International Journal of Public Health

, Volume 64, Issue 5, pp 803–804 | Cite as

Why don’t segregated Roma do more for their health? A complex question

  • Jan BrožEmail author
  • Marisa A. Nunes
Letter to the Editor

We read with interest the article “Why don’t segregated Roma do more for their health? An explanatory framework from an ethnographic study in Slovakia” that has been published recently in this journal (Belak et al. 2018). The authors performed a qualitative content analysis of combined ethnography and systematic interview conducted in a Roma settlement of 260 inhabitants in Slovakia during a period of 10 years. They posited an original interlocking system of seven mechanisms which support the non-adherence of local Roma to clinical and public health recommendations. These mechanisms are controlled by and operated through both local Roma and non-Roma.

The authors should certainly be congratulated for collecting and analysing such a large amount of data and presenting a number of interesting conclusions.

We are approaching this subject from the perspective of practical medicine (Nunes et al. 2018), caring for patients with diabetes mellitus. The question of whether patients adhere to...



Special thanks to Dion Pritchard for language editing.


This article was supported by the Ministry of Health, Czech Republic—conceptual development of research organization, Motol University Hospital, Prague (Czech Republic 00064203).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Swiss School of Public Health (SSPH+) 2019

Authors and Affiliations

  1. 1.Department of Internal Medicine, Second Faculty of MedicineCharles UniversityPragueCzech Republic

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