PDF(Pubmed)
Abstract：
BACKGROUND: Ethnic discrimination is acknowledged as a social determinant of health for Indigenous populations worldwide. This study aimed to investigate embodiment of perceived ethnic discrimination among the Sámi population in Sweden.
METHODS: A population-based health study was conducted among the Sámi population aged 18-84 years in 2021. Perceived discrimination was assessed by three variables: exposure to threat, humiliation treatment and ethnic discrimination. To capture current physical health, complaints of headache, back pain, stomach pain, sleeping problems, dizziness and tiredness were used. An overall somatic complaints score was created by summing up the six individual symptoms. The magnitude of the association between the independent variables and the outcomes was summarised with the β coefficients and prevalence ratios using 95% credible intervals (95% CrI) for inferential purposes.
RESULTS: Overall, 4.3% reported to have been exposed to threat, 26.1% to humiliation and 11.2% and 32.3% to ethnic discrimination in the last 12 months and beyond 12 months, respectively. After mutual adjustment, threat (β=1.25; 95% CrI=0.88 to 1.60), humiliation (β=1.29; 95% CrI: 1.14 to 1.44) and the two categories of discrimination (β=0.92; 95% CI: 0.64 to 1.21 in the last 12 months and β=0.68; 95% CI: 0.54 to 0.83 beyond) remained significantly associated to the overall somatic complaints score. Similar results were found for individual complaints.
CONCLUSIONS: This study has shown a strong relationship between different expressions of perceived ethnic discrimination and a series of somatic complaints among the Sámi in Sweden. Efforts to alleviate interpersonal and institutional discrimination against the Sámi would contribute to improve their health.
METHODS: A population-based health study was conducted among the Sámi population aged 18-84 years in 2021. Perceived discrimination was assessed by three variables: exposure to threat, humiliation treatment and ethnic discrimination. To capture current physical health, complaints of headache, back pain, stomach pain, sleeping problems, dizziness and tiredness were used. An overall somatic complaints score was created by summing up the six individual symptoms. The magnitude of the association between the independent variables and the outcomes was summarised with the β coefficients and prevalence ratios using 95% credible intervals (95% CrI) for inferential purposes.
RESULTS: Overall, 4.3% reported to have been exposed to threat, 26.1% to humiliation and 11.2% and 32.3% to ethnic discrimination in the last 12 months and beyond 12 months, respectively. After mutual adjustment, threat (β=1.25; 95% CrI=0.88 to 1.60), humiliation (β=1.29; 95% CrI: 1.14 to 1.44) and the two categories of discrimination (β=0.92; 95% CI: 0.64 to 1.21 in the last 12 months and β=0.68; 95% CI: 0.54 to 0.83 beyond) remained significantly associated to the overall somatic complaints score. Similar results were found for individual complaints.
CONCLUSIONS: This study has shown a strong relationship between different expressions of perceived ethnic discrimination and a series of somatic complaints among the Sámi in Sweden. Efforts to alleviate interpersonal and institutional discrimination against the Sámi would contribute to improve their health.
摘要：
背景：种族歧视被认为是全世界土著居民健康的社会决定因素。这项研究旨在调查瑞典萨米人的种族歧视意识。
方法：2021年对18-84岁的萨米人进行了一项基于人群的健康研究。感知歧视通过三个变量进行评估：暴露于威胁，屈辱待遇和种族歧视。为了捕捉当前的身体健康，头痛的抱怨，背痛,胃痛,睡眠问题,使用头晕和疲倦。通过总结六个个体症状来创建总体躯体不适评分。出于推理目的，使用95％可信区间（95％CrI），用β系数和患病率比率总结了自变量与结果之间的关联程度。
结果：总体而言，4.3%报告曾受到威胁，在过去12个月及12个月后，26.1%的人受到屈辱，11.2%和32.3%的人受到种族歧视，分别。相互调整后,威胁(β=1.25；95%CrI=0.88至1.60)，屈辱（β=1.29;95％CrI：1.14至1.44）和两类歧视（β=0.92;过去12个月的95％CI：0.64至1.21，β=0.68;95％CI：0.54至0.83）仍然与总体躯体投诉得分显着相关。对于个人投诉也发现了类似的结果。
结论：这项研究表明，在瑞典的萨米人中，感知到的种族歧视的不同表达与一系列躯体投诉之间存在很强的关系。努力减轻对萨米人的人际和体制歧视将有助于改善他们的健康状况。
方法：2021年对18-84岁的萨米人进行了一项基于人群的健康研究。感知歧视通过三个变量进行评估：暴露于威胁，屈辱待遇和种族歧视。为了捕捉当前的身体健康，头痛的抱怨，背痛,胃痛,睡眠问题,使用头晕和疲倦。通过总结六个个体症状来创建总体躯体不适评分。出于推理目的，使用95％可信区间（95％CrI），用β系数和患病率比率总结了自变量与结果之间的关联程度。
结果：总体而言，4.3%报告曾受到威胁，在过去12个月及12个月后，26.1%的人受到屈辱，11.2%和32.3%的人受到种族歧视，分别。相互调整后,威胁(β=1.25；95%CrI=0.88至1.60)，屈辱（β=1.29;95％CrI：1.14至1.44）和两类歧视（β=0.92;过去12个月的95％CI：0.64至1.21，β=0.68;95％CI：0.54至0.83）仍然与总体躯体投诉得分显着相关。对于个人投诉也发现了类似的结果。
结论：这项研究表明，在瑞典的萨米人中，感知到的种族歧视的不同表达与一系列躯体投诉之间存在很强的关系。努力减轻对萨米人的人际和体制歧视将有助于改善他们的健康状况。
