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Updated: Jan 7, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Perinatal Health Disparities Between Roma and Non-Roma Populations: A Systematic Review.

Afroditi Dimogerontaki1, Nikoletta Iacovidou2, Styliani Paliatsiou2

  • 1Pediatrics Department, Corinth General Hospital, 201 00 Corinth, Greece.

Epidemiologia (Basel, Switzerland)
|December 24, 2025
PubMed
Summary
This summary is machine-generated.

Roma women experience significant health disparities, leading to poorer perinatal outcomes like preterm birth and neonatal mortality compared to non-Roma populations. Addressing social determinants and ensuring equitable care are crucial for improving maternal and infant health equity.

Keywords:
Romaethnic minoritieshealth disparitiesmaternal healthneonatal healthperinatal outcomesprenatal carepreterm birthsocioeconomic factors

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Health Equity Research

Background:

  • Roma women face significant health inequalities due to limited healthcare access and socioeconomic disadvantages.
  • These disparities result in poorer perinatal outcomes for Roma populations compared to non-Roma.
  • Understanding these differences is vital for developing effective health interventions.

Purpose of the Study:

  • To explore disparities in neonatal health outcomes between Roma and non-Roma populations.
  • To summarize key perinatal characteristics of Roma and non-Roma groups.
  • To assess the impact of prenatal care on neonatal outcomes in these populations.

Main Methods:

  • A systematic literature review was conducted using major databases (PubMed, Scopus) up to 2025.
  • Included observational studies comparing perinatal outcomes (preterm birth, low birth weight, stillbirth, neonatal mortality) between Roma and non-Roma populations.
  • Analyzed factors influencing observed discrepancies.

Main Results:

  • 48 studies revealed substantial health disparities between Roma and non-Roma mothers and newborns.
  • Roma populations showed significantly higher rates of preterm birth, low birth weight, and neonatal mortality.
  • Key contributing factors identified include socioeconomic status, prenatal care access, maternal education, and systemic discrimination.

Conclusions:

  • Significant and persistent perinatal health disparities exist between Roma and non-Roma populations.
  • A multi-level strategy is needed, prioritizing social determinants of health, equitable maternal care access, and mitigating discrimination.
  • Future research should focus on developing and evaluating targeted interventions to reduce inequities and improve perinatal outcomes for Roma populations.