Health-Related Quality of Life and Chronic Disease Status of Roman People in Zonguldak

Zonguldak'ta Yaşayan Romanların Sağlıkla İlişkili Yaşam Kalitesi ve Kronik Hastalık Durumu

Abstract

Objective: Roman People are faced with health problems such as chronic disease, disabilities andlimitations with work and daily activities, compared to general population. This study was planned to examinechronic disease and sociodemographic characteristics affecting their health-related quality of life (HQOL) statusof Roman People. Materials and Methods: Cross-sectional typed this study was carried out with 317 RomanPeople who selected randomly in Karaelmas Family Health Center in Zonguldak city between February 1-April30, 2015. There are many Roman people living in the Karaelmas region. They were 18 years old and above, whohad no communication problems and who were willing to participate were included in the study. Data werecollected with a questionnaire which was prepared by the researchers and including 11 items questioningsociodemographics and the presence of any disease, and SF-36 health-related quality of life (SF-36 HQOLquestionnaire. Data were evaluated by SPSS 20.0 program. Means, standard deviations, percentages, MannWhitney U and Kruskal Wallis tests, Spearman correlation tests were used for the evaluation of data. Results andConclusion: The most common chronic disease in Roman People is hypertension (23.9%). Besides, there was anadditional disease (comorbidity) in 19.4% of the Roman People. It was found that HQOL was lower in the oneshaving a chronic disease and sociodemographic characteristics as age, education, and employment statussignificantly affected health-related quality of life. Quality of scores of the individuals whose education level washigh and who were employed were found to be significantly high. A negative and significantly high relationshipwas found between age and HQOL. The lowest score was from vitality and the highest score was from socialfunction domains. Keeping chronic disease status in the forefront but not ruling out income and educational statusmight be recommended for the evaluation of HQOL and it is suggested to organize trainings about the factorsaffecting of HQOL of the Roman People.

Özet

Amaç: Romanlar genel popülasyona kıyasla kronik hastalık gibi sağlık sorunları, engellilik, iş ve günlük faaliyetlerle ilgili sınırlamalar ile karşı karşıyadırlar. Bu çalışma Romanların kronik hastalık durumlarını ve sağlıkla ilişkili yaşam kalitesini (HQOL) etkileyen sosyodemografik özelliklerini incelemek amacıyla planlanmıştır.Gereç ve Yöntem: Kesitsel tipteki bu çalışma 1 Şubat-30 Nisan 2015 tarihleri arasında Zonguldak ilinde Karaelmas Aile Sağlığı Merkezi’ne başvuran 317 Roman üzerinde yapılmıştır. 18 yaş ve üstü olan, iletişim engeli olmayan ve çalışmaya katılmaya istekli Romanlar araştırmaya dahil edilmiştir. Veriler araştırmacılar tarafından hazırlanan, sosyodemografik özellikleri ve hastalık varlığını sorgulayan 11 maddeden oluşan anket formu ve SF-36 yaşam kalitesi ölçeği ile toplanmıştır. Bulgular ve Sonuç: Romanlarda en yaygın görülen kronik hastalık hipertansiyondur. Yanı sıra % 19,4’ünde eşlik eden kronik bir hastalık vardır. Kronik hastalığı olanların yaşam kalitesinin daha düşük olduğu, sosyodemografik özelliklerinden yaş, eğitim, ekonomik ve çalışma durumunun yaşam kalitesini etkilediği bulunmuştur(p