@article{MTMT:31376329, title = {Prevalence of Insulin Resistance in the Hungarian General and Roma Populations as Defined by Using Data Generated in a Complex Health (Interview and Examination) Survey}, url = {https://m2.mtmt.hu/api/publication/31376329}, author = {Ádány, Róza and Pikó, Péter and Fiatal, Szilvia and Kósa, Zsigmond and Sándor, János and Bíró, Éva and Kósa, Karolina and Paragh, György and Bácsné Bába, Éva and Veres-Balajti, Ilona and Bíró, Klára and Varga, Orsolya and Balázs, Margit}, doi = {10.3390/ijerph17134833}, journal-iso = {INT J ENV RES PUB HE}, journal = {INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH}, volume = {17}, unique-id = {31376329}, issn = {1661-7827}, year = {2020}, eissn = {1660-4601}, orcid-numbers = {Bíró, Éva/0000-0002-0131-8147} } @article{MTMT:31355893, title = {The genetic risk for hypertension is lower among the Hungarian Roma population compared to the general population.}, url = {https://m2.mtmt.hu/api/publication/31355893}, author = {Soltész, Beáta and Pikó, Péter and Sándor, János and Kósa, Zsigmond and Ádány, Róza and Fiatal, Szilvia}, doi = {10.1371/journal.pone.0234547}, journal-iso = {PLOS ONE}, journal = {PLOS ONE}, volume = {15}, unique-id = {31355893}, issn = {1932-6203}, abstract = {Estimating the prevalence of cardiovascular diseases (CVDs) and risk factors among the Roma population, the largest minority in Europe, and investigating the role of genetic or environmental/behavioral risk factors in CVD development are important issues in countries where they are significant minority. This study was designed to estimate the genetic susceptibility of the Hungarian Roma (HR) population to essential hypertension (EH) and compare it to that of the general (HG) population. Twenty EH associated SNPs (in AGT, FMO3, MTHFR-NPPB, NPPA, NPPA-AS1, AGTR1, ADD1, NPR3-C5orf23, NOS3, CACNB2, PLCE1, ATP2B1, GNB3, CYP1A1-ULK3, UMOD and GNAS-EDN3) were genotyped using DNA samples obtained from HR (N = 1176) and HG population (N = 1178) subjects assembled by cross-sectional studies. Allele frequencies and genetic risk scores (unweighted and weighted genetic risk scores (GRS and wGRS, respectively) were calculated for the study groups and compared to examine the joint effects of the SNPs. The susceptibility alleles were more frequent in the HG population, and both GRS and wGRS were found to be higher in the HG population than in the HR population (GRS: 18.98 ± 3.05 vs. 18.25 ± 2.97, p<0.001; wGRS: 1.4 [IQR: 0.93-1.89] vs. 1.52 [IQR: 0.99-2.00], p<0.01). Twenty-seven percent of subjects in the HR population were in the bottom fifth (GRS ≤ 16) of the risk allele count compared with 21% of those in the HG population. Thirteen percent of people in the HR group were in the top fifth (GRS ≥ 22) of the GRS compared with 21% of those in the HG population (p<0.001), i.e., the distribution of GRS was found to be left-shifted in the HR population compared to the HG population. The Roma population seems to be genetically less susceptible to EH than the general one. These results support preventive efforts to lower the risk of developing hypertension by encouraging a healthy lifestyle.}, year = {2020}, eissn = {1932-6203} } @article{MTMT:30833657, title = {Health differences at birth between Roma and non‐Roma children in Hungary. long‐run trends and decomposition}, url = {https://m2.mtmt.hu/api/publication/30833657}, author = {Hajdu, Tamás and Kertesi, Gábor and Kézdi, Gábor}, doi = {10.1111/padr.12276}, journal-iso = {POPUL DEV REV}, journal = {POPULATION AND DEVELOPMENT REVIEW}, volume = {45}, unique-id = {30833657}, issn = {0098-7921}, keywords = {POPULATION; ORIGINS; WEIGHT; Demography; childhood; OUTCOMES}, year = {2019}, eissn = {1728-4457}, pages = {631-657}, orcid-numbers = {Hajdu, Tamás/0000-0002-9533-7727; Kertesi, Gábor/0000-0001-9127-8099; Kézdi, Gábor/0000-0001-5713-4470} } @article{MTMT:30618931, title = {Socioeconomic status, health related behaviour, and self-rated health of children living in Roma settlements in Hungary}, url = {https://m2.mtmt.hu/api/publication/30618931}, author = {Sárváry, Attila and Kósa, Zsigmond and Jávorné Erdei, Renáta and Gyulai, Anikó and Takács, Péter and Sándor, János and Sárváry, Andrea Gabriella and Németh, Ágnes and Halmai, Réka and Ádány, Róza}, doi = {10.21101/cejph.a4726}, journal-iso = {CENT EUR J PUBLIC HEALTH}, journal = {CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH}, volume = {27}, unique-id = {30618931}, issn = {1210-7778}, year = {2019}, eissn = {1803-1048}, pages = {24-31} } @article{MTMT:30321999, title = {Continued smoking versus spontaneous quitting among pregnant women living in a high risk environment}, url = {https://m2.mtmt.hu/api/publication/30321999}, author = {Balázs, Péter and Fogarasi-Grenczer, Andrea and Rákóczi, Ildikó and Foley, Kristie L.}, doi = {10.21101/cejph.a5048}, journal-iso = {CENT EUR J PUBLIC HEALTH}, journal = {CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH}, volume = {26}, unique-id = {30321999}, issn = {1210-7778}, abstract = {SUMMARY Objectives: In Hungary, 37% of women living in poverty were smokers in 2012. There are no valid data of pregnant women’s spontaneous smoking cessation. Methods: Our retrospective cohort study (2009–2012) targeted the most underdeveloped regions with an estimated 6–8.5% of Roma population. The sample (N = 12,552) represented 76% of the target population i.e. women in four counties in a year delivering live born babies. Chi-square probe and multivariable logistic regression model (p < 0.05) were used to assess relationship between socio-demographic characteristics and spontaneous cessation. Results: Prior to pregnancy, the overall smoking rate was 36.8%. That of women in deep poverty and Roma was 49.7% and 51.1%, respectively. 70.3% of smokers continued smoking during the pregnancy. Among them 80.6% lived in deep poverty. Spontaneous quitting rate was 23.0%. Factors correlated with continued smoking included being Roma (OR = 1.95), undereducated (OR = 2.66), living in homes lacking amenities (OR = 1.48), and having regularly smoking partner (OR = 2.07). Cessation was promoted by younger age (≤ 18 years) (OR = 0.18), being married (OR = 0.50), and the first pregnancy. Conclusions: Tailored cessation programmes are needed for Roma, older, low-income, and multiparous women who are less likely to quit on their own. Engaging husbands/partners is essential to reduce smoking among pregnant women and second-hand smoke exposure}, year = {2018}, eissn = {1803-1048}, pages = {164-170}, orcid-numbers = {Balázs, Péter/0000-0001-7351-4828; Fogarasi-Grenczer, Andrea/0000-0002-0042-5362} } @article{MTMT:3241281, title = {Genetic factors exist behind the high prevalence of reduced high-density lipoprotein cholesterol levels in the Roma population.}, url = {https://m2.mtmt.hu/api/publication/3241281}, author = {Pikó, Péter and Fiatal, Szilvia and Kósa, Zsigmond and Sándor, János and Ádány, Róza}, doi = {10.1016/j.atherosclerosis.2017.05.028}, journal-iso = {ATHEROSCLEROSIS}, journal = {ATHEROSCLEROSIS}, volume = {263}, unique-id = {3241281}, issn = {0021-9150}, year = {2017}, eissn = {1879-1484}, pages = {119-126} } @article{MTMT:3230505, title = {The decade of Roma Inclusion: did it make a difference to health and use of health care services?}, url = {https://m2.mtmt.hu/api/publication/3230505}, author = {Sándor, János and Kósa, Zsigmond and Boruzs, Klára and Boros, Julianna and Tokaji, I and McKee, M and Ádány, Róza}, doi = {10.1007/s00038-017-0954-9}, journal-iso = {INT J PUBLIC HEALTH}, journal = {INTERNATIONAL JOURNAL OF PUBLIC HEALTH}, volume = {62}, unique-id = {3230505}, issn = {1661-8556}, abstract = {OBJECTIVES: We investigated whether the severely disadvantaged health of Hungarian Roma adults living in segregated settlements changed by the Decade of Roma Inclusion program. METHODS: We compared the results of two paired health interview surveys that we carried out using the same methodology before and after the Decade, on the general Hungarian and Roma populations. RESULTS: Self-perceived health status of younger Roma worsened, while it improved among older Roma. Reported experience of discrimination reduced considerably and health care utilization improved in general. Positive changes in smoking and nutrition, and negative changes in alcohol consumption and overweight were observed. Many of observed changes can plausibly be linked to various government policies, including a quadrupling of public works expenditure, banning smoking in public places, restricting marketing of tobacco products, increasing cigarette prices, and a new tax on unhealthy foods. Liberalization of rules on alcohol distillation coincided with worsening alcohol consumption. CONCLUSIONS: We have shown that Roma remain severely disadvantaged and present an innovative sampling method which can be used to monitor changes in groups where identification is a challenge.}, year = {2017}, eissn = {1661-8564}, pages = {803-815}, orcid-numbers = {Boros, Julianna/0000-0003-3191-3630} } @article{MTMT:3104303, title = {High Prevalence of Smoking in the Roma Population Seems to Have No Genetic Background}, url = {https://m2.mtmt.hu/api/publication/3104303}, author = {Fiatal, Szilvia and Tóth, Réka and Moravcsik-Kornyicki, Ágota and Kósa, Zsigmond and Sándor, János and McKee, Martin and Ádány, Róza}, doi = {10.1093/ntr/ntw161}, journal-iso = {NICOTINE TOB RES}, journal = {NICOTINE AND TOBACCO RESEARCH}, volume = {18}, unique-id = {3104303}, issn = {1462-2203}, year = {2016}, eissn = {1469-994X}, pages = {2260-2267} } @article{MTMT:2718589, title = {Prevalence of metabolic syndrome among Roma: A comparative health examination survey in Hungary}, url = {https://m2.mtmt.hu/api/publication/2718589}, author = {Kósa, Zsigmond and Moravcsik-Kornyicki, Ágota and Diószegi, Judit and Roberts, B and Szabó, Zoltán and Sándor, János and Ádány, Róza}, doi = {10.1093/eurpub/cku157}, journal-iso = {EUR J PUBLIC HEALTH}, journal = {EUROPEAN JOURNAL OF PUBLIC HEALTH}, volume = {25}, unique-id = {2718589}, issn = {1101-1262}, year = {2015}, eissn = {1464-360X}, pages = {299-304} } @article{MTMT:1916248, title = {Smoking behaviour and attitudes of Hungarian Roma and non-Roma population towards tobacco control policies}, url = {https://m2.mtmt.hu/api/publication/1916248}, author = {Paulik, Edit and Nagymajtényi, László and Easterling, D and Rogers, T}, doi = {10.1007/s00038-011-0252-x}, journal-iso = {INT J PUBLIC HEALTH}, journal = {INTERNATIONAL JOURNAL OF PUBLIC HEALTH}, volume = {56}, unique-id = {1916248}, issn = {1661-8556}, abstract = {OBJECTIVES: To assess the smoking status and support for tobacco control policies among the Roma minority compared with the non-Roma population in Hungary. METHODS: A cross-sectional survey was delivered among Roma minority and local non-Roma population; 83 Roma and 126 non-Roma people were interviewed. Chi-square tests and logistic regression were applied to compare Roma and non-Roma populations. RESULTS: The prevalence of smoking was significantly higher and the support for tobacco control measures was significantly lower in the Roma population. This effect of ethnicity on attitudes toward tobacco control was explained somewhat, but not completely, by the Roma group's higher rate of smoking and lower level of education. CONCLUSIONS: Tobacco control policies are a proven strategy for denormalizing smoking and discouraging initiation. This strategy has important potential for Roma communities because of their high rates of tobacco use. However, this study shows that the Roma are resistant the efforts to limit smoking. Changing these attitudes will require targeted public health interventions that take into account not only the lower educational levels of the Roma, but also their cultural beliefs regarding tobacco.}, keywords = {Aged; Adult; Adolescent; Female; Middle Aged; Male; Humans; PREVALENCE; Cross-Sectional Studies; Smoking/*psychology; *Attitude to Health; Young Adult; Educational Status; Hungary/ethnology; Smoking Cessation/*ethnology; *Public Policy; Health Knowledge, Attitudes, Practice/*ethnology; *Gypsies}, year = {2011}, eissn = {1661-8564}, pages = {485-491}, orcid-numbers = {Paulik, Edit/0000-0002-3446-4327; Nagymajtényi, László/0000-0002-7848-4573} } @article{MTMT:1608622, title = {Epidemiology of smoking in the Hungarian population, based on national representative data}, url = {https://m2.mtmt.hu/api/publication/1608622}, author = {Tombor, Ildikó and Paksi, Borbála and Urbán, Róbert and Kun, Bernadette and Arnold, Petra and Rózsa, Sándor and Berkes, Tímea and Demetrovics, Zsolt}, doi = {10.1556/CEMEd.4.2010.28817}, journal-iso = {CLIN EXP MED J}, journal = {CLINICAL AND EXPERIMENTAL MEDICAL JOURNAL}, volume = {5}, unique-id = {1608622}, issn = {2060-6249}, year = {2011}, pages = {27-37}, orcid-numbers = {Paksi, Borbála/0000-0002-3616-2867; Urbán, Róbert/0000-0002-2058-5937; Kun, Bernadette/0000-0003-1609-2977; Berkes, Tímea/0000-0002-1283-506X; Demetrovics, Zsolt/0000-0001-5604-7551} } @article{MTMT:1220936, title = {Does socioeconomic status fully mediate the effect of ethnicity on the health of Roma people in Hungary?}, url = {https://m2.mtmt.hu/api/publication/1220936}, author = {Vokó, Zoltán and Csépe, Péter and Németh, Renáta and Kósa, Karolina and Kósa, Zsigmond and Széles, Gy and Ádány, Róza}, doi = {10.1136/jech.2008.079715}, journal-iso = {J EPIDEMIOL COMMUN H}, journal = {JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH}, volume = {63}, unique-id = {1220936}, issn = {0143-005X}, year = {2009}, eissn = {1470-2738}, pages = {455-460}, orcid-numbers = {Vokó, Zoltán/0000-0002-1004-1848; Csépe, Péter/0000-0002-7360-2112; Németh, Renáta/0000-0001-6796-3563} } @article{MTMT:1139028, title = {A comparative health survey of the inhabitants of Roma settlements in Hungary}, url = {https://m2.mtmt.hu/api/publication/1139028}, author = {Kósa, Zsigmond and Szeles, G and Kardos, László and Kósa, Karolina and Németh, Renáta and Orszagh, S and Fesus, G and McKee, M and Ádány, Róza and Vokó, Zoltán}, doi = {10.2105/AJPH.2005.072173}, journal-iso = {AM J PUBLIC HEALTH}, journal = {AMERICAN JOURNAL OF PUBLIC HEALTH}, volume = {97}, unique-id = {1139028}, issn = {0090-0036}, abstract = {OBJECTIVES: We compared the health of people living in Roma settlements with that of the general population in Hungary. METHODS: We performed comparative health interview surveys in 2003 to 2004 in representative samples of the Hungarian population and inhabitants of Roma settlements. RESULTS: In persons older than 44 years, 10% more of those living in Roma settlements reported their health as bad or very bad than did those in the lowest income quartile of the general population. Of those who used any health services, 35% of the Roma inhabitants and 4.4% of the general population experienced some discrimination. In Roma settlements, the proportion of persons who thought that they could do much for their own health was 13% to 15% lower, and heavy smoking and unhealthy diet were 1.5 to 3 times more prevalent, than in the lowest income quartile of the general population. CONCLUSIONS: People living in Roma settlements experience severe social exclusion, which profoundly affects their health. Besides tackling the socioeconomic roots of the poor health of Roma people, specific public health interventions, including health education and health promotion programs, are needed.}, year = {2007}, eissn = {1541-0048}, pages = {853-859}, orcid-numbers = {Kardos, László/0000-0003-4749-1057; Németh, Renáta/0000-0001-6796-3563; Vokó, Zoltán/0000-0002-1004-1848} }