Journal of Religion and Health

, Volume 58, Issue 6, pp 2047–2064 | Cite as

The Differential Impact of Religion on Self-Reported Health Among Serbian Roma Women

  • Jelena ČvorovićEmail author
Original Paper


The present paper offers an account of how self-reported health varies with religious affiliation and reproductive effort among Serbian Roma women. Data were collected in 2014–2018 in two Roma semi-urban settlements in central Serbia. The sample consisted of 177 Christian and 127 Muslim women, averaging 54 years of age. In addition to religious affiliation (Christianity/Islam), demographic data, reproductive histories, data on self-reported and children’s health were collected, along with height and weight, and smoking status. Christian and Muslim Roma women differed significantly on a number of variables, with Muslim women reporting poorer health and higher reproductive effort. Among Roma women religion may be an important determinant of reproductive and fertility patterns, largely because it may have formed an important foundation upon which identity is based. This study adds to the literature on the cross-cultural relevance of the ways religion shapes reproductive behaviors for understanding the health variations of women from the same ethnic group who profess different religions.


Religious affiliation Self-reported health Roma 


Compliance with Ethical Standards

Conflict of interest

The authors declare that there is no conflict of interest.


  1. Agarwal, A., Gupta, S., & Sharma, R. K. (2005). Role of oxidative stress in female reproduction. Reproductive Biology and Endocrinology,3, 28. Scholar
  2. Alonzo, A. A. (2002). Long-term health consequences of delayed childbirth: NHANES III. Women’s Health Issues,12(1), 37–45.PubMedGoogle Scholar
  3. Atsma, F., Bartelink, M. L. E., Grobbee, D. E., Rutten, A., Bots, M. L., Prokop, M., et al. (2008). Reproductive factors, metabolic factors, and coronary artery calcification in older women. Menopause,15, 899–904.PubMedGoogle Scholar
  4. Bar-El, R., García-Muñoz, T., Neuman, S., & Tobol, Y. (2013). The evolution of secularization: Cultural transmission, religion and fertility—Theory, simulations and evidence. Journal of Population Economics,26, 1129–1174. Scholar
  5. Beckford, J. A., Gale, R., Owen, D., Peach, C., & Weller, P. (2006). Review of the evidence base on faith communities. London: University of Warwick.Google Scholar
  6. Beljić-Živković, T., Marjanović, M., Prgomelja, S., Soldatović, I., Koprivica, B., Acković, D., et al. (2010). Screening for diabetes among Roma people living in Serbia. Croatian Medical Journal,51(2), 144–150.PubMedPubMedCentralGoogle Scholar
  7. Benson, P. R. (2017). The impact of child and family stressors on the self-rated health of mothers of children with autism spectrum disorder: Associations with depressed mood over a 12-year period. Autism,22, 489–501. Scholar
  8. Bereczkei, T., & Csanaky, A. (1996). Mate choice, marital success, and reproduction in a modern society. Ethology and Sociobiology,17(1), 17–35.Google Scholar
  9. Bisin, A., Topa, G., & Verdier, T. (2004). Religious intermarriage and socialization in the United States. Journal of Political Economy,112(3), 615–664.Google Scholar
  10. Bisin, A., & Verdier, T. (2000). “Beyond the melting pot”: Cultural transmission, marriage, and the evolution of ethnic and religious traits. The Quarterly Journal of Economics,115(3), 955–988.Google Scholar
  11. Blume, M. (2009). The reproductive benefits of religious affiliation. In E. Voland & W. Schiefenhövel (Eds.), The biological evolution of religious mind and behavior. The frontiers collection (pp. 117–126). Berlin: Springer.Google Scholar
  12. Boyer, P. (2001). Religion explained: The evolutionary origins of religious thought. New York: Basic Books.Google Scholar
  13. Buber-Ennser, I., & Skirbekk, V. (2016). Researchers, religion and childlessness. Journal of Biosocial Science,48(3), 391–405.PubMedGoogle Scholar
  14. Bulbulia, J. (2004). The cognitive and evolutionary psychology of religion. Biology and Philosophy,19(5), 655–686.Google Scholar
  15. Caldwell, J. C. (1986). Routes to low mortality in poor countries. Population and Development Review,12, 171–220.Google Scholar
  16. Chaturvedi, R., Ojha, S., & Tiwari, R. K. (2014). Understanding parental stress of physically challenged: An overview. Indian Journal of Health and Wellbeing,5(6), 770–773.Google Scholar
  17. Coe, K., & Čvorović, J. (2017). The health of Romanian Gypsy women in Serbia. Health Care for Women International,38(4), 409–422.PubMedGoogle Scholar
  18. Čvorović, J. (2004). Sexual and reproductive strategies among Serbian gypsies. Population and Environment,25, 217–242.Google Scholar
  19. Čvorović, J. (2006). Gypsies drown in shallow water: Oral narratives among Mačva gypsies. Journal of Folklore Research,43(2), 129–148.Google Scholar
  20. Čvorović, J. (2010). Roast chicken and other gypsy stories (p. 19). Hamburg: Peter Lang GmbH Internationaler Verlag der Wissenschaften, European University Studies, Series.Google Scholar
  21. Čvorović, J. (2011). The differential impact of religion on life history and reproductive strategy: Muslim and orthodox gypsies in Serbia. Mankind Quarterly,51(3), 330–348.Google Scholar
  22. Čvorović, J. (2012). A research report: Religion and reproduction muslim vs. orthodox serbs. Mankind Quarterly,52(3/4), 358–387.Google Scholar
  23. Čvorović, J. (2014). The Roma: A Balkan underclass. London: Ulster Institute for Social Research.Google Scholar
  24. Čvorović, J. (2018a). Influence of maternal height on children’s health status and mortality: A cross-sectional study in poor Roma communities in rural Serbia. HOMO,69(6), 357–363.PubMedGoogle Scholar
  25. Čvorović, J. (2018b). Self-rated health and teenage pregnancies in Roma women: Increasing height is associated with better health outcomes. Journal of Biosocial Science,11, 1–13. Scholar
  26. Čvorović, J. (2019). Debate diabetes mellitus prevalence among traditional Roma women in Serbia: A reply to Brož and Nunes. Journal of Biosocial Science. Scholar
  27. Čvorović, J., & Coe, K. (2017). Reproductive investment and health costs in Roma women. International Journal of Environmental Research and Public Health,14(11), 1337. Scholar
  28. Čvorović, J., & Coe, K. (2018). Happy marriages are all alike: Marriage and self-rated health among Serbian Roma. Bulletin of the Institute of Ethnography (SASA). Scholar
  29. Čvorović, J., & James, S. (2018). John Henryism, gender and self-reported health among Roma/gypsies in Serbia. Culture, Medicine and Psychiatry,42(2), 295–314.PubMedGoogle Scholar
  30. Čvorović, J., & Nikolic, K. (2012). Differential reproductive success in the historic populations of Sandzak. Mankind Quarterly,53(2), 206–237.Google Scholar
  31. Daly, M., & Wilson, M. (1982). Sex, evolution, and behavior. Belmont, CA: Wadsworth Publishing Company.Google Scholar
  32. Đordjević, T. R. (1932). Naš narodni život i običaji. (VI). Beograd.Google Scholar
  33. Dunn, L. A. (2015). The roles of religion in conflicts in the former Yugoslavia. Occasional Papers on Religion in Eastern Europe,16(1), 3.Google Scholar
  34. Feng, Y., Hong, X., Wilker, E., Li, Z., Zhang, W., Jin, D., et al. (2008). Effects of age at menarche, reproductive years, and menopause on metabolic risk factors for cardiovascular diseases. Atherosclerosis,196(2), 590–597.PubMedGoogle Scholar
  35. Fieder, M., & Huber, S. (2016). The association between religious homogamy and reproduction. Proceedings of the Royal Society B,283(1834), 20160294.PubMedGoogle Scholar
  36. Gagnon, A. (2015). Natural fertility and longevity. Fertility and Sterility,103(5), 1109–1116.PubMedGoogle Scholar
  37. Gallagher, A., Čvorović, J., & Štrkalj, G. (2009). Body mass index in Serbian Roma. HOMO-Journal of Comparative Human Biology,60(6), 567–578.Google Scholar
  38. Gaydos, L. M., Smith, A., Hogue, C. J., & Blevins, J. (2010). An emerging field in religion and reproductive health. Journal of Religion and Health,49(4), 473–484.PubMedGoogle Scholar
  39. Ghuman, S. J. (2003). Women’s autonomy and child survival: A comparison of Muslims and non-Muslims in four Asian countries. Demography,40(3), 419–436.PubMedGoogle Scholar
  40. Goldscheider, C. (2006). Religion, family, and fertility: What do we know historically and comparatively? In R. Derosas & F. van Poppel (Eds.), Religion and the decline of fertility in the western world (pp. 41–57). Dordrecht: Springer.Google Scholar
  41. Green, M., & Elliott, M. (2010). Religion, health, and psychological well-being. Journal of Religion and Health,49(2), 149–163.PubMedGoogle Scholar
  42. Grundy, E., & Tomassini, C. (2005). Fertility history and health in later life: A record linkage study in England and Wales. Social Science and Medicine,61(1), 217–228.PubMedGoogle Scholar
  43. Gurven, M., Costa, M., Trumble, B., Stieglitz, J., Beheim, B., Rodriguez, D. E., et al. (2016). Health costs of reproduction are minimal despite high fertility, mortality and subsistence lifestyle. Scientific Reports,6(6), 30056. Scholar
  44. Gyimah, S. O. (2007). What has faith got to do with it? Religion and child survival in Ghana. Journal of Biosocial Science,39(6), 923–937.PubMedGoogle Scholar
  45. Hackett, C., Connor, P., Stonawski, M., Skirbekk, V., Potancoko, M., & Abel, G. (2015). The future of world religions: Population growth projections for 2010–2050. Pew Research Center.
  46. Heaton, T. B. (2011). Does religion influence fertility in developing countries. Population Research and Policy Review,30(3), 449–465.Google Scholar
  47. Helle, S., Lummaa, V., & Jokela, J. (2005). Are reproductive and somatic senescence coupled in humans? Late, but not early, reproduction correlated with longevity in historical Sami women. Proceedings of the Royal Society of London B: Biological Sciences,272(1558), 29–37.Google Scholar
  48. Hill, K., & Hurtado, A. (1996). Ache life history. New York: Aldine de Gruyter.Google Scholar
  49. Hjelm, K., Bard, K., Nyberg, P., & Apelqvist, J. (2003). Religious and cultural distance in beliefs about health and illness in women with diabetes mellitus of different origin living in Sweden. International Journal of Nursing Studies,40(6), 627–643.PubMedGoogle Scholar
  50. Holtmann, C., & Tramonte, L. (2014). Tracking the emotional cost of immigration: Ethno-religious differences and women’s mental health. Journal of International Migration and Integration,15(4), 633–654.Google Scholar
  51. Idler, E., Blevins, J., Kiser, M., & Hogue, C. (2017). Religion, a social determinant of mortality? A 10-year follow-up of the Health and Retirement Study. PLoS ONE,12(12), e0189134. Scholar
  52. Janević, T., Sripad, P., Bradley, E., & Dimitrievska, V. (2011). “There’s no kind of respect here” A qualitative study of racism and access to maternal health care among Romani women in the Balkans. International Journal for Equity in Health,10(1), 1–12.Google Scholar
  53. Jarvis, G. K., & Northcott, H. C. (1987). Religion and differences in morbidity and mortality. Social Science and Medicine,25(7), 813–824.PubMedGoogle Scholar
  54. Jasienska, G. (2017). Costs of reproduction, health, and life span in women. In G. Jasienska, D. S. Sherry, & D. J. Holmes (Eds.), The arc of life. Evolution and health across the life course (pp. 159–176). New York: Springer.Google Scholar
  55. Jones, G. W. (2006). A demographic perspective on the Muslim world. Journal of Population Research,23(2), 243–265.Google Scholar
  56. Jylhä, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine,69(3), 307–316.PubMedGoogle Scholar
  57. Kagawa Singer, M. K., Dressler, W., George, S., & Panel, N. I. H. E. (2016). Culture: The missing link in health research. Social Science and Medicine,170, 237–246.PubMedGoogle Scholar
  58. Karlsen, S., & Nazroo, J. Y. (2010). Religious and ethnic differences in health: Evidence from the Health Surveys for England 1999 and 2004. Ethnicity and Health,15(6), 549–568. Scholar
  59. Kim, J., Smith, T. W., & Kang, J. H. (2015). Religious affiliation, religious service attendance, and mortality. Journal of Religion and Health,54(6), 2052–2072.PubMedGoogle Scholar
  60. Kirkwood, T. B., & Rose, M. R. (1991). Evolution of senescence: Late survival sacrificed for reproduction. Philosophical Transactions of the Royal Society B: Biological Sciences,332(1262), 15–24.Google Scholar
  61. Kleinman, A. (1987). Anthropology and psychiatry. The role of culture in cross-cultural research on illness. The British Journal of Psychiatry,151(4), 447–454.PubMedGoogle Scholar
  62. Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press.Google Scholar
  63. Krause, N., & Hayward, R. D. (2014). Religious involvement, practical wisdom, and self-rated health. Journal of Aging and Health,26(4), 540–558.PubMedGoogle Scholar
  64. Laird, L. D., Amer, M. M., Barnett, E. D., & Barnes, L. L. (2007). Muslim patients and health disparities in the UK and the US. Archives of Disease in Childhood,92(10), 922–926.PubMedPubMedCentralGoogle Scholar
  65. Levin, J. S. (1994). Religion and health: Is there an association, is it valid, and is it causal? Social Science and Medicine,38(11), 1475–1482.PubMedGoogle Scholar
  66. Levin, J., Chatters, L. M., & Taylor, R. J. (2005). Religion, health and medicine in African Americans: Implications for physicians. Journal of the National Medical Association,97(2), 237–249.PubMedPubMedCentralGoogle Scholar
  67. Macris, V. (2015). Romani peoples’ resistance to mainstream schooling: A focus on Romani woman and girls’ education and the educational policies, barriers, and practices in Greece. Alberta Journal of Educational Research,61(4), 449–464.Google Scholar
  68. Marushiakova, E., & Popov, V. (2002). Historical and ethnographic background: Gypsies, Roma and Sinti. In W. Guy (Ed.), Between past and future: The Roma of Central and Eastern Europe (pp. 33–52). Hatfield: University of Hertfordshire Press.Google Scholar
  69. Mascie-Taylor, C. G. (1986). Assortative mating and differential fertility. Biology and Society,3, 167–170.PubMedGoogle Scholar
  70. McQuillan, K. (2004). When does religion influence fertility? Population and Development Review,30(1), 25–56.Google Scholar
  71. Miodrag, N., Burke, M., Tanner-Smith, E., & Hodapp, R. M. (2015). Adverse health in parents of children with disabilities and chronic health conditions: A meta-analysis using the Parenting Stress Index’s Health Sub-domain. Journal of Intellectual Disability Research,59(3), 257–271.PubMedGoogle Scholar
  72. Miodrag, N., & Hodapp, R. M. (2011). Chronic stress and its implications on health among families of children with intellectual and developmental disabilities (I/DD). International Review of Research in Developmental Disabilities,41(1), 127–161.Google Scholar
  73. Morgan, S. P., Stash, S., Smith, H. L., & Mason, K. O. (2002). Muslim and non-Muslim differences in female autonomy and fertility: Evidence from four Asian countries. Population and Development Review,28(3), 515–537.Google Scholar
  74. Mueller, U. (2004). Does late reproduction extend the life span? Findings from European royalty. Population and Development Review,30(3), 449–466.Google Scholar
  75. Napier, A. D., Ancarno, C., Butler, B., Calabrese, J., Chater, A., Chatterjee, H., et al. (2014). Culture and health. The Lancet,384(9954), 1607–1639.Google Scholar
  76. Onapajo, H., & Usman, A. A. (2015). Fuelling the flames: Boko Haram and deteriorating Christian–Muslim relations in Nigeria. Journal of Muslim Minority Affairs,35(1), 106–122.Google Scholar
  77. Padela, A. I., & Curlin, F. A. (2013). Religion and disparities: Considering the influences of Islam on the health of American Muslims. Journal of Religion and Health,52(4), 1333–1345.Google Scholar
  78. Patra, S., Arokiasamy, P., & Goli, S. (2016). Relevance of health knowledge in reporting maternal health complications and use of maternal health care in India. Health Care for Women International,37(5), 531–549.PubMedGoogle Scholar
  79. Philipov, D., & Berghammer, C. (2007). Religion and fertility ideals, intentions and behaviour: A comparative study of European countries. Vienna Yearbook of Population Research,5, 271–305.Google Scholar
  80. Radovanović, S., & Knežević, A. (2014). Romi u Srbiji (Roma in Serbia: Census data). Beograd: Republički Zavod za Statistiku.Google Scholar
  81. Roman, G., Gramma, R., Enache, A., Pârvu, A., Moisa, Ş. M., Dumitraş, S., et al. (2013). The health mediators-qualified interpreters contributing to health care quality among Romanian Roma patients. Medicine, Health Care and Philosophy,16(4), 843–856.Google Scholar
  82. Sargent-Cox, K., Cherbuin, N., Morris, L., Butterworth, P., & Anstey, K. J. (2014). The effect of health behavior change on self-rated health across the adult life course: A longitudinal cohort study. Preventive Medicine,58, 75–80.PubMedGoogle Scholar
  83. Savitri, A. I., Yadegari, N., Bakker, J., van Ewijk, R. J., Grobbee, D. E., Painter, R. C., et al. (2014). Ramadan fasting and newborn’s birth weight in pregnant Muslim women in The Netherlands. British Journal of Nutrition,112(9), 1503–1509.PubMedGoogle Scholar
  84. Schmitz, N., Gariépy, G., Smith, K. J., Malla, A., Boyer, R., Strychar, I., et al. (2013). Trajectories of self-rated health in people with diabetes: Associations with functioning in a prospective community sample. PLoS ONE,8(12), e83088Sear 2007.Google Scholar
  85. Sear, R. (2007). The impact of reproduction on Gambian women: does controlling for phenotypic quality reveal costs of reproduction? American Journal of Physical Anthropology. 132(4), 632–641.PubMedGoogle Scholar
  86. Sear, R., Allal, N., & Mace, R. (2004). Height, marriage and reproductive success in Gambian women. In M. Alvard (Ed.), Socioeconomic aspects of human behavioral ecology (Research in economic anthropology, volume 23) (pp. 203–224). Bradford: Emerald Group Publishing Limited.Google Scholar
  87. Spence, N. J. (2008). The long-term consequences of childbearing physical and psychological well-being of mothers in later life. Research on Aging,30(6), 722–751.PubMedPubMedCentralGoogle Scholar
  88. Steadman, L. B., & Palmer, C. T. (2008). The supernatural and natural selection: Religion and evolutionary success. Boulder: Paradigm Publishers.Google Scholar
  89. Strassmann, B. I., & Gillespie, B. (2003). How to measure reproductive success? American Journal of Human Biology,15(3), 361–369.PubMedGoogle Scholar
  90. Sullivan, A. R. (2010). Mortality differentials and religion in the United States: Religious affiliation and attendance. Journal for the Scientific Study of Religion,49(4), 740–753.PubMedPubMedCentralGoogle Scholar
  91. Takyi, B. K. (2003). Religion and women’s health in Ghana: Insights into HIV/AIDS preventive and protective behavior. Social Science and Medicine,56(6), 1221–1234.PubMedGoogle Scholar
  92. Thiessen, D., & Gregg, B. (1980). Human assortative mating and genetic equilibrium: An evolutionary perspective. Ethology and Sociobiology,1, 111–140.Google Scholar
  93. UNICEF. (2014). Srbija—Romska Naselja (Serbia—Roma Settlements). Beograd, Serbia: UNICEF. Accessed 21 Oct 2017.
  94. Westoff, C. F., & Frejka, T. (2007). Religiousness and fertility among European Muslims. Population and Development Review,33(4), 785–809.Google Scholar
  95. Williams, E. D., Nazroo, J. Y., Kooner, J. S., & Steptoe, A. (2010). Subgroup differences in psychosocial factors relating to coronary heart disease in the UK South Asian population. Journal of Psychosomatic Research,69(4), 379–387.PubMedPubMedCentralGoogle Scholar
  96. Wilson, E. O. (1975). Sociobiology: The new synthesis. Cambridge, MA: Harvard University Press.Google Scholar
  97. Woodhead, L. (2011). Five concepts of religion. International Review of Sociology,1, 121–143.Google Scholar
  98. Wu, S., Wang, R., Zhao, Y., Ma, X., Wu, M., Yan, X., et al. (2013). The relationship between self-rated health and objective health status: A population-based study. BMC Public Health,13(1), 320.PubMedPubMedCentralGoogle Scholar
  99. Zeljko, H., Škarić-Jurić, T., Smolej Narančić, N., Peričić Salihović, M., Martinović Klarić, I., Barbalić, M., et al. (2008). Traditional CVD risk factors and socio-economic deprivation in Roma minority population of Croatia. Collegium Antropologicum,32(3), 667–676.PubMedGoogle Scholar
  100. Ziomkiewicz, A., Sancilio, A., Galbarczyk, A., Klimek, M., Jasienska, G., & Bribiescas, R. G. (2016). Evidence for the cost of reproduction in humans: High lifetime reproductive effort is associated with greater oxidative stress in post-menopausal women. PLoS ONE,11(1), e0145753. Scholar

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Authors and Affiliations

  1. 1.Institute of EthnographySerbian Academy of Sciences and ArtsBelgradeSerbia

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