Socioeconomic status, health related behaviour, and self-rated health of children living in Roma settlements in Hungary.

OBJECTIVE: The poor health of Roma is well documented, but there is only limited data regarding the health of Roma children. The aim of this study was to describe the socioeconomic status, health related behaviour, and health of children living in segregated Roma settlements, and to compare the data with that of non-Roma children. METHODS: In March-April of 2011, a cross-sectional questionnaire-based survey among 11-year-old (211 boys and 252 girls) and 13-year-old (205 boys and 247 girls) children living in Roma settlements was performed (response rate: 91.5%). These data were compared with data from the Health Behaviour in School-Aged Children (HBSC) survey carried out in 2009/2010. RESULTS: The parents of Roma children were substantially less educated and less likely to be actively employed, and Roma children reported lower material welfare than non-Roma ones. The prevalence of consuming sweets and soft drinks at least 5 times per week was 1.5-2 times higher among Roma children. The prevalence of regular intense physical activity was higher at the age of 13 years among Roma boys, while physical inactivity was substantially higher in both age groups among Roma girls. Almost one quarter of Roma children and approximately 14% of non-Roma children had tried smoking at the age of 11. More Roma boys tried alcohol at the age of 11 than non-Roma ones. One in ten Roma children was obese in both age groups. The self-rated health status of Roma children was worse than that of non-Roma children. CONCLUSIONS: Children living in Roma settlements reported poorer socioeconomic conditions, higher consumption of sweets and soft drinks, earlier smoking and alcohol initiation, and worse self-rated health, but with some exceptions do not differ in fruit or vegetable consumption and BMI from general child population. To promote health of children living in Roma settlements, a multi-sector approach, special health education, plus social and health promotion programmes are needed.

How Reliably Can We Measure a Child's True IQ? Socio-Economic Status Can Explain Most of the Inter-Ethnic Differences in General Non-verbal Abilities.

Roma children have been discriminated against for many years as they are denied access to high-quality education based on their scores on general non-verbal IQ tests. Rushton et al. (2007) showed that Roma perform more poorly than non-Roma on one such test (i.e., Raven Progressive Matrices), but suggest that this underperformance could be explained by Roma's low socio-economic status. In this paper, we tested the non-verbal abilities of Roma children and expanded on the research of Rushton et al. (2007) by investigating empirically the potential mediating effects of socio-economic status on children's performance on Raven Progressive Matrices. Results showed that the performance of Roma children was, on average, significantly lower than the performance of their non-Roma peers; however, the effect of ethnicity was partially mediated by the parents' education and living conditions (while the parents' income had no significant effect). As hypothesized by Rushton et al. (2007) some socio-economic factors can explain important variability in the performance of Roma children on general non-verbal tests, and their poor performance on such tests may lead to an underestimation of the true population mean.

Using Evidence and Coalitions to Scale-Up a National Early Education Initiative: The Case of Law 248/2015 in Romania.

In 2015, Romania took an important step toward increasing disadvantaged children's participation in early education programmes through the passage of legislation creating a nationwide conditional cash transfer programme linked to preschool attendance. The programme was modeled on the incentive component of a 5-year pilot project "Every Child in Preschool" ("FCG") initiated by Asociatia OvidiuRo ("OvR"), a small non-governmental organization. This paper explores how OvR used evidence from its pilot, global research, a quasi-experimental evaluation, collaboration with local authorities, and an intensive advocacy effort toward the legislative and executive branches of the national government to achieve the national scale-up of an early education initiative designed to create equal access in kindergarten among Roma and other impoverished, marginalized children.