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Drobnakova S, Madarasova Geckova A, Vargova V, Schusterova I, Rosenberger J, Klein D, P van Dijk J, Reijneveld SA. Juvenile Idiopathic Arthritis: Roma Children Seem to Run More Risk than Non-Roma. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072377. [PMID: 32244474 PMCID: PMC7177970 DOI: 10.3390/ijerph17072377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 03/24/2020] [Accepted: 03/29/2020] [Indexed: 11/16/2022]
Abstract
Background: Ethnic information regarding juvenile idiopathic arthritis (JIA) exists for various populations across the world but is fully lacking for Roma. We assessed the occurrence and clinical characteristics of JIA in Roma vs. non-Roma children. Methods: We obtained data on all outpatients (n = 142) from a paediatric rheumatology centre (age 3 to 18 years) in the eastern part of Slovakia (Kosice region). We assessed patients' age, gender, disease type and related extra-articular conditions by ethnicity. We obtained population data from the 2011 census. Results: The share of Roma children was higher in the clinical JIA sample than in the overall population (24.6%, n = 35, Roma in the sample vs. 10.8%, n = 142, Roma in the population, p < 0.05). Moreover, Roma children had been diagnosed more frequently with extra-articular conditions but did not differ in other symptoms. Treatments also did not differ by ethnicity. Conclusion: Roma children had been diagnosed more with JIA than their non-Roma peers. This calls for further research on the causes of this increased disease burden in Roma children.
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Affiliation(s)
- Simona Drobnakova
- Department of Paediatric and Adolescent Medicine, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic; (V.V.); (I.S.)
- Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic; (A.M.G.); (J.R.); (J.P.v.D.)
- Correspondence:
| | - Andrea Madarasova Geckova
- Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic; (A.M.G.); (J.R.); (J.P.v.D.)
- Department of Health Psychology, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic
- Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11 Olomouc, Czech Republic
| | - Veronika Vargova
- Department of Paediatric and Adolescent Medicine, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic; (V.V.); (I.S.)
| | - Ingrid Schusterova
- Department of Paediatric and Adolescent Medicine, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic; (V.V.); (I.S.)
| | - Jaroslav Rosenberger
- Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic; (A.M.G.); (J.R.); (J.P.v.D.)
- Department of Health Psychology, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic
- Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11 Olomouc, Czech Republic
- 2nd Intenal Clinic, Faculty of Medicine, University PJ Safarik, 040 01 Kosice, Slovak Republic
| | - Daniel Klein
- Institute of Mathematics, Faculty of Natural Sciences, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic;
| | - Jitse P van Dijk
- Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovak Republic; (A.M.G.); (J.R.); (J.P.v.D.)
- Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11 Olomouc, Czech Republic
- Department of Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Ant. Deusinglaan 1, 9713 AV Groningen, The Netherlands;
| | - Sijmen A. Reijneveld
- Department of Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Ant. Deusinglaan 1, 9713 AV Groningen, The Netherlands;
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