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Differences in health-related quality of life between Roma and non-Roma coronary heart disease patients: The role of hostility

Silarova, B., Van Dijk, J.P., Nagyova, I., Rosenberger, J., Reijneveld, S.A. (2013) Differences in health-related quality of life between Roma and non-Roma coronary heart disease patients: The role of hostility. International Journal of Public Health, 59 . pp. 271-277. ISSN 1661-8556. E-ISSN 1661-8564. (doi:10.1007/s00038-013-0490-1) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:98070)

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https://doi.org/10.1007/s00038-013-0490-1

Abstract

Objectives: The aim of this study was to assess differences in health-related quality of life (HRQoL) between Roma and non-Roma coronary heart disease (CHD) patients, and whether differences in hostility contribute to this association. Methods: We examined 570 CHD patients (mean age 57.8, 28.1 female) scheduled for coronary angiography, 88 (15.4 ) of whom were Roma. Hostility was measured using the 27-item Cook-Medley Scale and HRQoL using the Short-Form Health Survey 36, from which the mental and physical component summary (MCS, PCS) were calculated. The relationship between ethnicity, hostility and HRQoL was examined using regression analyses. Results: Roma ethnicity was associated with poorer MCS (B = -3.44; 95 % CI = -6.76; -0.13 and poorer PCS (B = -4.16; 95 % CI = -7.55; -0.78) when controlled for age, gender and socioeconomic status. Adding hostility to the model weakened the strength of the association between Roma ethnicity and MCS (B = -1.87; 95 % CI = -5.08; 1.35) but not between Roma ethnicity and PCS (B = -4.07; 95 % CI = -7.50; -0.64). Conclusions: Roma ethnicity is associated with poorer MCS and PCS. Hostility may mediate the association between Roma ethnicity and MCS. The poorer HRQoL of Roma CHD patients requires attention in both care and research, with special attention on the role of hostility. © 2013 Swiss School of Public Health.

Item Type: Article
DOI/Identification number: 10.1007/s00038-013-0490-1
Additional information: cited By 5
Uncontrolled keywords: Ethnic groups; Roma; Health-related quality of life; Hostility; Coronary Heart Disease
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Funders: Slovak Research and Development Agency (https://ror.org/037nx0e70)
Depositing User: George Austin-Coskry
Date Deposited: 17 Nov 2022 10:09 UTC
Last Modified: 22 Nov 2022 10:25 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/98070 (The current URI for this page, for reference purposes)

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