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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 0-9
Social, Economic and Reproductive Risk Factors for the Development of Cervical Intraepithelial Neoplasia in the Roma Population in Macedonia
Author(s): D Tanturovski, E Zafirova, S Skenderovska
Abstract:

The objective of this study is to evaluate the social, economic and reproductive risk factors for the development of cervical intraepithelial neoplasia in the Roma population in the Republic of Macedonia.

Risk factors of preterm birth and low birth weight babies among Roma and non-Roma mothers: a population-based study
Author(s): Balázs P, Rákóczi I, Grenzer A, Foley L K
Abstract:

Background: In 2009, 8.4% of live births in Hungary were low birth weight (LBW) and 8.7% were preterm (PTB). Roma are disproportionately represented in Northern Hungary where LBW and PTB are highest in the country (10.3% equally). This study evaluates the risk factors for LBW and/or PTB among the Roma and non-Roma populations in two Northern Hungarian counties. Methods: We conducted a retrospective cohort study of 5469 non-Roma and 2287 Roma mothers who gave birth in 2009. Women were visited by the Maternal and Child Health Service nurses and completed in-person structured surveys on demographic, socio-economic, cultural and lifestyle factors. These data were combined with biometric data from hospital records. Bivariate statistics and a logistic regression analyses were used to determine risk factors for LBW and PTB. Results: Roma had a higher incidence of PTB and LBW babies compared with non-Roma women (PTB 9.9% vs. 7.1%, LBW 12.2% vs. 6.5% P = 0.001). However, ethnicity was not related to PTB and LBW in multivariable analyses, when controlling for socio-demographic and lifestyle characteristics. Factors associated with LBW and PTB include being underweight, advanced maternal age, and smoking. Conclusion: Strategies that ensure healthy lifestyles must be well integrated in family-based interventions and in the schools, with special consideration for Roma women who have a higher prevalence of deleterious lifestyles and poor birth outcomes. Ensuring a healthy body weight and no smoking has important implications for the mother and foetus.