caa a22 4500 606221913 CHVBK 20210128101131.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00038-015-0712-9 doi (NATIONALLICENCE)springer-10.1007/s00038-015-0712-9 Discrimination and Romani health: a validation study of discrimination scales among Romani women in Macedonia and Serbia [Elektronische Daten] [T. Janevic, D. Gundersen, K. Stojanovski, J. Jankovic, Z. Nikolic, B. Kasapinov] Objectives: Scales used to assess discrimination in public health research have rarely been validated outside of high income countries. Our objective was to validate the Experiences of Discrimination (EOD) scale and the Everyday Discrimination Scale (EDS) among 410 Romani women in Macedonia and Serbia. Methods: Romani female interviewers conducted interviews in 2012-2013. We used a multiple indicator multiple cause approach to test a one-factor model for each scale and to assess differential item functioning (DIF) by age, wealth, country, and education. We also measured associations between the EOD and EDS with smoking in the past year and psychological distress. Results: Three items of the EOD were conceptually irrelevant. Two items of the EDS were not conditionally independent. DIF was found by country for one item in each scale. After excluding these items, all scales exhibited good model fit and were associated with smoking (EOD beta=0.40, 95% CI=0.18, 0.63; EDS beta=0.33, 95% CI=0.12, 0.54) and psychological distress (EOD beta=0.26, 95% CI=0.15, 0.37; EDS beta=0.26, 95% CI=0.04, 0.47). Conclusions: Discrimination scales can be adapted for use among Romani women and are associated with both smoking and psychological distress. Swiss School of Public Health, 2015 Discrimination nationallicence Validity nationallicence Smoking nationallicence Mental health nationallicence Minority health nationallicence Janevic T. Department of Epidemiology, Rutgers School of Public Health, 683 Hoes Lane West, Room 209, PO Box 9, 08854, Piscataway, NJ, USA aut Gundersen D. Department of Family Medicine and Community Health, Rutgers University-Robert Wood Johnson Medical School, New Brunswick, NJ, USA aut Stojanovski K. Studiorum, Skopje, Macedonia aut Jankovic J. Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia aut Nikolic Z. Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia aut Kasapinov B. Institute of Social Medicine, Saints Cyril and Methodius University, Skopje, Macedonia aut International Journal of Public Health Springer Basel 60/6(2015-09-01), 669-677 1661-8556 60:6<669 2015 60 38 https://doi.org/10.1007/s00038-015-0712-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0712-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Janevic T. Department of Epidemiology, Rutgers School of Public Health, 683 Hoes Lane West, Room 209, PO Box 9, 08854, Piscataway, NJ, USA aut NATIONALLICENCE 700 1- Gundersen D. Department of Family Medicine and Community Health, Rutgers University-Robert Wood Johnson Medical School, New Brunswick, NJ, USA aut NATIONALLICENCE 700 1- Stojanovski K. Studiorum, Skopje, Macedonia aut NATIONALLICENCE 700 1- Jankovic J. Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia aut NATIONALLICENCE 700 1- Nikolic Z. Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia aut NATIONALLICENCE 700 1- Kasapinov B. Institute of Social Medicine, Saints Cyril and Methodius University, Skopje, Macedonia aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60/6(2015-09-01), 669-677 1661-8556 60:6<669 2015 60 38