The Roma are Europe's largest ethnic minority group, and often face discrimination and social exclusion. Social strife and lack of access to healthcare are associated with increased symptoms of psychopathology. We aimed to review evidence on mental health outcomes and on access to mental healthcare among the Roma population in Europe. We systematically searched five databases (PsycINFO, Global Health, Social Policy and Practice, Web of Science and PubMed) and conducted a grey literature search in August 2020. We identified 133 studies, 26 of which were included for final analysis. We present the results using a narrative synthesis. The available literature indicates a relatively high prevalence of anxiety, depression and substance abuse among Roma, and females seem to be more affected than males. Roma children exhibit more externalizing and internalizing disorders when compared with non-Roma children. Mental health and perceived well-being among the Roma population are strongly linked to social determinants of health such as housing or economic income. Access to mental healthcare is limited for Roma people because of several barriers pertaining to language, lack of information regarding available services, and the insurance and economic status of Roma people. Roma people report mainly negative experiences with mental health services, including a lack of understanding from healthcare providers, and instances of racism and discrimination. There is a need for more research on mental health and access to healthcare in Roma people. Future studies should be participatory in order to provide guidelines for mental healthcare that addresses the needs of the Roma population.
- MeSH
- dítě MeSH
- dostupnost zdravotnických služeb MeSH
- duševní zdraví MeSH
- etnicita psychologie MeSH
- lidé MeSH
- menšiny MeSH
- Romové * MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- systematický přehled MeSH
- Geografické názvy
- Evropa MeSH
- MeSH
- dostupnost zdravotnických služeb MeSH
- komorbidita MeSH
- lékové předpisy MeSH
- lidé MeSH
- metabolický syndrom epidemiologie MeSH
- personální obsazení a rozvrh organizace a řízení MeSH
- pracovní zátěž MeSH
- věkové faktory MeSH
- vnitřní lékařství * organizace a řízení trendy MeSH
- zdravotní výchova metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- rozhovory MeSH
PURPOSE: Global population growth and increasing longevity means that the need for Assistive Technology (AT) will continue to increase. The level of unmet need for AT is greatest in low-income settings. The aim of this study is to identify age-related increase in impairment and to estimate the AT needs. MATERIALS AND METHODS: We analysed secondary data from the 2018 Malawi Population and Housing Census (MPHC) based on the Washington Group on Disability Statistics (WG) short-set of questions. RESULTS: Out of the 1,556,670 persons with one or more functional limitations or disabilities identified in the census, self-reported difficulties in all domains were markedly higher from age 40 and above. The proportion reporting one functional limitation is higher compared to two or more limitations, but at age 78-80 the proportion reporting two or more functional limitations increased above those reporting one functional limitation. Although 60.9% (60.7-61.0) and 63.5% (63.3-63.6) of those who reported difficulty in seeing and hearing were using glasses and hearing aids respectively, the estimated total need for glasses and hearing aids in this group was 98.9% (98.0-99.0) and 98.4% (98.3-98.5) respectively. The unmet need for glasses and hearing aids were therefore 38.1% and 34.9% respectively. CONCLUSION: The differential slope of impairment curves against age is a guide to the increasing demand for AT across the life course and across different domains of functioning. Country specific analysis of impairment across age and domains is essential to understand and plan for the growing need for AT globally.IMPLICATIONS FOR REHABILITATIONIt is important to estimate and plan for impairment across life course to address the age-related increase in impairment and the increasing need for AT with age.The Zomba curves show the cumulative nature of impairment with age and the need for age and need specific provision of AT across the life course through proactive policy level actions.The significant high unmet need for glasses and hearing aids attests to similar need for other assistive products and the need for setting specific interventions to address needs of affected persons.The differential slope of impairment curves against age is a guide to the differing and increasing demand for assistive technology across the life course and across different domains of functioning.
- MeSH
- dospělí MeSH
- dostupnost zdravotnických služeb MeSH
- lidé MeSH
- pomůcky pro sebeobsluhu * MeSH
- postižení * MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- sluchové pomůcky * MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Malawi MeSH
- MeSH
- biomedicínské technologie organizace a řízení trendy MeSH
- cévní mozková příhoda terapie MeSH
- dostupnost zdravotnických služeb trendy MeSH
- kardiologie organizace a řízení trendy výchova MeSH
- lidé MeSH
- nádory prostaty prevence a kontrola MeSH
- osteoporóza prevence a kontrola MeSH
- paliativní péče organizace a řízení trendy MeSH
- praktické lékařství organizace a řízení trendy MeSH
- řízení zdravotnických informací organizace a řízení MeSH
- screeningové diagnostické programy organizace a řízení MeSH
- urgentní zdravotnické služby metody trendy MeSH
- zdravotnické služby * trendy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- novinové články MeSH
INTRODUCTION: Limited access to healthcare services leads to lower vaccination rates in marginalized Roma communities (MRCs). This study aimed to explore health system barriers to HPV vaccination faced by people from MRCs from multiple perspectives. METHODS: The qualitative study was conducted in Slovakia in 2021/22 with 43 community members and health professionals. Data were analyzed using a combination of content analysis and consensual qualitative research. RESULTS: A substantial barrier to vaccination is limited coverage of vaccination expenses for certain age categories by health insurance. Moreover, Slovakia faces a significant shortage of healthcare personnel, leading to work overload and a lack of capacity and motivation to address HPV vaccination. Impaired relationships between health care providers and people from MRCs lead to the avoidance of healthcare services, which contributes to insufficient delivery of information and a lack of awareness regarding HPV-related diseases and vaccination. CONCLUSION: Strengthening the capacities of health care providers, expanding the age group covered by health insurance and providing tailored information to people from MRCs are necessary prerequisites to increase the availability of HPV vaccination and enable people to make informed decisions about HPV vaccination.
- MeSH
- dostupnost zdravotnických služeb * MeSH
- infekce papilomavirem * prevence a kontrola MeSH
- lidé MeSH
- Romové * MeSH
- vakcinace MeSH
- vakcíny proti papilomavirům * aplikace a dávkování MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Slovenská republika MeSH
- Klíčová slova
- přesčasová práce,
- MeSH
- dostupnost zdravotnických služeb ekonomika organizace a řízení MeSH
- kongresy jako téma MeSH
- mzdy a přídavky MeSH
- nesouhlas a spor MeSH
- personální obsazení a rozvrh organizace a řízení zákonodárství a právo MeSH
- pojišťovny MeSH
- pracovní zátěž * zákonodárství a právo MeSH
- řízení nemocnice * ekonomika zákonodárství a právo MeSH
- řízení zdravotnictví ekonomika zákonodárství a právo MeSH
- smlouvy MeSH
- zákonodárství lékařské MeSH
- Publikační typ
- novinové články MeSH
- MeSH
- dostupnost zdravotnických služeb * ekonomika organizace a řízení MeSH
- Evropská unie MeSH
- farmaceutický průmysl ekonomika organizace a řízení MeSH
- léčivé přípravky ekonomika zásobování a distribuce MeSH
- ochrana zájmů pacientů zákonodárství a právo MeSH
- řízení farmacie * ekonomika metody MeSH
- vyvíjení léků ekonomika organizace a řízení MeSH
- Publikační typ
- novinové články MeSH
- rozhovory MeSH
