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Erschienen in: International Journal of Public Health 2/2014

01.04.2014 | Original Article

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

verfasst von: Barbora Silarova, Jitse P. van Dijk, Iveta Nagyova, Jaroslav Rosenberger, Sijmen A. Reijneveld

Erschienen in: International Journal of Public Health | Ausgabe 2/2014

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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.
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Metadaten
Titel
Differences in health-related quality of life between Roma and non-Roma coronary heart disease patients: the role of hostility
verfasst von
Barbora Silarova
Jitse P. van Dijk
Iveta Nagyova
Jaroslav Rosenberger
Sijmen A. Reijneveld
Publikationsdatum
01.04.2014
Verlag
Springer Basel
Erschienen in
International Journal of Public Health / Ausgabe 2/2014
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-013-0490-1

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