Gypsy Research Articles

Prevalence of Celiac Disease in Romania.

Celiac disease (CD) is an autoimmune disorder that targets the small intestine, triggered by the ingestion of gluten in genetically predisposed individuals, causing damage to the villi and impairing nutrient absorption. Despite increased awareness and improved diagnostic techniques, CD remains significantly underdiagnosed, with many individuals suffering from unexplained symptoms or misdiagnosed conditions. This study aims to investigate the prevalence and demographic characteristics of CD in a Romanian population using rapid diagnostic tests followed by histological confirmation. This cross-sectional study aimed to determine the prevalence of CD in Romania using the BIOHIT Celiac Quick Test among adult participants recruited from tertiary healthcare centers and medical institutions. The prevalence of CD was calculated by dividing the number of confirmed positive cases by the total number of participants, with further evaluation including endoscopy and histological examination for those with positive quick test results. To our knowledge, this is the first prospective study in Romania to assess the prevalence of CD using a serological test. Out of 713 participants from Romania, 9 tested positive for CD using a rapid diagnostic test, confirmed by histological examination, resulting in a prevalence rate of 1.26%. The mean age of the CD-positive group was significantly younger (30.3 years) compared to the general population (49.2 years), and they had a lower mean BMI (22.2 vs. 28.1). Most CD-positive patients were female (66.7%) and resided in urban areas (55.6%). Our study found the prevalence of CD in a Romanian population to be slightly higher than the global average, highlighting the effectiveness of rapid diagnostic tests followed by histological confirmation. The significant regional variability in CD prevalence suggests the need for further research into environmental, dietary, and genetic factors, along with enhanced awareness and improved diagnostic protocols to better manage and prevent long-term complications of CD.

Slovakiaʼs Roma population and unemployment: Does public transport quality matter?

Slovakiaʼs Roma population and unemployment: Does public transport quality matter?

Age Estimation through Hounsfield Unit Analysis of Pelvic Bone in the Romanian Population.

Background: Bone density is affected by age- and sex-related changes in the os coxae, often known as the pelvic bone. Recent developments in computed tomography (CT) imaging have created new opportunities for quantitative analysis, notably regarding Hounsfield Units (HU). Objectives: The study aims to investigate the possibility of using HU obtained from os coxae CT scans to estimate age in the Romanian population. Methods: A statistical analysis was conducted on a sample of 80 pelvic CT scans in order to find any significant correlation between age, sex, and variation in density among the different pelvic bone locations of interest. According to the research, pelvic radiodensity measurements varied significantly between male and female participants, with men having greater levels. This technique may be valuable for determining an individual's sex precisely, as evidenced by the substantial association found between HU levels and changes in bone density associated with sex. Results: The analysis of variance underscores that HU values exhibit a significant negative relationship with radiodensity, with a general trend of decreasing HU with increasing age. The equation derived from the ordinary least squares OLS regression analysis can be used to estimate the age of individuals in the Romanian population based on their HU values at specific pelvic sites. Conclusions: In conclusion, the application of HU analysis in CT imaging of the coxae represents a non-invasive and potentially reliable method for age and sex estimation, and a promising avenue in the field of human identification.

Psychoemotional and Financial Impact on Infertile Women in a Romanian Population

Psychoemotional and Financial Impact on Infertile Women in a Romanian Population

Romanian Translation and Cultural Adaptation of the Seizure Severity Questionnaire.

Four translators were involved in obtaining conceptual analogies and the cultural importance of the translated notions. The final version was obtained for the Romanian population, with the same appearance as the original instrument. Sixty-seven patients with epilepsy completed the SSQ and the Patient-Weighted Quality of Life in Epilepsy Inventory-QOLIE-31-P. Females had a lower mean SSQ total score (TS) and perceived seizures less seriously than men. Patients with epilepsy with aura had a higher mean SSQ TS, with a more severe seizure perception, compared to those without aura. According to the frequency of seizures, patients with epilepsy with rare seizures had the lowest mean SSQ total score (TS) compared to those with frequent seizures. Patients who were on monotherapy had a less severe perception of epileptic seizures compared to those who were treated with two or more antiepileptic drugs. All QOLIE-31-P domains and TS correlated statistically significantly with the SSQ TS. This study explored SSQ translation, evaluated preliminary results, and showed the correlation between seizure frequency and severity, clinical factors, and quality of life. This tool could be useful for measuring seizure severity in Romanian patients with epilepsy and conducting comparative studies.

The Roma Population: Migration, Settlement, and Resilience

The Roma population—with a unique history marked by migration, settlement issues, and ongoing resilience—has always faced significant social marginalization and has often been subjected to forced migration. Despite being one of the largest and most diverse ethnic groups in Europe, Roma continue to face systemic discrimination and social exclusion, leading to poor outcomes in education, employment, health, and housing. This article analyses the migration pathways, settlement experiences, and persistent obstacles faced by Roma. We argue that removing historical and systemic barriers to create a more equitable and welcoming environment for the Roma community is their right. The resilience of the Roma community in the face of adversity is a testament to their cultural strength and adaptability. This research aims to document these aspects and thus provide a basis for policies that promote social inclusion, equality, and respect for cultural diversity.

Physical Exercise Prevents the Cognitive Decline among Older Adults in Romania.

Cognitive decline is one of the most important challenges related to the aging process, due to its important impact on individuals. Several studies have reported that physical exercise with a specific intensity and frequency is beneficial for maintaining cognitive health in the ageing population. The present study investigated the impact of general physical exercise on cognitive health in the older population in Romania. The study involved 60 individuals (60% male, 40% female), with a mean age of 60.78 years (SD = 2.97). The Health Interview Survey and The Minnesota Heart Survey assessed exercise frequency and intensity, while the Montreal Cognitive Assessment (MoCA) determined mild cognitive impairment (MCI) levels. The results of the statistical analysis showed that high-intensity physical exercise at a frequency of three to four times a week at the age of 40-50 years is recommended in order to significantly reduce cognitive decline. In addition, for the age of 60 years old, the results established that engaging in physical activities of a moderate intensity with a frequency of 2-3 times per month is sufficient to maintain healthy cognition. The findings suggest that exercise can serve as a behavioral intervention to mitigate cognitive dysfunction and complement past research on its cognitive health advantages.

Psychometric Properties and Factor Structure of the Disgust Scale-Revised (DS-R) for the Romanian population

Research on measuring the intensity of disgust has required the development of instruments to measure this construct. Given that, a more culturally appropriate scale is needed to ensure a valid and reliable measurement of disgust. The concept of “disgust” does not have an appropriate literature in Romanian pathology, and Disgust Scale-Revised (DS-R) is quite rarely used in the public health context. Therefore, this study focuses on the psychometric properties of the Romanian adaptation of the DS-R, one of the preferred instruments for measuring disgust. More specifically, the research investigated different forms of reliability and validity of the DS-R, using both Classical Test Theory (CTT) and Item Response Theory (IRT) analysis approaches. In general, the results showed good fidelity, fit of the single- factor model of the DS-R, good convergent and divergent validity with respect to the relationships of this scale with other variables. The study also highlights the important role of disgust and anxiety in predicting obsessive- compulsive symptoms. In conclusion, further refinement of the scale could be useful for a more comprehensive development of this instrument in the clinical setting.

Role of Vitamin D Receptor (BsmI-VDR) and Insulin Receptor (NsiI-A/G) Gene Polymorphisms in Colorectal Adenoma Susceptibility.

Vitamin D deficiency and type 2 diabetes mellitus are risk factors for colorectal cancer, suggesting a role for vitamin D receptor (VDR) and insulin receptor (INSR) gene polymorphisms. We investigated the prevalence of the VDR-BsmI (rs1544410) and NsiI A/G-INSR (rs2059806) polymorphisms and their associations with colorectal adenoma (CRA) in a Romanian population. A case-control study was conducted with 110 participants (67 with CRA and 43 controls) who underwent colonoscopy. Polymerase chain reaction-restriction fragment length polymorphism analysis was used to determine the genotype and allele frequencies of the two polymorphisms. Regarding rs1544410 and CRA patients, genotype distribution was 35% B/B, 47% B/b, and 19% b/b. In the controls, the distribution was 21% B/B, 45% B/b, and 34% b/b. For rs2059806, 12% of CRA patients had A/A, 30% A/G, and 58% G/G, while 8% of the controls had A/A, 40% A/G, and 52% G/G. The recessive model showed an odds ratio of 2.84 (95% CI: 1.04-7.72, p = 0.033) for the b/b genotype. CRA patients with b/b or G/G genotypes were diagnosed at a younger age. The b allele of the rs1544410 was a risk factor for CRA. Patients with the b/b and G/G genotypes were diagnosed earlier.

Genes Involved in Susceptibility to Obesity and Emotional Eating Behavior in a Romanian Population.

Obesity, a significant public health concern with high prevalence in both adults and children, is a complex disorder arising from the interaction of multiple genes and environmental factors. Advances in genome-wide association studies (GWAS) and sequencing technologies have identified numerous polygenic causes of obesity, particularly genes involved in hunger, satiety signals, adipocyte differentiation, and energy expenditure. This study investigates the relationship between six obesity-related genes (CLOCK, FTO, GHRL, LEP, LEPR, MC4R) and their impact on BMI, WC, HC, WHR, and emotional eating behavior in 220 Romanian adults. Emotional eating was assessed using the validated Emotional Eating Questionnaire (EEQ). Our analysis revealed significant variability in obesity-related phenotypes and emotional eating behaviors across different genotypes. Specifically, CLOCK/CC, FTO/AA, and LEP/AA genotypes were strongly associated with higher obesity metrics and emotional eating scores, while GHRL/TT and MC4R/CC were linked to increased BMI and WHR. The interplay between genetic predisposition and emotional eating behavior significantly influenced BMI and WHR, indicating a complex relationship between genetic and behavioral factors. This study, the first of its kind in Romania, provides a foundation for targeted interventions to prevent and reduce obesity and suggests potential strategies for gene expression modulation to mitigate the effects of emotional eating. Adopting a 'One Health' approach by creating an evidence base derived from both human and animal studies is crucial for understanding how to control obesity.

Comparative study of the Roma population Romania vs Spain

Comparative study of the Roma population Romania vs Spain

Cardiovascular risk factors among Roma and non-Roma populations in underprivileged settlements.

The 'Taking the screening tests close to the people' program offers cardiovascular screening to the inhabitants of underprivileged settlements. This study aimed to evaluate the cardiovascular risk factors of underprivileged populations, including individuals who described themselves as belonging to the Roma population. During the program, we collected information about demographic features, lifestyle and current illnesses. A general health assessment (body weight, height, blood pressure and fasting blood glucose) and cardiovascular examination were performed. We analysed data on both Roma and non-Roma groups and used Pearson's chi-squared test and multiple logistic regression models to analyse the factors that contribute to the onset of comorbidities, with a special focus on ethnicity. Data from 6211 participants were processed. Based on self-reports, the non-Roma population consisted of 5352 respondents (1364 men (25.5%) and 3988 women (74.5%)), and the Roma population comprised 859 respondents (200 men (23.3%) and 659 women (76.7%)). A total of 91.2% (4849) of the non-Roma population and 92.5% (788) of the Roma population exercised less than 3h per week (p < 0.001). Of the non-Roma population, 71.7% (3512) had a body mass index above 25kg/m2, while the corresponding figure was 72.4% (609) in the Roma population (p = 0.709). The median body mass index was 28.0 (24.6-31.9) in the non-Roma population and 28.8 (24.5-33.0) in the Roma population (p < 0.001). The prevalence of active smokers was 28.7% (1531) in the non-Roma population and 60.3% (516) in the Roma population (p < 0.001). The prevalence of hypertension was 54.9% (2824) in the non-Roma population and 49.8% (412) in the Roma population (p < 0.001). The prevalence of diabetes was 11.5% (95) in the Roma population and 12.2% (619) in the non-Roma population (p < 0.001). We found a high prevalence of overweight and obesity, a lack of physical activity and an remarkably high smoking rate in the studied underprivileged population. Both type 2 diabetes and hypertension were more common among people living in underprivileged settlements than in the general Hungarian population. People living in underprivileged settlements need more attention in primary care.

Southern African Origin of HTLV-1 in Romania.

In Europe, most HTLV-1-infected individuals originate from highly endemic regions such as West Indies, sub-Saharan Africa, and South America. The only genuine endemic region for HTLV-1 in Europe is Romania where ATL series have been reported among Romanian patients. Our objective is to better understand the origin of this endemic focus based on a study of the genetic diversity of HTLV-1 in Romanians. DNA was obtained from PBMCs/buffy coats of 11 unrelated HTLV-1-infected individuals of Romanian origin. They include 9 ATL cases and 2 asymptomatic carriers. LTR sequences were obtained for all specimens. Complete genomic HTLV-1 sequences were obtained using four PCR series on 10 specimens. Phylogenetic trees were generated from multiple alignments using HTLV-1 prototypic sequences and the new generated sequences. Most of the complete LTR sequences (756-bp) showed low nucleotide diversity, ranging from 0% to 0.8% difference, and were closely related (less than 0.8% divergence) to the only previously characterized Romanian strain, RKI2. One strain, ROU7, diverged slightly (1.5% on average) from the others. Phylogenetic analyses both on partial LTR and the complete genome demonstrate that the 11 sequences belong to the HTLV-1a cosmopolitan genotype and 10 of them belong to the previously denominated a-TC Mozambique-Southern Africa A subgroup. In this study, we demonstrated that the HTLV-1 present in Romania most probably originated in Southern Africa. As most Romanian HTLV-1 strains are very closely related, we can assume that HTLV-1 has been introduced into the Romanian population recently. Further studies are ongoing to decipher the routes of arrival and dissemination of these HTLV-1 strains, and to date the emergence of this endemic focus in Central Europe.

Strengthening Romani Voices in Colombia: Reflections on a Participatory Approach

Latin America’s diverse Romani populations are seldom represented in policy debates, and frequently misrepresented in popular culture and the mainstream media. In Colombia, the Proceso Organizativo del Pueblo Rrom de Colombia (Organizational Process of the Roma People of Colombia, Prorrom), among other organisations, was established to promote Romani inclusion in the country’s multicultural policies. But despite legal recognition of Romani populations in Colombia, their identity continues to be framed officially in aesthetic terms that reinforce prevailing stereotypes. This article reflects on our collaboration with Prorrom in the design and delivery of two workshops in Bogotá, where 32 appointed Romani cultural mediators are hired by the District Secretaries and other official institutions to provide input around census-taking and policy actions. Although government agencies rely on Romani mediators for decision-making, the mediators receive little if any training for their role, and often find it difficult to overcome stereotypes that stigmatise or exoticise. Our collaborative workshops addressed this problem, creating spaces for the co-creation of tools and resources to better engage with government bodies, strengthening Romani capacity to better advocate for inclusion and anti-racism. The article offers a brief history of Romani presence in Colombia, and an outline of the specific issues Romani populations face in the country. We then examine the problems identified by Romani mediators, which our collaborative workshops addressed. Finally, we explore how Romani participants viewed the collaborative process and its outcome, in their own words, and reflect on our own learning.

A Review of Genetic Diversity Based on the Y Chromosome in the Romanian Population.

Y chromosome analysis is used in a number of practical applications, including investigations of criminal cases, establishment of paternity, searching for missing persons, studies on human migration, evolutionary research, and historical and genealogical investigations. Questions about the origin of individual ethnic groups are addressed not only through archaeological, linguistic, and ethnographic methods but also through molecular genetics methods. The study of genetic diversity in Romania is particularly interesting from several perspectives because Romania, located in Southeast Europe, is distinguished by the fact that the Carpathians and the Danube served as natural barriers against the migrations of peoples for centuries, thus influencing the genetic mixture of the population. This is relevant for understanding the history and formation of ethnic groups in the region. In addition, many ethnic minorities live in Romania, which adds an additional dimension of genetic and cultural diversity. This article aims to provide an updated picture of the genetic diversity in Romania and to highlight the significant studies carried out among the Romanian population. By analyzing the articles published in the Web of Science, Scopus, or PubMed databases, which explore genetic diversity using the Y chromosome, the aim is to better understand the current genetic panorama in Romania.

THE ROLE OF SELF-MARKETING IN CREATING OPPORTUNITIES FOR ROMA EMPLOYMENT

The role of different groups in society in the labour market is of vital importance for the functioning of a nation's economy. Equal access to employment is a fundamental condition for tackling social exclusion and is closely linked to reducing and combating poverty. Research on discrimination in the labour market goes back several decades and is primarily based on perceptions of discrimination. The Roma population is one of the most disadvantaged groups in Hungary, with the most severe labour market tensions and the largest number of underprivileged groups. Roma are considered a social group with below average labour market opportunities. The unfavourable social and economic situation of the Roma population in Hungary and their resulting marginalisation has become a platitude in public discourse and academic work. The importance of the issue is undoubtful, as it is estimated that the Roma population, which constitutes a significant proportion of the population, is the poorest, most excluded and, overall, the most vulnerable group in society. The gap between the Roma population and the majority society has been steadily increasing for decades, mainly due to the residential segregation and economic decline of the Roma. Negative discrimination in the labour market plays a crucial role in shaping the employment prospects of Roma people. On the one hand, this is due to the negative discrimination they face, and on the other hand, to the low level of knowledge acquired by these people compared to the average in society. In our study, we examine the factors determining selfmarketing and the labour market chances of Roma in the context of the background factors, economic and social effects of unemployment, which particularly affect this precariat group. We make an attempt to prove that self-marketing has a right to exist among the Roma working population. In researching this topic, it is essential to address the issue of the conscious career management competences of members of the emerging generation and the crucial role of inclusive workplaces.

ROMANIAN STUDENTS’ KNOWLEDGE, ATTITUDES AND BEHAVIORS REGARDING SUSTAINABILITY. TESTING AN ASSESSMENT INSTRUMENT

Universities’ role in promoting sustainability and the sustainable development goals (SDGs) is increasingly highlighted in the recent years. The high number of academic papers published in this field stands as proof of the attention received by these subjects. The integration of sustainability in education implies the transmission of principles, values and practices in teaching-learning activities, research and in institutional operations. While studies focus on the type of educational and extracurricular actions that universities may promote in order to develop more sustainability aware students, less attention is devoted to the actual impact of these practices. The Education for Sustainable Development (ESD) approach starts with the assessment of the current state: what is being done in universities and what is the level of sustainability awareness among the main actors, mainly students. Having a concrete picture regarding the students' level of sustainability literacy, we can identify opportunities to develop new implementation practices that address the sustainability issue within higher education. Currently, there is no consensus over a tool to evaluate the knowledge, attitudes as well as behaviors of students regarding sustainability and the SDGs. Nevertheless, efforts were made in this line of research. Our study focuses on the methodologies to assess these aspects. Based on previously used tools, we developed and tested a questionnaire on Romanian student population. The tested scales for sustainability knowledge, attitudes and behaviors highlight the different pillars of sustainable development, namely: social, economic and environmental, revealing that more focus is given to the latter.

The Demographic Profile of The Population in Small, Medium and Large-Sized Cities in Romania

The present study analyzes the demographic profile of the population by categories of urban localities, categories established according to the number of inhabitants, respectively very small, small, medium and large-sized cities. The main conclusions from this study would be that approximately 40% of the Romanian population lives in medium and large cities, the average age of the population in very small and small towns is lower than that in larger cities, the share of the population whose domicile coincides with residence is higher in smaller cities compared to larger ones, and the distribution of the main ethnicities highlights a slightly asymmetric territorial distribution within the Hungarian ethnic group (there are localities with very high percentages of this ethnic group) and a symmetrical distribution for the Romany ethnic group.

Roma Women's Role in the Health Preservation of Their Communities during the COVID-19 Pandemic.

The scientific literature has evidenced the stereotypes that affect the Roma people, which are detrimental to their access to the health systems in various countries. With the COVID-19 pandemic, this situation has been aggravated by falsely blaming, on many occasions, the Roma people as spreaders of the virus for supposedly not complying with the norms established by the health authorities. However, it has not been explored in depth what actions have been carried out by the Roma people during the pandemic to cope with this aspect. The aim of this article is to learn about the leadership of Roma women in relation to maintaining the health of their community during the pandemic. The research has been conducted through focus groups and life stories with a total of 47 Roma women and 24 Roma men participants, as well as interviews with 40 professionals from education, social services, health services, and civic organizations. The results show how the reality of the studied contexts was different to those stereotypes, that the Roma women in the contexts studied have led actions that preserved the health of their communities, that the established measures were strictly followed, breaking with the extended stereotype about the Roma people.

Translation and validation of the Portuguese version of the discrimination in medical settings scale: a cross-sectional study with Portuguese Roma

PurposePerceived discrimination in medical setting is associated to adverse healthcare outcomes. Yet, few tools exist for assessing such discrimination among patients in Portugal. This study aimed to validate the Discrimination in Medical Settings (DMS) scale for the Portuguese Roma population, explore their experiences of healthcare discrimination and analyze the association between perceived discrimination, health perception and healthcare trust.Design/methodology/approachIn this cross-sectional study, 84 Roma adults (60,7% women) completed the DMS, along with microaggression assessments, health perception and healthcare trust evaluations.FindingsThe seven-item DMS scale yielded a one-factor structure that explained 71.80% of variance, with strong reliability (a = 0.89). The average DMS-measured perceived discrimination was 2.46. Discrimination correlated inversely with health perception and was strongly negatively associated to trust in healthcare.Originality/valueThe DMS scale exhibited reliability, single-dimensionality and validity among the Roma. High perceived discrimination in medical settings among Portuguese Roma was notably associated with individual health perception and healthcare trust.