TY - JOUR AU - Ádány, Róza AU - Pikó, Péter AU - Fiatal, Szilvia AU - Kósa, Zsigmond AU - Sándor, János AU - Bíró, Éva AU - Kósa, Karolina AU - Paragh, György AU - Bácsné Bába, Éva AU - Veres-Balajti, Ilona AU - Bíró, Klára AU - Varga, Orsolya AU - Balázs, Margit TI - 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 JF - INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH J2 - INT J ENV RES PUB HE VL - 17 PY - 2020 IS - 13 PG - 21 SN - 1661-7827 DO - 10.3390/ijerph17134833 UR - https://m2.mtmt.hu/api/publication/31376329 ID - 31376329 N1 - MTA-DE Public Health Research Group, Public Health Research Institute, University of Debrecen, Debrecen, 4032, Hungary Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, 4032, Hungary Department of Health Methodology and Public Health, Faculty of Health, University of Debrecen, Nyíregyháza, 4400, Hungary Institute of Behavioural Sciences, Faculty of Public Health, University of Debrecen, Debrecen, 4032, Hungary Institute of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, 4032, Hungary Institute of Sport Management, University of Debrecen, Debrecen, 4032, Hungary Department of Physiotherapy, Faculty of Public Health, University of Debrecen, Debrecen, 4032, Hungary Department of Health Systems Management and Quality Management in Health Care, Faculty of Public Health, University of Debrecen, Debrecen, 4032, Hungary Cited By :12 Export Date: 12 June 2022 Correspondence Address: Ádány, R.; MTA-DE Public Health Research Group, Hungary; email: adany.roza@sph.unideb.hu Chemicals/CAS: alanine aminotransferase, 9000-86-6, 9014-30-6; alkaline phosphatase, 9001-78-9; aspartate aminotransferase, 9000-97-9; C reactive protein, 9007-41-4; cholesterol, 57-88-5; creatinine, 19230-81-0, 60-27-5; folic acid, 59-30-3, 6484-89-5; gamma glutamyltransferase, 85876-02-4; glucose, 50-99-7, 84778-64-3; hemoglobin A1c, 62572-11-6; insulin, 9004-10-8; uric acid, 69-93-2; Blood Glucose; Triglycerides LA - English DB - MTMT ER - TY - JOUR AU - Soltész, Beáta AU - Pikó, Péter AU - Sándor, János AU - Kósa, Zsigmond AU - Ádány, Róza AU - Fiatal, Szilvia TI - The genetic risk for hypertension is lower among the Hungarian Roma population compared to the general population. JF - PLOS ONE J2 - PLOS ONE VL - 15 PY - 2020 IS - 6 PG - 17 SN - 1932-6203 DO - 10.1371/journal.pone.0234547 UR - https://m2.mtmt.hu/api/publication/31355893 ID - 31355893 AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Hajdu, Tamás AU - Kertesi, Gábor AU - Kézdi, Gábor TI - Health differences at birth between Roma and non‐Roma children in Hungary. long‐run trends and decomposition TS - long‐run trends and decomposition JF - POPULATION AND DEVELOPMENT REVIEW J2 - POPUL DEV REV VL - 45 PY - 2019 IS - 3 SP - 631 EP - 657 PG - 27 SN - 0098-7921 DO - 10.1111/padr.12276 UR - https://m2.mtmt.hu/api/publication/30833657 ID - 30833657 LA - English DB - MTMT ER - TY - JOUR AU - Sárváry, Attila AU - Kósa, Zsigmond AU - Jávorné Erdei, Renáta AU - Gyulai, Anikó AU - Takács, Péter AU - Sándor, János AU - Sárváry, Andrea Gabriella AU - Németh, Ágnes AU - Halmai, Réka AU - Ádány, Róza TI - Socioeconomic status, health related behaviour, and self-rated health of children living in Roma settlements in Hungary JF - CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH J2 - CENT EUR J PUBLIC HEALTH VL - 27 PY - 2019 IS - 1 SP - 24 EP - 31 PG - 8 SN - 1210-7778 DO - 10.21101/cejph.a4726 UR - https://m2.mtmt.hu/api/publication/30618931 ID - 30618931 LA - English DB - MTMT ER - TY - JOUR AU - Balázs, Péter AU - Fogarasi-Grenczer, Andrea AU - Rákóczi, Ildikó AU - Foley, Kristie L. TI - Continued smoking versus spontaneous quitting among pregnant women living in a high risk environment JF - CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH J2 - CENT EUR J PUBLIC HEALTH VL - 26 PY - 2018 IS - 3 SP - 164 EP - 170 PG - 7 SN - 1210-7778 DO - 10.21101/cejph.a5048 UR - https://m2.mtmt.hu/api/publication/30321999 ID - 30321999 N1 - Cited By :4 Export Date: 6 December 2022 CODEN: CEJHE Correspondence Address: Balázs, P.; Institute of Public Health, Ulloi u. 26, Hungary; email: balazs-peter@windowslive.com AB - 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 LA - English DB - MTMT ER - TY - JOUR AU - Pikó, Péter AU - Fiatal, Szilvia AU - Kósa, Zsigmond AU - Sándor, János AU - Ádány, Róza TI - Genetic factors exist behind the high prevalence of reduced high-density lipoprotein cholesterol levels in the Roma population. JF - ATHEROSCLEROSIS J2 - ATHEROSCLEROSIS VL - 263 PY - 2017 SP - 119 EP - 126 PG - 8 SN - 0021-9150 DO - 10.1016/j.atherosclerosis.2017.05.028 UR - https://m2.mtmt.hu/api/publication/3241281 ID - 3241281 LA - English DB - MTMT ER - TY - JOUR AU - Sándor, János AU - Kósa, Zsigmond AU - Boruzs, Klára AU - Boros, Julianna AU - Tokaji, I AU - McKee, M AU - Ádány, Róza TI - The decade of Roma Inclusion: did it make a difference to health and use of health care services? JF - INTERNATIONAL JOURNAL OF PUBLIC HEALTH J2 - INT J PUBLIC HEALTH VL - 62 PY - 2017 IS - 7 SP - 803 EP - 815 PG - 13 SN - 1661-8556 DO - 10.1007/s00038-017-0954-9 UR - https://m2.mtmt.hu/api/publication/3230505 ID - 3230505 N1 - Megjegyzés-26842892 N1 Funding details: 2015/580661-1, WHO, World Health Organization N1 Funding text: This study was funded by National Research and Development Grant (NKFP-1B/0013/2002), by the National Scientific Council on Health (ETT: 445/2003), by the Ministry of Environment (KvH-96/167/2000), by the TÁMOP-4.1.2.E-15/1/KONV-2015-0001 project which was co-financed by the European Union and the European Social Fund, by the Hungarian Academy of Sciences (MTA-TKI: 2011TKI473), by the GINOP-2.3.2-15-2016-00005 project, which was co-financed by the European Union and the European Regonal Development Fund and by the World Health Organization (Agreement for Performance of Work: 2015/580661-1). The original version of this article was revised: The author given and family names were incorrectly identified in the original version and the names are corrected here. An erratum to this article is available at https://doi.org/10.1007/s00038-017-0973-6. The authors declare that they have no conflict of interest. AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Fiatal, Szilvia AU - Tóth, Réka AU - Moravcsik-Kornyicki, Ágota AU - Kósa, Zsigmond AU - Sándor, János AU - McKee, Martin AU - Ádány, Róza TI - High Prevalence of Smoking in the Roma Population Seems to Have No Genetic Background JF - NICOTINE AND TOBACCO RESEARCH J2 - NICOTINE TOB RES VL - 18 PY - 2016 IS - 12 SP - 2260 EP - 2267 PG - 8 SN - 1462-2203 DO - 10.1093/ntr/ntw161 UR - https://m2.mtmt.hu/api/publication/3104303 ID - 3104303 LA - English DB - MTMT ER - TY - JOUR AU - Kósa, Zsigmond AU - Moravcsik-Kornyicki, Ágota AU - Diószegi, Judit AU - Roberts, B AU - Szabó, Zoltán AU - Sándor, János AU - Ádány, Róza TI - Prevalence of metabolic syndrome among Roma: A comparative health examination survey in Hungary JF - EUROPEAN JOURNAL OF PUBLIC HEALTH J2 - EUR J PUBLIC HEALTH VL - 25 PY - 2015 IS - 2 SP - 299 EP - 304 PG - 6 SN - 1101-1262 DO - 10.1093/eurpub/cku157 UR - https://m2.mtmt.hu/api/publication/2718589 ID - 2718589 LA - English DB - MTMT ER - TY - JOUR AU - Paulik, Edit AU - Nagymajtényi, László AU - Easterling, D AU - Rogers, T TI - Smoking behaviour and attitudes of Hungarian Roma and non-Roma population towards tobacco control policies JF - INTERNATIONAL JOURNAL OF PUBLIC HEALTH J2 - INT J PUBLIC HEALTH VL - 56 PY - 2011 IS - 5 SP - 485 EP - 491 PG - 7 SN - 1661-8556 DO - 10.1007/s00038-011-0252-x UR - https://m2.mtmt.hu/api/publication/1916248 ID - 1916248 N1 - WC: Public, Environmental & Occupational Health AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Tombor, Ildikó AU - Paksi, Borbála AU - Urbán, Róbert AU - Kun, Bernadette AU - Arnold, Petra AU - Rózsa, Sándor AU - Berkes, Tímea AU - Demetrovics, Zsolt TI - Epidemiology of smoking in the Hungarian population, based on national representative data JF - CLINICAL AND EXPERIMENTAL MEDICAL JOURNAL J2 - CLIN EXP MED J VL - 5 PY - 2011 IS - 1 SP - 27 EP - 37 PG - 11 SN - 2060-6249 DO - 10.1556/CEMEd.4.2010.28817 UR - https://m2.mtmt.hu/api/publication/1608622 ID - 1608622 LA - English DB - MTMT ER - TY - JOUR AU - Vokó, Zoltán AU - Csépe, Péter AU - Németh, Renáta AU - Kósa, Karolina AU - Kósa, Zsigmond AU - Széles, Gy AU - Ádány, Róza TI - Does socioeconomic status fully mediate the effect of ethnicity on the health of Roma people in Hungary? JF - JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH J2 - J EPIDEMIOL COMMUN H VL - 63 PY - 2009 IS - 6 SP - 455 EP - 460 PG - 6 SN - 0143-005X DO - 10.1136/jech.2008.079715 UR - https://m2.mtmt.hu/api/publication/1220936 ID - 1220936 N1 - Cited By :61 Export Date: 11 May 2020 CODEN: JECHD Correspondence Address: Vokó, Z.; Department of Preventive Medicine, Medical and Health Sciences Centre, University of Debrecen, Kassai út 26/b, H-4028 Debrecen, Hungary; email: z.voko@sph.dote.hu LA - English DB - MTMT ER - TY - JOUR AU - Kósa, Zsigmond AU - Szeles, G AU - Kardos, László AU - Kósa, Karolina AU - Németh, Renáta AU - Orszagh, S AU - Fesus, G AU - McKee, M AU - Ádány, Róza AU - Vokó, Zoltán TI - A comparative health survey of the inhabitants of Roma settlements in Hungary JF - AMERICAN JOURNAL OF PUBLIC HEALTH J2 - AM J PUBLIC HEALTH VL - 97 PY - 2007 IS - 5 SP - 853 EP - 859 PG - 7 SN - 0090-0036 DO - 10.2105/AJPH.2005.072173 UR - https://m2.mtmt.hu/api/publication/1139028 ID - 1139028 N1 - School of Public Health, Medical and Health Science Centre, University of Debrecen, Hungary Johan Béla National Center for Epidemiology, Budapest, Hungary London School of Hygiene and Tropical Medicine, London, United Kingdom Department of Preventive Medicine, Medical and Health Science Centre, University of Debrecen, Kassai út 26/b, H-4028 Debrecen, Hungary Cited By :108 Export Date: 16 June 2022 CODEN: AJPEA Correspondence Address: Vokó, Z.; Department of Preventive Medicine, Kassai út 26/b, H-4028 Debrecen, Hungary; email: z.voko@sph.dote.hu AB - 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. LA - English DB - MTMT ER -