CVD Risk Factors in the Ukrainian Roma and Meta-Analysis of Their Prevalence in Roma Populations Worldwide
The Roma population suffers from severe poverty, social exclusion, and some of the worst health conditions in the industrialized world. Herein, we report on cardiovascular disease (CVD) risk factors in the Ukrainian Roma and present a meta-analysis of the prevalence of CVD risk factors in 16 Roma po...
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MDPI AG
2021
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oai:doaj.org-article:deb39fe38f29463a8f812e54c5a990a22021-11-25T18:07:29ZCVD Risk Factors in the Ukrainian Roma and Meta-Analysis of Their Prevalence in Roma Populations Worldwide10.3390/jpm111111382075-4426https://doaj.org/article/deb39fe38f29463a8f812e54c5a990a22021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1138https://doaj.org/toc/2075-4426The Roma population suffers from severe poverty, social exclusion, and some of the worst health conditions in the industrialized world. Herein, we report on cardiovascular disease (CVD) risk factors in the Ukrainian Roma and present a meta-analysis of the prevalence of CVD risk factors in 16 Roma populations worldwide. The meta-analyses of CVD risk factors in Roma (<i>n</i> = 16,552) vs. non-Roma majority population of the same country (<i>n</i> = 127,874) included publicly available data. Ukrainian field survey included 339 adults of both sexes and outcomes of interest were hypertension, body mass index (BMI), smoking, education, and employment status. Furthermore, 35.7% of the Ukrainian Roma were hypertensive, 69.3% unemployed, and 48.4% never went to school. Ukrainian Roma women were more likely to be underweight and more prone to be hypertensive, with odds of hypertension increasing with age, BMI, and positive smoking status. Meta-analyses showed that, in comparison with non-Roma worldwide, the Roma bear significantly higher risk factor loads related to smoking (OR = 2.850), diabetes (OR = 1.433), abdominal obesity (OR = 1.276), and metabolic syndrome (OR = 1.975), with lower loads for hypertension (OR = 0.607) and BMI ≥ 25 kg/m<sup>2</sup> (OR = 0.872). To conclude, the CVD risk factors which are more common in Roma than in the majority population may reflect their poor health-related behaviors and inadequate access to health education.Matea Zajc PetranovićAshley Elizabeth RizzieriDharshan SivarajNina Smolej NarančićTatjana Škarić-JurićŽeljka CelinšćakAnita Stojanović MarkovićMarijana Peričić SalihovićJulia KalásziMarianna KalásziJohn Q. LinSanica MehtaJill BurlesonDavid A. RizzieriMDPI AGarticleRomaUkrainepopulation healthmeta-analysiscardiovascular healthrisk factorsMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1138, p 1138 (2021) |
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DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Roma Ukraine population health meta-analysis cardiovascular health risk factors Medicine R |
| spellingShingle |
Roma Ukraine population health meta-analysis cardiovascular health risk factors Medicine R Matea Zajc Petranović Ashley Elizabeth Rizzieri Dharshan Sivaraj Nina Smolej Narančić Tatjana Škarić-Jurić Željka Celinšćak Anita Stojanović Marković Marijana Peričić Salihović Julia Kalászi Marianna Kalászi John Q. Lin Sanica Mehta Jill Burleson David A. Rizzieri CVD Risk Factors in the Ukrainian Roma and Meta-Analysis of Their Prevalence in Roma Populations Worldwide |
| description |
The Roma population suffers from severe poverty, social exclusion, and some of the worst health conditions in the industrialized world. Herein, we report on cardiovascular disease (CVD) risk factors in the Ukrainian Roma and present a meta-analysis of the prevalence of CVD risk factors in 16 Roma populations worldwide. The meta-analyses of CVD risk factors in Roma (<i>n</i> = 16,552) vs. non-Roma majority population of the same country (<i>n</i> = 127,874) included publicly available data. Ukrainian field survey included 339 adults of both sexes and outcomes of interest were hypertension, body mass index (BMI), smoking, education, and employment status. Furthermore, 35.7% of the Ukrainian Roma were hypertensive, 69.3% unemployed, and 48.4% never went to school. Ukrainian Roma women were more likely to be underweight and more prone to be hypertensive, with odds of hypertension increasing with age, BMI, and positive smoking status. Meta-analyses showed that, in comparison with non-Roma worldwide, the Roma bear significantly higher risk factor loads related to smoking (OR = 2.850), diabetes (OR = 1.433), abdominal obesity (OR = 1.276), and metabolic syndrome (OR = 1.975), with lower loads for hypertension (OR = 0.607) and BMI ≥ 25 kg/m<sup>2</sup> (OR = 0.872). To conclude, the CVD risk factors which are more common in Roma than in the majority population may reflect their poor health-related behaviors and inadequate access to health education. |
| format |
article |
| author |
Matea Zajc Petranović Ashley Elizabeth Rizzieri Dharshan Sivaraj Nina Smolej Narančić Tatjana Škarić-Jurić Željka Celinšćak Anita Stojanović Marković Marijana Peričić Salihović Julia Kalászi Marianna Kalászi John Q. Lin Sanica Mehta Jill Burleson David A. Rizzieri |
| author_facet |
Matea Zajc Petranović Ashley Elizabeth Rizzieri Dharshan Sivaraj Nina Smolej Narančić Tatjana Škarić-Jurić Željka Celinšćak Anita Stojanović Marković Marijana Peričić Salihović Julia Kalászi Marianna Kalászi John Q. Lin Sanica Mehta Jill Burleson David A. Rizzieri |
| author_sort |
Matea Zajc Petranović |
| title |
CVD Risk Factors in the Ukrainian Roma and Meta-Analysis of Their Prevalence in Roma Populations Worldwide |
| title_short |
CVD Risk Factors in the Ukrainian Roma and Meta-Analysis of Their Prevalence in Roma Populations Worldwide |
| title_full |
CVD Risk Factors in the Ukrainian Roma and Meta-Analysis of Their Prevalence in Roma Populations Worldwide |
| title_fullStr |
CVD Risk Factors in the Ukrainian Roma and Meta-Analysis of Their Prevalence in Roma Populations Worldwide |
| title_full_unstemmed |
CVD Risk Factors in the Ukrainian Roma and Meta-Analysis of Their Prevalence in Roma Populations Worldwide |
| title_sort |
cvd risk factors in the ukrainian roma and meta-analysis of their prevalence in roma populations worldwide |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/deb39fe38f29463a8f812e54c5a990a2 |
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