Reproductive health literacy among women in Roma communities
DOI:
https://doi.org/10.12923/pielxxiw-2026-0015Keywords:
reproductive health, literacy, Roma women, Roma communitiesAbstract
Aim. The present study aimed to evaluate the level of reproductive health literacy among women from Roma communities, with a particular focus on family planning, pregnancy, labour, and the postpartum period.
Material and methods. A cross-sectional quantitative research design was employed. The study sample consisted of 48 Roma women of reproductive age (mean age 26.26 ± 11.78 years) residing in Roma communities. Data were collected using a non-standardized, researcher-developed questionnaire. Descriptive and inferential statistical methods were applied for data analysis.
Results. The average score on the questionnaire assessing subjective health literacy was 41.58 points (maximum 60, minimum 15). However, when knowledge was objectively tested, many responses were incorrect, insuffi cient, or participants were unable to provide an answer. The lowest levels of knowledge were recorded in the domains of family planning and contraception, recommended physical activity during pregnancy, the appropriate time for resuming sexual activity after childbirth, and the adverse eff ects of alcohol consumption during pregnancy. Statistically signifi cant diff erences in health literacy levels were observed with respect to age (p = 0.003) and parity (p = < 0.001).
Conclusions. The study revealed the unsatisfactory health literacy among Roma women, highlighting the need for targeted educational interventions implemented by healthcare professionals.
References
1. Kilfoyle KA, Vitko M, O’Conor R, et al. Health literacy and women’s reproductive health: a systematic review. J. Womens Health. 2016;25(12):1237-1255. https://doi.org/10.1089/jwh.2016.5810
2. Niedorys B, Chrzan-Rodak A, Ślusarska B. Health Literacy – a review of research using the European Health Literacy Questionnaire (HLS-EU-Q16) in 2010-2018. Pielęg. XXI wieku. 2020;19(1):29-41. https://doi.org/10.2478/pielxxiw-2020-0001
3. Gokdemir O, Kushwaha P, Shikha D, et al. Editorial: Health literacy and disease prevention, volume II. Front Public Health. 2024;12:1369146. https://doi.org/10.3389/fpubh.2024.1369146
4. Lori JR, Munro ML, Chuey MR. Use of a facilitated discussion model for antenatal care to improve communication. Int. J. Nurs. Stud. 2016;54:84-94. https://doi.org/10.1016/j.ijnurstu.2015.03.018
5. Baška T. Significance of health literacy for prevention and health. Zdravotnícke listy. 2025; 13(2):69-71.
6. Watson HL, Downe S. Discrimination against childbearing Romani women in maternity care in Europe: a mixed-methods systematic review. Reprod. Health. 2017;14(1):1. https://doi.org/10.1186/s12978-016-0263-4
7. Heaslip V, Wilson D, Jackson D. Are Gypsy Roma Traveller communities indigenous and would identification as such better address their public health needs? Public Health. 2019;176:43-49. https://doi.org/10.1016/j.puhe.2019.02.020
8. Ekezie W, Hopwood E, Czyznikowska B, et al. Perinatal health outcomes of women from Gypsy, Roma and Traveller communities: A systematic review. Midwifery. 2024;129:103910. https://doi.org/10.1016/j.midw.2023.103910
9. Logar M, Pavlič DR, Maksuti A. Standpoints of Roma women regarding reproductive health. BMC Women’s Health. 2015;15(38):1-10. https://doi.org/10.1186/s12905-015-0195-0
10. Šegregur J, Šegregur D. Antenatal characteristics of Roma female population in Virovitica-Podravina County, Croatia. Zdr. Varst. 2016;56(1):47-54. https://doi.org/10.1515/sjph-2017-0007
11. Šupínová M, Sonkolyová G, Klement C. Reproductive health of Roma women in Slovakia. Cent. Eur. J. Public Health. 2020;28(2):143-148. https://doi.org/10.21101/cejph.a5817
12. Fernandes M, Matuskova O, Babelova R, et al. A community-based intervention (the Omama Project) improves neurodevelopment in impoverished 2-year-old Roma children: a quasi-experimental observational study. Eur. J. Pediatr. 2025;184(2):133. https://doi.org/10.1007/s00431-024-05967-9
13. Thompson EL, Vamos CA, Daley EM. Physical activity during pregnancy and the role of theory in promoting positive behavior change: A systematic review. J. Sport Health Sci. 2017;6(2):198-206. https://doi.org/10.1016/j.jshs.2015.08.001
14. Mazur K, Machaj D, Mazur D. Physical activity during pregnancy - literature review. J. Educ. Health Sport. 2020;10(1):11-15. https://doi.org/10.12775/JEHS.2020.10.01.001
15. Sheikhi ZP, Navidian A, Rigi M. Effect of sexual health education on sexual function and resumption of sexual intercourse after childbirth in primiparous women. J. Educ. Health Promot. 2020;9:87. https://doi.org/10.4103/jehp.jehp_591_19
16. Corrales-Gutierrez I, Mendoza R, Gomez-Baya D, et al. Pregnant women’s risk perception of the teratogenic effects of alcohol consumption in pregnancy. J. Clin. Med. 2019;8(6):907. https://doi.org/10.3390/jcm8060907
17. Jamali B, Maasoumi R, Tavousi M, et al. Women’s sexual health literacy and related factors: a population-based study from Iran. Int. J. Sex Health. 2020;32(4):433-442. https://doi.org/10.1080/19317611.2020.1841056
18. Dabiri F, Hajian S, Ebadi A, et al. Sexual and reproductive health literacy of the youth in Bandar Abbas. AIMS Med Sci. 2019;6(4):318-325. https://doi.org/10.3934/medsci.2019.4.318
19. Koky R, Fiľakovská D, Madarasová Gecková A. Zdravotné ťažkosti v ranom detstve: porovnanie detí z marginalizovaných rómskych komunít a majoritnej populácie. Zdravotnícke listy. 2025;13(2):53-60.
20. Logar M, Pavlič DR, Maksuti A. Standpoints of Roma women regarding reproductive health. BMC Women’s Health. 2015;38(15):1-10. https://doi.org/10.1186/s12905-015-0195-0
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Authors

This work is licensed under a Creative Commons Attribution 4.0 International License.
