This dissertation thesis titled ``Social Determinants of Health in Selected Romany Communities{\crqq} adverts to the issues of relationship between the health condition and social and economic factors, as well as other external or culture-conditioned influences affecting them. I have based my work on the concept of ten social determinants of health by Wilkinson and Marmot (2005). The theoretical section adverts to the interrelation of particular determinants in the Roma communities and the specific role of stress affecting all determinants. Thereat, I have based my study on generally available findings, primarily those acquired from research surveys, against which I have compared the results of my research section. The objective of this presented thesis is to describe the influence of social determinants of health in the wider context of everyday living in selected Roma communities. In doing so, I have primarily focused on impediments to the full participation of the described target population in the living of the majority society due to social exclusion. The target population consists of five multi-generation Romany families from two separate locations. Two families enjoy a higher stratification status (including a representative of the Romany elite) and three live in socially excluded locations. Having considered the specifics of the target population and orientation on the common day of the respondents, I have opted for socio-ethnographic field research, i.e. a qualitative by a research method, with the prevailing technique being participative observation and interviews. Processed research data is presented, alongside discussions, in subchapters following upon the topics of the theoretical part of my thesis, i.e. particular groups of health determinants. The results indicate that it is not only the underprivileged socio-economic conditions that take a share in the worsened health condition of persons living in socially excluded locations but these also involve therefrom originating stressors, which are often specific (symbolic element of social exclusion, alternative sources of livelihood). I also attribute a special meaning to culture-conditioned norms and opinions that, in some cases, bear a negative influence on the health condition via behavioral factors (such as a low number of Roma mothers lactating their children or attitude to the abuse of habit-forming substances). Apart from the identification of the influence proportions breakdown by social determinants of health in Roma communities, I see the benefit of my thesis in its qualitative nature, predestining it for utilization in a wider, longitudinal quantitative research of the target Romany group.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:52010 |
| Date | January 2009 |
| Creators | KAJANOVÁ, Alena |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/doctoralThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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