Differences in predictors of Subjective Well-Being among Roma and Non-Roma young adults in Serbia

Abstract

Data collection instruments were Short Form-36 Survey (SF-36), Hospital Depression and Anxiety Scale (HADS) and Jalowiec Coping Scale (JCS). Data were analyzed using multiple liner regression and descriptive statistical analysis. Results The mean and standard deviation score of Physical component summary (PCS) and Mental component summary (MCS) domains of quality of life were 42.37AE19.91 and 47.55AE22.88, respectively. The most common coping strategies in patients were evasive and supportive copings. The results of multiple liner regression showed that emotive coping style to be a significant independent determinant of lower quality of life in the PCS domain (=-0.41; p = 0.02), while anxiety was found to be a significant independent determinant of lower scores in both the MCS (=-0.47; p = 0.006) and the PCS (=-0.55; p = 0.001) domains. Conclusions Results showed that hemodialysis patients mostly use emotion-oriented strategies when facing disease and treatments challenges. Emotive coping style and anxiety negatively affect quality of life in dialysis patients. Globally, more attention could be given to the potential role of effective coping strategies, to deal with the inevitable sources of stress and enhancing quality of life in care plan. Key messages: Maladaptive coping strategies can adversely disturb the overall functioning of patients receiving chronic hemodialysis Globally, more attention could be given to the potential role of effective coping strategies, to deal with the inevitable sources of stress and enhancing quality of life in care plan. Background Recently, social determinants have been largely explored as predictors of subjective well-being (SWB). However, studies addressing this issue in Serbian population are scarce. Therefore, the aim of this study was to examine the association between social determinants and SWB and their differences among Roma and non-Roma young adults. Methods The representative sample from 2010 MICS4 conducted by UNICEF and the Statistical Office of the Republic of Serbia was used. Total of 2,139 respondents aged 19-24 participated in this study. SWB was assessed by three indicators: happiness, life satisfaction and optimism. Socio-demographic characteristics included region, area, type of settlement, age, sex, marital status, education and wealth index. Multiple logistic regressions were used. Results Roma were more frequently unhappy (p < 0.001) and unsa-tisfied with their life (p = 0.001) compared to non-Roma. Non-Roma from rural areas were less happy (OR = 0.20, 95% CI 0.069-0.587) and less satisfied with their life (OR = 0.32, 95% CI 0.11-0.89) compared to those from urban zones. Also, the probability of reporting life satisfaction and optimism were lower for non-Roma without education (OR = 0.07, 95% CI 0.00-0.88; OR = 0.02, 95% CI 0.00-0.13) and those with primary education (OR = 0.23, 95% CI 0.06-0.98; OR = 0.28, 95% CI 0.11-0.63). Among Roma the odds of reporting life