Journal
CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH
Volume 22, Issue -, Pages S28-S31Publisher
NATL INST PUBLIC HEALTH
DOI: 10.21101/cejph.a3898
Keywords
ethnicity; Roma; nephropathy; chronic kidney disease; gender differences
Categories
Funding
- Agency of the Slovak Ministry of Education for the Structural Funds of EU [CEMIO-ITMS : 26220120058]
- Social determinants of health in socially and physically disadvantaged and other groups of population [CZ.1.07/2.3.00120.0063]
- Roche Slovensko
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Objectives: Ethnic differences in the prevalence of various chronic diseases, including end-stage renal disease, have been previously reported. Surprisingly, data focusing on the lower grade of chronic kidney disease (CKD) are scarce. Thus, the aim of this study was to explore differences in the prevalence of nephropathy between the Roma and non-Roma populations. Methods: Data from the cross-sectional population based HepaMeta study conducted in Slovakia were used. Nephropathy was defined as: a known history of any kidney disease; or the presence of proteinurialhematuria; or glomerular filtration rate (GFR) < 60 ml/min. The odds ratio for the prevalence of nephropathy was calculated using binary logistic regression. Results: In an age-adjusted model, Roma females had OR of 1.56 for having nephropathy over non-Roma females (OR 1.56; 95% Cl 1.01-2.42; p < 0.05). In addition, Roma females had a significantly lower GFR (mean difference 3.4 ml/min, t=-3.58, p < 0.001); all female patients with proteinuria were Roma. Conclusions: This cross-sectional study on the young general population found that Roma females have half-higher odds for nephropathy than non-Roma females. Therefore, to prevent risks we should focus on searching for ethnic, social and medical determinants of CKD. Interventions to decrease the incidence of CKD in the target population should also address ethnic inequalities as well as female gender.
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