Enhancing Gypsy, Roma and Traveller peoples’ trust: using maternity and early years’ health services and dental health services as exemplars of mainstream service provision

TY - BOOK

T1 - Enhancing Gypsy, Roma and Traveller peoples’ trust

T2 - using maternity and early years’ health services and dental health services as exemplars of mainstream service provision

AU - McFadden, Alison

AU - Siebelt, Lindsay

AU - Jackson, Cath

AU - Jones, Helen

AU - Innes, Nicola

AU - MacGillivray, Stephen

AU - Bell, Kerry

AU - Corbacho, Belen

AU - Gavine, Anna

AU - Haggi, Haggi Michael

AU - Atkin, Karl

PY - 2018/9/14

Y1 - 2018/9/14

N2 - Gypsies, Roma and Travellers (GRT) are socially excluded groups where evidence for improving health is weakest. Although GRT communities are diverse, and robust evidence of health needs is lacking, there is consensus that GRT in the UK have poorer health and lower life expectancy than the general population and other disadvantaged groups. Reasons why GRT are vulnerable to poor health outcomes include poor living conditions, high rates of homelessness, low educational achievement, social exclusion, widespread prejudice and discrimination and barriers to accessing healthcare. These multiple factors, alongside poor quality care that does not meet needs, may lead to low expectations and mistrust of health services. Trust in services and personnel is associated with increased utilisation of healthcare, improved health behaviours and quality of care. Community engagement strategies have the potential to enhance trust and ensure services are tailored to the needs of specific populations. This multi-component study aimed to strengthen evidence on how to improve uptake and delivery of health services and thereby reduce health inequalities for GRT.

AB - Gypsies, Roma and Travellers (GRT) are socially excluded groups where evidence for improving health is weakest. Although GRT communities are diverse, and robust evidence of health needs is lacking, there is consensus that GRT in the UK have poorer health and lower life expectancy than the general population and other disadvantaged groups. Reasons why GRT are vulnerable to poor health outcomes include poor living conditions, high rates of homelessness, low educational achievement, social exclusion, widespread prejudice and discrimination and barriers to accessing healthcare. These multiple factors, alongside poor quality care that does not meet needs, may lead to low expectations and mistrust of health services. Trust in services and personnel is associated with increased utilisation of healthcare, improved health behaviours and quality of care. Community engagement strategies have the potential to enhance trust and ensure services are tailored to the needs of specific populations. This multi-component study aimed to strengthen evidence on how to improve uptake and delivery of health services and thereby reduce health inequalities for GRT.

KW - Gypsy/Traveller

KW - Trust

KW - Community engagement

KW - Roma

KW - Maternity services

KW - Early years' services

KW - Child dental health services

U2 - 10.20933/100001117

DO - 10.20933/100001117

M3 - Commissioned report

BT - Enhancing Gypsy, Roma and Traveller peoples’ trust

PB - University of Dundee

CY - Dundee

ER -