.
AU - Nagyova, Iveta
AU - Rosenberger, Jaroslav
AU - Ondusova, Daniela
AU - Studencan, Martin
AU - Reijneveld, Sijmen A.
PY - 2010/10
Y1 - 2010/10
N2 - The aim of this study was to assess whether psychosocial factors and health-related quality of life (HRQL) differ between Roma and non-Roma coronary patients and to what degree socioeconomic status (SES) explains these differences.We included 138 patients out of 437 interviewed: 46 Roma, all with low SES, 46 non-Roma with low SES, and 46 non-Roma with high SES. Groups were matched for age, gender and education. The GHQ-28 was used for measuring psychological well-being, the Maastricht interview for vital exhaustion, the type D questionnaire and the Cook-Medley scale for personality and the SF-36 for HRQL. SES was indicated by income and education, and disease severity by ejection fraction. ANOVA and linear regression were used.Roma scored poorly compared to non-Roma in psychological well-being, vital exhaustion and HRQL (p a parts per thousand currency sign 0.001); however, these differences could be to a substantial extent explained by SES. With regard to personality traits, ethnicity and SES played a less significant role.The adverse quality of life among Roma coronary patients may warrant additional care, which should target their low SES but also other factors related to their ethnic background, such as culture and living conditions.
AB - The aim of this study was to assess whether psychosocial factors and health-related quality of life (HRQL) differ between Roma and non-Roma coronary patients and to what degree socioeconomic status (SES) explains these differences.We included 138 patients out of 437 interviewed: 46 Roma, all with low SES, 46 non-Roma with low SES, and 46 non-Roma with high SES. Groups were matched for age, gender and education. The GHQ-28 was used for measuring psychological well-being, the Maastricht interview for vital exhaustion, the type D questionnaire and the Cook-Medley scale for personality and the SF-36 for HRQL. SES was indicated by income and education, and disease severity by ejection fraction. ANOVA and linear regression were used.Roma scored poorly compared to non-Roma in psychological well-being, vital exhaustion and HRQL (p a parts per thousand currency sign 0.001); however, these differences could be to a substantial extent explained by SES. With regard to personality traits, ethnicity and SES played a less significant role.The adverse quality of life among Roma coronary patients may warrant additional care, which should target their low SES but also other factors related to their ethnic background, such as culture and living conditions.
KW - Coronary heart disease
KW - Psychological risk factors
KW - Quality of life
KW - Roma patients
KW - Socioeconomic status
KW - Ethnic inequalities
KW - MEASURE VITAL EXHAUSTION
KW - ARTERY-DISEASE
KW - HEALTH SURVEY
KW - QUESTIONNAIRE
KW - RELIABILITY
KW - MORTALITY
KW - HOSTILITY
KW - PERSONALITY
KW - POPULATION
KW - INTERVIEW
U2 - 10.1007/s00038-010-0153-4
DO - 10.1007/s00038-010-0153-4
M3 - Article
SN - 1661-8556
VL - 55
SP - 373
EP - 380
JO - International Journal of Public Health
JF - International Journal of Public Health
IS - 5
ER -