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Monitoring Spatial Segregation in Surface Colonizing Microbial Populations
Published on: October 29, 2016
Why don't segregated Roma do more for their health? An explanatory framework from an ethnographic study in Slovakia
Andrej Belak1,2,3,4, Andrea Madarasova Geckova5,6,7, Jitse P van Dijk5,8,7
1Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University, Kosice, Slovakia. andrej.belak@upjs.sk.
Objectives:
The health status of segregated Roma is poor. To understand why segregated Roma engage in health-endangering practices, we explored their nonadherence to clinical and public health recommendations.
Methods:
We examined one segregated Roma settlement of 260 inhabitants in Slovakia. To obtain qualitative data on local-level mechanisms supporting Roma nonadherence, we combined ethnography and systematic interviewing over 10 years. We then performed a qualitative content analysis based on sociological and public health theories.
Results:
Our explanatory framework summarizes how the nonadherence of local Roma was supported by an interlocked system of seven mechanisms, controlled by and operating through both local Roma and non-Roma. These regard the Roma situation of poverty, segregation and substandard infrastructure; the Roma socialization into their situation; the Roma-perceived value of Roma alternative practices; the exclusionary non-Roma and self-exclusionary Roma ideologies; the discrimination, racism and dysfunctional support towards Roma by non-Roma; and drawbacks in adherence.
Conclusions:
Non-Roma ideologies, internalized by Roma into a racialized ethnic identity through socialization, and drawbacks in adherence might present powerful, yet neglected, mechanisms supporting segregated Roma nonadherence.
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