{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:44:13Z","timestamp":1788183853137,"version":"build-2803163510"},"reference-count":38,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The Roma are Europe\u2019s largest minority. They are also one of its most disadvantaged, with low levels of education and health and high levels of poverty. Research on Roma health often reveals higher burdens of disease in the communities studied. This paper aims to review the literature on communicable diseases among Roma across Eastern and Central Europe. A PubMed search was carried out for communicable diseases among Roma in these parts of Europe, specifically in Romania, Bulgaria, Hungary, Serbia, Slovakia, the Czech Republic and North Macedonia. The papers were then screened for relevance and utility. Nineteen papers were selected for review; most of them from Slovakia. Roma continue to have a higher prevalence of communicable diseases and are at higher risk of infection than the majority populations of the countries they live in. Roma children in particular have a particularly high prevalence of parasitic disease. However, these differences in disease prevalence are not present across all diseases and all populations. For example, when Roma are compared to non-Roma living in close proximity to them, these differences are often no longer significant.<\/jats:p>","DOI":"10.3390\/ijerph17207632","type":"journal-article","created":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T09:28:23Z","timestamp":1603186103000},"page":"7632","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Roma Health: An Overview of Communicable Diseases in Eastern and Central Europe"],"prefix":"10.3390","volume":"17","author":[{"given":"Kabir","family":"Tombat","sequence":"first","affiliation":[{"name":"Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Ant. Deusinglaan 1, 9713 AV Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0225-6811","authenticated-orcid":false,"given":"Jitse P.","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Ant. Deusinglaan 1, 9713 AV Groningen, The Netherlands"},{"name":"Graduate School Kosice Institute for Society and Health, Medical Faculty, P.J. Safarik University, Tr. SNP 1, 040 01 Kosice, Slovakia"},{"name":"Olomouc University Society and Health Institute, Palacky University, 771 11 Olomouc, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2342","DOI":"10.1016\/j.cub.2012.10.039","article-title":"Reconstructing the population history of European Romani from genome-wide data","volume":"22","author":"Mendizabal","year":"2012","journal-title":"Curr. Biol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Font-Porterias, N., Arauna, L.R., Poveda, A., Bianco, E., Rebato, E., Prata, M.J., Calafell, F., and Comas, D. (2019). European Roma groups show complex west Eurasian admixture footprints and a common South Asian genetic origin. PLoS Genet., 15.","DOI":"10.1371\/journal.pgen.1008417"},{"key":"ref_3","first-page":"33","article-title":"The cost of Roma slavery","volume":"5","author":"Necula","year":"2012","journal-title":"Perspect. Politice"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1017\/S0018246X15000278","article-title":"Trouble with Gypsies in early modern England","volume":"59","author":"Cressy","year":"2015","journal-title":"Hist. J."},{"key":"ref_5","unstructured":"(2020, July 25). Roma Holocaust Remembrance Has Lessons for Europe Today. European Union Agency for Fundamental Rights. Available online: https:\/\/fra.europa.eu\/en\/news\/2020\/roma-holocaust-remembrance-has-lessons-europe-today."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/S0140-6736(05)71063-1","article-title":"Roma women reveal that forced sterilisation remains","volume":"365","author":"Holt","year":"2005","journal-title":"Lancet"},{"key":"ref_7","unstructured":"Boffey, D. (2020, July 25). Policing of European Covid-19 Lockdowns Shows Racial Bias\u2013Report. The Guardian. Available online: https:\/\/www.theguardian.com\/world\/2020\/jun\/24\/policing-of-european-covid-19-lockdowns-shows-racial-bias-report."},{"key":"ref_8","unstructured":"(2012). The Situation of Roma in 11 EU Member States, Publications Office of the European Union."},{"key":"ref_9","unstructured":"(2020, July 25). Roma Data. UNDP in Europe and Central Asia. Available online: https:\/\/www.eurasia.undp.org\/content\/rbec\/en\/home\/ourwork\/sustainable-development\/development-planning-and-inclusive-sustainable-growth\/roma-in-central-and-southeast-europe\/roma-data.html."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"5524","DOI":"10.1016\/j.vaccine.2016.10.003","article-title":"The Roma vaccination gap: Evidence from twelve countries in Central and South-East Europe","volume":"34","author":"Duval","year":"2016","journal-title":"Vaccine"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s00038-013-0451-8","article-title":"Are barriers in accessing health services in the Roma population associated with worse health status among Roma?","volume":"58","author":"Jarcuska","year":"2013","journal-title":"Int. J. Public Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1475-9276-8-24","article-title":"Access to health care for Roma children in Central and Eastern Europe: Findings from a qualitative study in Bulgaria","volume":"8","author":"Rechel","year":"2009","journal-title":"Int. J. Equity Health"},{"key":"ref_13","unstructured":"(2020, July 25). Roma Integration 2020|Roma Decade. Rcc.int. Available online: https:\/\/www.rcc.int\/romaintegration2020\/romadecade."},{"key":"ref_14","unstructured":"(2020, June 03). Communicable Diseases. Euro.who.int. Available online: https:\/\/www.euro.who.int\/en\/health-topics\/communicable-diseases."},{"key":"ref_15","unstructured":"(2020, June 18). Joanna Briggs Institute-Checklist for Prevalence Studies. Joannabriggs.org. Available online: https:\/\/joannabriggs.org\/sites\/default\/files\/2019-05\/JBI_Critical_Appraisal-Checklist_for_Prevalence_Studies2017_0.pdf."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1080\/09540120412331305142","article-title":"Mother-to-child transmission of HIV infection in Romania: Results from an education and prevention programme","volume":"17","author":"Cocu","year":"2005","journal-title":"AIDS Care"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1097\/01.olq.0000204533.20324.56","article-title":"HIV risk behavior patterns, predictors, and sexually transmitted disease prevalence in the social networks of young Roma (Gypsy) men in Sofia, Bulgaria","volume":"33","author":"Kabakchieva","year":"2006","journal-title":"Sex. Transm. Dis."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"124","DOI":"10.21101\/cejph.a3479","article-title":"HIV and selected blood-borne and sexually transmitted infections in a predominantly Roma (Gypsy) neighbourhood in Budapest, Hungary: A rapid assessment","volume":"16","author":"Gyarmathy","year":"2008","journal-title":"Cent. Eur. J. Public Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1093\/eurpub\/ckp009","article-title":"Vulnerability to drug-related infections and co-infections among injecting drug users in Budapest, Hungary","volume":"19","author":"Gyarmathy","year":"2009","journal-title":"Eur. J. Public Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s10903-012-9596-4","article-title":"High-risk sexual behavior, HIV\/STD prevalence, and risk predictors in the social networks of young Roma (Gypsy) men in Bulgaria","volume":"15","author":"Amirkhanian","year":"2012","journal-title":"J. Immigr. Minor. Health"},{"key":"ref_21","first-page":"695","article-title":"Occurrence of microsporidia as emerging pathogens in Slovak Roma children and their impact on public health","volume":"20","author":"Malcekova","year":"2013","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"S51","DOI":"10.21101\/cejph.a3902","article-title":"High hepatitis B and low hepatitis C prevalence in Roma population in Eastern Slovakia","volume":"22","author":"Siegfried","year":"2014","journal-title":"Cent. Eur. J. Public Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.21101\/cejph.a3899","article-title":"The prevalence of chlamydia trachomatis in the population living in Roma settlements: A comparison with the majority population","volume":"22","author":"Pella","year":"2014","journal-title":"Cent. Eur. J. Public Health"},{"key":"ref_24","first-page":"1218","article-title":"The health status of Roma children-a medical or social issue","volume":"18","author":"Djurovic","year":"2014","journal-title":"Eur. Rev. Med Pharmacol. Sci."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1007\/s10096-014-2082-2","article-title":"Significantly higher occurrence of Cryptosporidium infection in Roma children compared with non-Roma children in Slovakia","volume":"33","author":"Sak","year":"2014","journal-title":"Eur. J. Clin. Microbiol. Infect. Dis."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2249","DOI":"10.1017\/S0950268814003665","article-title":"Seroprevalence of human Toxocara infections in the Roma and non-Roma populations of Eastern Slovakia: A cross-sectional study","volume":"143","author":"Jarcuska","year":"2015","journal-title":"Epidemiol. Infect."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.puhe.2017.05.011","article-title":"Occurrence of the most common helminth infections among children in the Eastern Slovak Republic","volume":"150","year":"2017","journal-title":"Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1007\/s00436-016-5362-1","article-title":"The roundworm Strongyloides stercoralis in children, dogs, and soil inside and outside a segregated settlement in Eastern Slovakia: Frequent but hardly detectable parasite","volume":"116","year":"2017","journal-title":"Parasitol. Res."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Antolov\u00e1, D., Hal\u00e1nov\u00e1, M., Janicko, M., Jarcuska, P., Reiterov\u00e1, K., Jaro\u0161ov\u00e1, J., Geckov\u00e1, A.M., Pella, D., Drazilova, S., and Team, H. (2018). A community-based study to estimate the seroprevalence of trichinellosis and echinococcosis in the Roma and non-Roma population of Slovakia. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15020251"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Antolov\u00e1, D., Janicko, M., Hal\u00e1nov\u00e1, M., Jarcuska, P., Geckova, A.M., Babinsk\u00e1, I., Kalinov\u00e1, Z., Pella, D., Marekov\u00e1, M., and Vesel\u00edny, E. (2018). Exposure to toxoplasma gondii in the Roma and non-Roma inhabitants of Slovakia: A cross-sectional seroprevalence study. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15030408"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Hal\u00e1nov\u00e1, M., Vesel\u00edny, E., Kalinov\u00e1, Z., Jarcuska, P., Janicko, M., Urban\u010d\u00edkov\u00e1, I., Pella, D., Drazilova, S., Babinsk\u00e1, I., and Geckova, A.M. (2018). Seroprevalence of hepatitis E virus in Roma settlements: A comparison with the general population in Slovakia. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15050904"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"89","DOI":"10.5334\/aogh.2502","article-title":"HPV testing for cervical cancer in Romania: High-Risk hpv prevalence among ethnic subpopulations and regions","volume":"85","author":"Ilisiu","year":"2019","journal-title":"Ann. Glob. Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1007\/s12223-020-00797-2","article-title":"The cross-sectional study of Toxoplasma gondii seroprevalence in selected groups of population in Slovakia","volume":"65","author":"Monika","year":"2020","journal-title":"Folia Microbiol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1016\/j.jiph.2020.04.006","article-title":"Seroepidemiology of human toxocariasis in selected population groups in Slovakia: A cross-sectional study","volume":"13","year":"2020","journal-title":"J. Infect. Public Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1080\/01419870.2011.607507","article-title":"Collecting ethnic statistics in Europe: A review","volume":"35","author":"Simon","year":"2012","journal-title":"Ethn. Racial Stud."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1093\/eurpub\/ckq102","article-title":"The socio-economic determinants of the health status of Roma in comparison with non-Roma in Bulgaria, Hungary and Romania","volume":"20","author":"Masseria","year":"2010","journal-title":"Eur. J. Public Health"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.ijid.2018.08.023","article-title":"Measles outbreak in a French Roma community in the Provence-Alpes-C\u00f4te d\u2019Azur region, France, May to July 2017","volume":"76","author":"Godefroy","year":"2018","journal-title":"Int. J. Infect. Dis."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1692","DOI":"10.1017\/S0950268818002170","article-title":"Ongoing measles outbreak in Greece related to the recent European-wide epidemic","volume":"146","author":"Georgakopoulou","year":"2018","journal-title":"Epidemiol. Infect."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/20\/7632\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:24:23Z","timestamp":1760178263000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/20\/7632"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,20]]},"references-count":38,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2020,10]]}},"alternative-id":["ijerph17207632"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17207632","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,20]]}}}