Unfavourable birth outcomes of the Roma women in the Czech Republic and the potential explanations: a population-based studyReportar como inadecuado




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BMC Public Health

, 5:106

First Online: 10 October 2005Received: 11 July 2005Accepted: 10 October 2005DOI: 10.1186-1471-2458-5-106

Cite this article as: Bobak, M., Dejmek, J., Solansky, I. et al. BMC Public Health 2005 5: 106. doi:10.1186-1471-2458-5-106

Abstract

BackgroundData on the health status of the Roma people in Central and Eastern Europe are sparse and the reasons for their poor health are not clear. The objective of this study was to quantify the differences in birth outcomes between Roma and non-Roma mothers in the Czech Republic and to investigate the potential causes of such differences.

MethodA population-based study recruited 8938 non-Roma and 1388 Roma hospitalised singleton births that occurred in two Czech districts Teplice and Prachatice between 1995 and 2004. During their stay in hospital, mothers completed a questionnaire on their demographic and socioeconomic characteristics and maternal smoking and alcohol consumption. Data on maternal height and weight and on infants- birth weight and gestational age were taken from hospital records.

ResultsBirth weight and gestational age of Roma infants was 373 SE 15 g and 0.92 0.05 weeks, respectively, lower than in non-Roma infants. Controlling for demographic, socioeconomic and behavioural factors reduced these differences to 133 18 g and 0.57 0.06 weeks, respectively all p-values < 0.001. In terms of binary outcomes, the Roma vs. non-Roma odds ratios were 4.5 95% CI 3.7–5.4 for low birth weight < 2500 g, 2.8 2.2–3.4 for preterm birth < 37 weeks of gestation, and 2.9 2.5–3.4 for intrauterine grown retardation <10 percentile of birth weight for gestational age; controlling for all covariates reduced these odds ratios to 1.7 1.3–2.2, 1.5 1.1–2.0 and 1.3 1.0–1.6, respectively. Maternal education made the largest contribution to the ethnic differences; the role of health behaviours was relatively modest.

ConclusionThere are striking differences in birth outcomes between Roma and non-Roma mothers. The causes of these differences are complex but largely socioeconomic.

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Autor: Martin Bobak - Jan Dejmek - Ivo Solansky - Radim J Sram

Fuente: https://link.springer.com/







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