Health within the Leeds Migrant Roma Community; An Exploration of Health Status and Needs within One UK Area
Health within the Leeds Migrant Roma Community; An Exploration of Health Status and Needs within One UK Area
复制标题
利兹移民罗姆人社区的健康状况；
DOI：
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
M. Doležalová
中科院分区：
文献类型：
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作者：
L. Warwick;J. Trigwell;Karina Kinsella;K. Jeffreys;D. Sankar;M. Doležalová
现有证据表明，许多罗姆人社区在其健康需求方面很少受到关注。有证据表明，与大多数人口相比，罗姆人社区的健康状况较差，生活条件也不健康，他们的健康状况不佳与更广泛的社会决定因素密切相关。这项研究探讨了利兹罗姆移民社区的健康状况和相关的健康需求，这是一个难以接触和探索的欧洲群体。使用了与罗姆人社区成员的问卷（n = 70）和焦点小组（n = 43）以及与他们一起工作的卫生专业人员（n = 5）的访谈。该研究发现，语言是获得医疗保健和理解健康信息的关键障碍。此外，与会者在原籍国的不同经历妨碍了他们对卫生系统的理解。自我报告表明，精神健康状况差、压力大和不健康的生活方式是常见问题。研究还强调了罗姆人社区主要关注的几个更广泛的健康决定因素，包括住房、就业机会和金钱。这项研究的结果有助于增加了解这个社区的健康需求，他们的支持要求和他们所面临的障碍。这些需要加以考虑，以告知战略和工作方式，作为解决健康不平等问题和促进该社区健康的机制。
Existing evidence shows that many Roma communities have received little attention in relation to their health requirements. Evidence illustrates how Roma communities suffer from poorer health and unhealthier living conditions when compared to majority populations, with their poor health closely linked to wider social determinants. This study explored the health status and associated health needs of the Leeds Roma migrant community, a hard to reach and under-explored group across Europe. Questionnaires (n = 70) and focus groups (n = 43) with Roma community members as well as interviews with health professionals (n = 5) working with them were used. The study found language was a key barrier to accessing health care and understanding health messages. Furthermore, participant’s understandings of the health system were hindered by their different experiences within their countries of origin. Self-reports illustrated low mental well-being, high levels of stress and unhealthy lifestyles as common issues. The research also highlighted several wider determinants of health as key concerns within the Roma community including housing, employment opportunities and money. The findings of this study contribute to increasing understandings of this community’s health needs, their support requirements and the barriers faced by them. These need to be considered to inform strategies and ways of working as mechanisms to tackle health inequalities and promote health within this community.