Cent Eur J Public Health 2014, 22(Supplement):S28-S31

Higher Prevalence of Nephropathy in Young Roma Females Compared with Non-Roma Females

Jaroslav Rosenberger1,2,3, Mária Majerníková1,3, Peter Jarčuška5, Daniel Pella5, Mária Mareková6, Andrea Madarasová Gecková2,3,4
1 Fresenius Medical Care - Dialysis Services, Piešťany, Slovakia
2 Department of Public Health, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovakia
3 Graduate School Košice Institute for Society and Health, P. J. Šafárik University in Košice, Košice, Slovakia
4 Olomouc University Social Health Institute, Palacký University in Olomouc, Olomouc, Czech Republic
5 1st Department of Internal Medicine, P. J. Šafárik University in Košice, Faculty of Medicine and L. Pasteur University Hospital, Košice, Slovakia
6 Department of Medical and Clinical Biochemistry and LABMED, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovakia

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 proteinuria/hematuria; 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 % CI 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.

Keywords: ethnicity, Roma, nephropathy, chronic kidney disease, gender differences

Published: March 1, 2014  Show citation

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Rosenberger J, Majerníková M, Jarčuška P, Pella D, Mareková M, Madarasová Gecková A. Higher Prevalence of Nephropathy in Young Roma Females Compared with Non-Roma Females. Cent Eur J Public Health. 2014;22(Supplement):S28-31. PubMed PMID: 24847611.
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