Health Care and Access to Quality Social-Health Services of the Roma and Sinti: A Scoping Review.

3区 综合性期刊
Danilo Buonsenso, Davide Pata, Francesca Raffaelli, Giorgio Malorni, Francesca Colaiaco, Walter Malorni
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Abstract

Background: The aim of this scoping review is to analyze the health status of Roma and Sinti in Europe, highlighting the issues faced by children and women. In addition, we want to examine the access of these groups to health care services and to identify possible interventions to increase their use.

Methods: Our research was conducted on Pubmed, Google Scholar, and the Trip Database. We selected articles written in English, Spanish, and Italian published since 2015.

Results: Studies have shown that the health status of Roma and Sinti populations is generally worse than that of the rest of the population. Limited access to care is due to several specific factors, such as beliefs, traditions, and the lack of awareness of widespread direct and indirect discrimination against these groups by healthcare professionals. The studies reviewed have shown how mistrust can be broken down through multi-centered interventions linked to information, education, and communication through mediators able to interact with these populations, as well as through appropriate training of the health workers in charge.

Conclusions: The health of the Roma and Sinti populations is commonly worse than that of the rest of the population. This is particularly true for the large proportion of people confined to suburban camps. However, the available evidence signals the low quality of life they experience and the need for interventions involving the communities and the establishment of ad hoc orientation or initial care contact points in the segregated areas. This could lead to an improvement in the integration of this population into the National Health Systems' activities.

罗姆人和辛提人的保健和获得优质社会保健服务:范围审查。
背景:这次范围审查的目的是分析欧洲罗姆人和辛提人的健康状况,突出儿童和妇女面临的问题。此外,我们希望检查这些群体获得保健服务的机会,并确定可能的干预措施,以增加其使用。方法:通过Pubmed、b谷歌Scholar和Trip Database进行研究。我们选择了2015年以来用英语、西班牙语和意大利语发表的文章。结果:研究表明,罗姆人和辛提人的健康状况普遍比其他人口差。获得医疗服务的机会有限是由于一些具体因素造成的,例如信仰、传统以及卫生保健专业人员对这些群体普遍存在的直接和间接歧视缺乏认识。所审查的研究表明,通过能够与这些人群互动的调解人,通过与信息、教育和沟通相关的多中心干预措施,以及通过对主管卫生工作者的适当培训,可以消除不信任。结论:罗姆人和辛提人的健康状况通常比其他人口差。对于大部分被限制在郊区营地的人来说,情况尤其如此。然而,现有证据表明,他们的生活质量很低,需要社区参与干预,并在隔离地区建立特别指导或初步护理联络点。这可能导致改善将这些人口纳入国家卫生系统活动的情况。
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来源期刊
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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