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Why don't segregated Roma do more for their health? An explanatory framework from an ethnographic study in Slovakia

A. Belak, A. Madarasova Geckova, JP. van Dijk, SA. Reijneveld,

. 2018 ; 63 (9) : 1123-1131. [pub] 20180616

Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc19028372

Grantová podpora
Institutional Support for Long-term Development of Research Organizations 2012 at Charles University in Prague Ministry of Education, Youth and Sports of the Czech Republic
Faculty of Humanities Ministry of Education, Youth and Sports of the Czech Republic

OBJECTIVES: The health status of segregated Roma is poor. To understand why segregated Roma engage in health-endangering practices, we explored their nonadherence to clinical and public health recommendations. METHODS: We examined one segregated Roma settlement of 260 inhabitants in Slovakia. To obtain qualitative data on local-level mechanisms supporting Roma nonadherence, we combined ethnography and systematic interviewing over 10 years. We then performed a qualitative content analysis based on sociological and public health theories. RESULTS: Our explanatory framework summarizes how the nonadherence of local Roma was supported by an interlocked system of seven mechanisms, controlled by and operating through both local Roma and non-Roma. These regard the Roma situation of poverty, segregation and substandard infrastructure; the Roma socialization into their situation; the Roma-perceived value of Roma alternative practices; the exclusionary non-Roma and self-exclusionary Roma ideologies; the discrimination, racism and dysfunctional support towards Roma by non-Roma; and drawbacks in adherence. CONCLUSIONS: Non-Roma ideologies, internalized by Roma into a racialized ethnic identity through socialization, and drawbacks in adherence might present powerful, yet neglected, mechanisms supporting segregated Roma nonadherence.

Citace poskytuje Crossref.org

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$a Belak, Andrej $u Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University, Kosice, Slovakia. andrej.belak@upjs.sk. Department of Health Psychology, Faculty of Medicine, P.J. Safarik University, Trieda SNP 1, 040 11, Kosice, Slovakia. andrej.belak@upjs.sk. Department of Community and Occupational Medicine, University Medical Center Groningen, Groningen, The Netherlands. andrej.belak@upjs.sk. Department of General Anthropology, Faculty of Humanities, Charles University, Prague, Czech Republic. andrej.belak@upjs.sk.
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