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Introduction: Improving the health of Indigenous adolescents is central to addressing the health inequities faced by Indigenous peoples. To achieve this, it is critical to understand what is needed from the perspectives of Indigenous adolescents themselves. There have been many qualitative studies that capture the perspectives of Indigenous young people, but synthesis of these has been limited to date. Methods and analysis: This scoping review seeks to understand the specific health needs and priorities of Indigenous adolescents aged 10-24 years captured via qualitative studies conducted across Australia, Aotearoa New Zealand, Canada, the USA, Greenland and Sami populations (Norway and Sweden). A team of Indigenous and non-Indigenous researchers from these nations will systematically search PubMed (including the MEDLINE, PubMed Central and Bookshelf databases), CINAHL, Embase, Scopus, the Informit Indigenous and Health Collections, Google Scholar, Arctic Health, the Circumpolar Health Bibliographic Database, Native Health Database, iPortal and NZresearch.org, as well as specific websites and clearinghouses within each nation for qualitative studies. We will limit our search to articles published in any language during the preceding 5 years given that needs may have changed significantly over time. Two independent reviewers will identify relevant articles using a two-step process, with disagreements resolved by a third reviewer and the wider research group. Data will then be extracted from included articles using a standardised form, with descriptive synthesis focussing on key needs and priorities. This scoping review will be conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Ethics and dissemination: Ethics approval was not required for this review. Findings will be disseminated via a peer-reviewed journal article and will inform a broader international collaboration fo

I den här rapporten presenterar vi resultat från forskningsprojektet ”Våld mot samiska kvinnor” som 2021-2024 genomförts av forskargruppen Lávvuo vid Umeå Universitet, på uppdrag av Sámediggi (Sametinget i Sverige). Rapporten består av en kvantitativ och en kvalitativ del, samt fem åtgärdsförslag riktade till Sveriges regering. De kvantitativa resultaten i korthet Den kvantitativa delen av rapporten baseras på enkätundersökningen Samisk hälsa på lika villkor som genomfördes 2021. Resultaten har jämförts med Sveriges befolkning genom den nationella enkäten Sexuell och reproduktiv hälsa genomförd 2017. Det övergripande mönstret är att kvinnor är betydligt mer utsatta för våld än män, samt att samiska kvinnor 2021 uppger en högre våldsutsatthet än kvinnor i Sverige 2017, för de flesta typer av våld. Över hälften av de samiska kvinnorna har utsatts för sexuellt våld (55,5 procent), sju av tio har utsatts för psykiskt våld (68,5 procent) och nästan var tredje för fysiskt våld (27,9 procent). En större andel samiska kvinnor än kvinnor i Sverige i stort uppger utsatthet för de grövsta formerna av sexuellt våld, såsom våldtäktsförsök (14,1 jämfört med 10,6 procent) och våldtäkt (10,3 jämfört med 7,0 procent). En större andel samiska kvinnor än kvinnor i Sverige i stort uppger utsatthet för psykiskt våld, både sammantaget (68,5 jämfört med 50,9 procent) och vad gäller alla de former av psykiskt våld som undersöktes. Även när det gällde fysiskt våld rapporterade samiska kvinnor (27,9 procent) en högre utsatthet jämfört med kvinnor i Sverige (22,0 procent). Samiska kvinnors utsatthet för våld varierar med både ålder och geografi. Överlag var utsattheten högst bland kvinnor yngre än 45 år. Geografiskt var utsattheten för sexuellt och fysiskt våld högre bland samiska kvinnor i mellersta och södra Sverige, med undantag av Stockholmsområdet. För psykiskt våld hade samiska kvinnor i Jämtland Härjedalen en högre utsatthet. Det finns flera starka samband mellan olika typer av våldsu, Våld mot samiska kvinnor

Frågan om sexuellt våld har under de senaste åren fått ett allt större utrymme i Sápmi. I denna artikel, som baseras påden populationsbaserade studien «Samisk hälsa på lika villkor» (Samisk HLV) 2021, undersöks utsatthet för sexuelltvåld bland samiska kvinnor och män i Sverige jämfört med kvinnor och män i Sveriges befolkning. Analysen visaratt sexuellt våld mot kvinnor utgör ett mycket omfattande samhällsproblem i det samiska samhället, i minst sammaomfattning som i övriga Sverige. Samiska kvinnor rapporterar en signifikant högre utsatthet för flera former av sexuelltvåld jämfört med kvinnor i Sverige, däribland utsatthet för våldtäkt och våldtäktsförsök. Analysen visar även attsamiska kvinnor är mer benägna att söka vård samt polisanmäla efter övergreppet, vilket nyanserar bilden av en tystnadkring sexuellt våld i Sápmi. Utifrån ett urfolksfeministiskt perspektiv belyser artikeln hur könade och kolonialamaktrelationer samspelar vad gäller utsatthet för sexuellt våld i Sverige och att positionen som både kvinna och sameökar utsattheten för sexuellt våld, medan att vara man och same inte gör det. Sammantaget pekar artikeln på att bådekön och samisk tillhörighet har betydelse för utsatthet för sexuellt våld och därmed på vikten av att inkludera samiskaperspektiv i framtida forskning om, och politiska insatser mot, sexuellt våld., The issue of sexual violence has in recent years gained increased attention in Sápmi. Based on the population-basedstudy «Sámi Health on Equal Terms» (SámiHET) 2021, this paper examines exposure to sexual violence among Sámiwomen and men in Sweden, compared to women and men in the Swedish population. The analysis shows that sexualviolence against women constitutes a significant problem in the Sámi society, to at least the same extent as in the restof Sweden. Sámiwomen report a significantly higher exposure to several forms of sexual violence compared towomenin Sweden, including exposure to rape and attempted rape. The analysis also shows that Sámi women are more likelyto seek healthcare and report to the police after sexual abuse, which nuances the image of a passive silence surroundingsexual violence in Sápmi. Drawing on Indigenous feminist perspectives, the article highlights how gendered andcolonial power relations interact in terms of vulnerability to sexual violence in Sweden and that the position of beinga Sámi woman increases exposure to sexual violence, while being a Sámi man does not. In sum, the results show thatboth gender and Sámi Indigeneity affect exposure to sexual violence, which points to the need to include Sámi perspectivesin future research on, and political efforts against, sexual violence.

Beginning January of 2020, COVID-19 cases detected in Arctic countries triggered government policy responses to stop transmission and limit caseloads beneath levels that would overwhelm existing healthcare systems. This review details the various restrictions, health mandates, and transmission mitigation strategies imposed by governments in eight Arctic countries (the United States, Canada, Greenland, Norway, Finland, Sweden, Iceland, and Russia) during the first year of the COVID-19 pandemic, through 31 January 2021s31 January 2021. We highlight formal protocols and informal initiatives adopted by local communities in each country, beyond what was mandated by regional or national governments. This review documents travel restrictions, communications, testing strategies, and use of health technology to track and monitor COVID-19 cases. We provide geographical and sociocultural background and draw on local media and communications to contextualise the impact of COVID-19 emergence and prevention measures in Indigenous communities in the Arctic. Countries saw varied case rates associated with local protocols, governance, and population. Still, almost all regions maintained low COVID-19 case rates until November of 2020. This review was produced as part of an international collaboration to identify community-driven, evidence-based promising practices and recommendations to inform pan-Arctic collaboration and decision making in public health during global emergencies.

Objective: Literature about asthma among Indigenous communities worldwide is scarce. This study aimed to estimate the prevalence of self-reported asthma and to identify the risk factors associated with it among the Sámi population in Sweden. Methods: A population-based health study (SámiHET) was conducted among the Sámi population aged 18–84 years in 2021. The asthma outcome was self-reported. Potential risk factors included sociodemographic, socioeconomic, cultural, behavioral and psychosomatic factors. Frequencies and percentages of the independent variables and the outcome were calculated. Then, the magnitude of the association between the independent variables and asthma was summarized with the prevalence ratio (PR) using the 95% confidence interval (95% CI) for inferential purposes. Results: Overall, 20.6% of participants reported having asthma and 13.9% suffering from asthma with symptoms. Women (PR: 1.19; 95% CI: 1.01–1.42), those living in the Västerbotten region (PR: 1.35; 95% CI: 1.11–1.63) and those suffering financial strain (PR: 1.34; 95% CI: 1.07–1.69) had a higher risk of self-reported asthma. Among the psychosomatic factors, self-reported allergy (PR: 6.45; 95% CI: 5.11–8.17), overweight (PR: 1.46; 95% CI: 1.19–1.78) and obesity (PR: 1.75; 95% CI: 1.41–2.17) were statistically significant associated to asthma symptoms. Conclusion: A higher prevalence of asthma was found among the Sámi in Sweden compared to the average Swedish population. The associated risk factors were similar to those described in the literature. To understand the reason behind the higher prevalence of asthma among Sámi, more asthma-specific research, including register data, is needed.

Objectives: To investigate the prevalence of poor self-reported oral health and to identify socio-demographic, socio-economic and cultural-related risk factors associated with poor oral health among Sámi in Sweden. Methods: A Sámi sample frame was constructed drawing from three pre-existing registers. All identified persons aged 18–84 were invited to participate in the study during February–May 2021. Among the 9249 invitations, 3779 answered the survey. The frequencies of the independent variables in terms of socio-economic, socio-demographic and cultural-related factors as well as the outcome, self-reported oral health, were calculated first. Prevalence ratios (PRs) and their 95% confidence interval (95% CI) were estimated to assess the relationship between the independent variables and the outcome. Results: Overall, 32.5% of the participants reported a poor oral health with a higher prevalence among men compared to women. Among the socio-demographic factors, being old (PR: 1.99; 95% CI: 1.59–2.51), unmarried (PR: 1.17; 95% CI: 1.03–1.33) and divorced or widow-er (PR: 1.27; 95% CI: 1.09–1.46) were statistically associated to poor self-reported oral health. Among the socio-economic factors, a low education level (PR: 1.56; 95% CI: 1.29–1.89), belonging to the poorest quintile (PR: 1.63; 95% CI: 1.35–1.96), and experiencing difficulties to make ends meet several times during the last 12 months (PR: 1.74; 95% CI: 1.51–1.99) were statistically significant related to poor oral health. Conclusions: The self-reported oral health among Sámi in Sweden appears to be worse than that of the general Swedish population. Several socio-economic and socio-demographic factors were found to be strongly associated with poor self-reported oral health. Targeted interventions addressing these social determinants are needed to reduce inequalities in oral health among the Sámi population.

Background: The Sámi are an ethnic minority and the only Indigenous people in the European Union. Population-based health studies among Sámi in Sweden are scarce and outdated. The aim of this study was to analyse the ethnic, Sámi vs. non-Sámi, health differences among men and women living in Sweden. Methods: This study combined two data sources: the national Health on Equal Terms (HET) survey and a similar study conducted among the Sámi population, the SámiHET study, both carried out during spring 2021. Twelve outcomes were used to capture different aspects of the population's health organized along four dimensions: general health, physical health, mental health and lifestyle behaviours. Prevalence ratios, adjusted for age, civil status, education and income, were used as the measure of effect with 95% confidence intervals to provide inference. Analyses were disaggregated by sex. Results: The prevalence of poor self-rated dental health (and chronically ill health among men), asthma and overweight were higher among the Sámi; however, the mental health outcomes were similar or lower among the Sámi participants. The Sámi ate less vegetables and fruits, but they were smoking and drinking alcohol less than the national Swedish population. These patterns were similar among both men and women. Conclusion: Poor self-rated dental health, asthma, overweight and a low consumption of vegetables and fruits were a concern among the Sámi population in both men and women. These areas therefore require specific targeted interventions to decrease the observed ethnic health inequalities in Sweden. The design of this study opens the possibility for continuous monitoring of the health of the Sámi but also offers the best possible comparison with Swedish population health data.

The aim of this population-based cross-sectional study was to assess the prevalence of healthcare avoidance during the COVID-19 pandemic and its associated factors among the Sámi population in Sweden. Data from the “Sámi Health on Equal Terms” (SámiHET) survey conducted in 2021 were used. Overall, 3,658 individuals constituted the analytical sample. Analysis was framed using the social determinants of health framework. The association between healthcare avoidance and several sociodemographic, material, and cultural factors was explored through log-binomial regression analyses. Sampling weights were applied in all analyses. Thirty percent of the Sámi in Sweden avoided healthcare during the COVID-19 pandemic. Sámi women (PR: 1.52, 95% CI: 1.36–1.70), young adults (PR: 1.22, 95% CI:1.05–1.47), Sámi living outside Sápmi (PR: 1.17, 95% CI: 1.03–1.34), and those having low income (PR: 1.42, 95% CI:1.19–1.68) and experiencing economic stress (PR: 1.48, 95% CI: 1.31–1.67) had a higher prevalence of healthcare avoidance. The pattern shown in this study can be useful for planning future pandemic responses, which should address healthcare avoidance, particularly among the identified vulnerable groups, including the active participation of the Sámi themselves.

There is an international concern that the COVID-19 pandemic could have had serious effects on Indigenous peoples’ livelihoods and health. To our knowledge, no research has been published regarding the impact of COVID-19 on the lives of the Sámi people. The aim of this study is to assess the health care and social experience of the pre-vaccine phase of the COVID-19 pandemic among the Sámi, in comparison with the national population, in Sweden. Two population-based surveys, in the Sámi and the Swedish populations, were conducted between February and May 2021. In addition to sociodemographic and health information, a questionnaire regarding the health experience of COVID-19 designed by the Public Health Agency of Sweden was included. Both surveys targeted individuals aged 18–84 years and the participation rate was 40.9% in the Sámi study and 44.3% in the national study. Based on the data collected, Sámi in Sweden seem to have been affected in a similar or even in a milder way than the national population during the pre-vaccine phase of the COVID-19 pandemic. Further studies are needed to explore the distribution of these outcomes among different Sámi subgroups. Register studies are also needed to evaluate the clinical (morbidity and mortality) impact of COVID-19 in the Sámi population., Det finns en internationell oro för att COVID-19-pandemin kan ha haft allvarliga effekter på urfolkens levnadsförhållanden och hälsa. Såvitt vi vet har ingen forskning publicerats om påverkan av COVID-19 på samernas liv. Syftet med denna studie är att bedöma hälso- och sociala upplevelser bland samerna, jämfört med den nationella befolkningen, i Sverige under den första perioden av pandemin innan vaccin mot COVID-19 fanns tillgängligt. Två populationsbaserade undersökningar genomfördes i den samiska och svenska befolkningen mellan februari och maj 2021. Förutom sociodemografisk och hälsoinformation inkluderades en enkät om COVID-19-hälsoupplevelse utformad av Folkhälsomyndigheten i Sverige. Båda undersökningarna riktade sig till individer i åldrarna 18-84 år och deltagandegraden var 40,9% i den samiska studien och 44,3% i den nationella studien. Baserat på den insamlade datan verkar det som att samer i Sverige har påverkats på ett liknande eller till och med mildare sätt än den nationella befolkningen under för-vaccinfasen av COVID-19-pandemin. Vidare studier behövs för att utforska fördelningen av dessa utfall bland olika samiska grupper. Registerstudier behövs också för att utvärdera den kliniska påverkan av COVID-19 i den samiska befolkningen, det vill säga sjuklighet och dödlighet., Special issue: Arctic Pandemics: COVID-19 and Other Pandemic Experiences and Lessons Learned

I den här rapporten presenterar vi resultat från enkätundersökningen Samisk hälsapå lika villkor. Den genomfördes under våren 2021 och besvarades av 3 658 sameri åldern 18–84 år i Sverige. Syftet med rapporten är att översiktligt beskriva hälsa,livsvillkor och levnadsvanor bland samer. Resultaten har även jämförts medbefolkningen i övrigt genom data från den nationella folkhälsoenkäten Hälsa pålika villkor, också den genomförd under våren 2021.Resultaten i korthetDe flesta samer i den här studien, 73 procent, uppger att de har en god allmänhälsa. Nästan alla, 87 procent, har ett gott psykiskt välbefinnande. Totalt 41 procentav samerna uppger att de har en långvarig sjukdom eller funktionsnedsättning.Andelen som uppger att de röker dagligen är 4 procent, och andelen som snusar 23procent.Jämförelsen mellan samer och befolkningen i övrigt visar följande:• En lika stor andel samer som befolkningen i övrigt uppger en god allmänhälsa. Även andelen samer som uppger sjukdomar som högt blodtryck ochdiabetes eller psykiska besvär som ängslan, oro eller ångest är lika stor som ibefolkningen i övrigt.• En mindre andel samer än befolkningen i övrigt uppger sömnsvårigheter,trötthet och psykisk påfrestning. Det är också en mindre andel samer somuppger att de är stillasittande mer än tio timmar per dag, har en riskkonsumtionav alkohol, uppger att de röker dagligen eller att de någon gång har använtcannabis.• En mindre andel samer jämfört med befolkningen i övrigt uppger bra tandhälsaoch att de äter frukt och grönsaker minst en gång per dag.• En större andel samer än befolkningen i övrigt har ett gott psykisktvälbefinnande. Däremot uppger en större andel samer att de har en långvarigsjukdom eller funktionsnedsättning, värk i olika delar av kroppen, astma,allergi, övervikt och fetma. Även andelen samer som uppger att de snusardagligen är större än i befolkningen i övrigt.• En större andel samer än befolkningen i övrigt uppger att de någon gångallvarligt övervägt att ta sitt liv eller, In this report, we present results from the survey Sami Health on Equal Terms. Itwas carried out during the spring of 2021 and was answered by 3,658 Sami peopleaged 18–84 in Sweden. The purpose of the report is to describe health, livingconditions and lifestyle among the Sami at a general level. The results have alsobeen compared with the general population through data from the national publichealth survey Health on Equal Terms, also conducted in the spring of 2021.Results in briefMost of the Sami people in this study, 73 per cent, state that they have goodgeneral health. Almost all, 87 per cent, have high mental well-being. A total of 41per cent of the Sami people report having a long-term illness or disability. Theproportion who state that they smoke daily is 4 per cent, and the proportion whouse moist snuff is 23 per cent.The comparison between the Sami and the general population shows the following:• The same proportion of Sami people as in the general population report goodgeneral health. The proportion of Sami people who report diseases such ashigh blood pressure and diabetes or mental health problems such asnervousness, worry or anxiety is also the same as in the general population.• A smaller proportion of Sami people than the general population reportdifficulty sleeping, fatigue and psychological distress. A smaller proportion ofSami people also report that they are sedentary for more than ten hours a day,have a risk consumption of alcohol, state that they smoke daily or that theyhave ever used cannabis.• A smaller proportion of Sami people compared to the general populationreport good dental health and that they eat fruit and vegetables at least once aday.• A larger proportion of Sami people than the general population have highmental well-being. On the other hand, a larger proportion of Sami peoplereport that they have a long-term illness or disability, aches and pains indifferent parts of the body, asthma, allergies, overweight and obesity. Theproportio, (sydsamiska) Dennie reektehtsisnie mijjieh illeldahkh vuesiehtibie goerehtimmeste Saemienhealsoe seamma tsiehkine. Dam gïjren 2021 tjïrrehti jïh 3 658 saemieh aalterisnie18-84 Sveerjesne vaestiedin. Reektehtsen aajkoe bijjieguvvine buerkeste saemiejhealsoem, jieledetsiehkieh jïh jieledevaanh. Illeldahkide lea aaj mohtedammemubpie almehtjïerti daatide dehtie nasjonaale åålmehhealsoegoerehtimmesteHealsoe seamma tsiehkine, daam aaj gïjren 2021 tjïrrehti.Dah illeldahkh åenehkslaakanJeenjemes saemieh mijjen goerehtimmesne, 73 proseenth, buerie sïejhme healsoemutnieh. Mahte gaajhkesh 87 proseenth psykisken boerehke utnieh. Ellies 41proseenth saemijste jiehtieh dej leah skïemtjelasse jallh svihtjemeheaptoe. Låhkoemij rïevhkestieh lea 4 proseenth, jïh låhkoe mij snohkem nuhtjieh lea 23 proseenth.Mohtedimmie saemiej jïh mubpie almehtjïerten gaskem vuesehte:• Saemieh jiehtieh dej seamma buerie sïejhme healsoe goh mubpie almehtjïerte.Aaj låhkoe mah jiehtieh dej jolle vïrretrygke, diabeetese, asve, vaejvie, aerkiesjallh depresjovne lea seamma jïjnje goh mubpie almehtjïerte.• Unnebe låhkoe saemijste enn mubpie almehtjïerte jiehtieh dej dåeriesmoerhåtneme åeredh, sæjloes jïh psykiske healsoevaejvieh. Aaj unnebe låhkoesaemijste mah tjahkasjieh jienebh enn luhkie tæjmoeh fïerhten biejjien,vaahrakonsumsjovne alkohovleste jïh naan aejkien cannabisen nåhtadammeenn mubpie almehtjïerteste.• Unnebe låhkoe saemijste jis mubpie almehtjïertine mohtede jiehtieh dej bueriebaeniehealsoem jïh dah muerjieh jïh kroenesaath fïerhten biejjien byöpmedieh.• Stuerebe låhkoe saemieh enn mubpie almehtjïerte jiehtieh dej buerie psykiskemurriedimmie. Mohte stuerebe låhkoe saemieh jiehtieh dej leah guhkebeskïemtjelasse jallh funksjovnegiehpiedimmie, kråahpe ovmessie sijjinebaektjede, astma, allergije, bijjieleavloe jïh buajtehks. Aaj låhkoe saemijstejiehtieh dah fïerhten biejjien snohkem nuhtjieh.• Stuerebe låhkoe saemijste enn mubpie almehtjïerte jiehtieh dah naan aejkienitjmies ussjedamme aemieluesedh ja, (Lulesamiska) Dán diedádusán mij vuosedip båhtusijt gatjádimåtsådimes Samisk hälsa på likavillkor. Tjadáduváj gidán 2021 ja vássteduváj 3 685 sámijs 18-84 álldarinSvierigin. Diedádusá ulmme l oanesláhkáj gåvådit varresvuodav, viessomvidjurijtja viessomdábijt sámij siegen. Båhtusa li aj buohtastahteduvvam álmmugijn ietjándáhtá baktu rijkalasj álmmukvarresvuohtagatjádimes Hälsa på lika villkor, mij aj latjadádum gidán 2021.Båhtusa oanegisláhkájIenemus sáme dán åtsådimen, 73 procännta, diededi siján la buorre gájkkásasjvarresvuohta. Vargga gájkajn, 87 procäntta, la buorre psykalasj varresvuohta.Sámijs ållåsit 47 procännta diedet siján la guhkesájggásasj skibádahka jalisáhtusvuohta. Oasse mij diedet sij suovasti bäjválattjat la 4 procännta, ja oasse mijsnukti le 23 prosännta.Buohtastahttem sámij ja álmmuga gaskan ietján vuoset tjuovvo:• Sámijs avta stuorra oasse nåv gåk álmmuk ietján diedet buorre almmulasjvarresvuodav. Sámijs oasse aj diedet skibádagájt nåv gåk alla varradäddo jadiabetes jali psykalasj vájve nåv gåk hudja, ráfedisvuohra jali goavgge l avtastuorre nåv gåk álmmugin ietján.• Sámijs binnep oasse gå álmmuk ietján diedet oademvájvijt, vájbasvuodav japsykalasj gähttjalamvuodav. Sámijs la aj binnep oasse mij diedet sij e labudaienep gå lågenan tijma bäjvváj, siján la vádáadno alkoholas, diedet sij suovastibäjválattjat jali soames bále li adnám cannabisav.• Sámijs binnep oasse gå buohtastahttá álmmugijn ietján diedet buorrebadnevarresvuodav ja sij bårri muorjemijt ja ruonudisájt binnemusát aktibäjvváj.• Sámijs stuoráp oasse gå álmmuk ietján la buorre psykalasj varresvuohta.Sámijs stuoráp oasse gis diedet siján la guhkesájggásasj skibádahka jalisáhtusvuohta, luottudahka rubmaha umasslágásj åsijn, astma, allegiddja, sij iláednagav dieddi ja buojddudahka. Sámijs oasse aj mij diedet sij snuktijibäjvválattjat la stuoráp gå álmmuk ietján.• Sámijs stuoráp oasse gå álmmuk ietján diedet sij soames bále li duodalattjatárvvaladdam ietjas gåddet jali sij soames bále li gäh, (Nordsamiska) Dán raporttas ovdanbuktit bohtosiid iskkadeamis sámi dearvvašvuohta seammaeavttuiguin. Dát čađahuvvui 2021 giđa ja 3 658 sápmelačča Ruoŧas agis 18 jagis 84jahkái vástidedje dan. Raportta ulbmil lea čilget sápmelaččaid dearvvašvuođa,eallindili ja eallindábiid bajitdásis. Bohtosat leat maid buohtastahtton álbmogiinmuđui nationála álbmotdearvvašvuođaiskkadeami dieđuiguin Dearvvašvuohtaseamma eavttuiguin, mii čađahuvvui nai 2021 giđa.Oanehaččat bohtosiid birraEanas sápmelaččat min dutkosis, 73 proseantta, dieđihit sis lea buorredearvvašvuođadilli. Measta buohkain, 87 proseanttas lea buorre mentálalašburesveadjin. 41 proseantta sápmelaččain dieđihit guhkálmas buozanvuođa dahjehedjonan doaibmanávcca. 4 proseantta lea oassi sis geat borgguhit beaivválaččat jasnuvssejeddjiid oassi lea 23 proseantta.Buohtastahttin gaskal sápmelaččaid ja álbmoga muđui čájeha ná:• Seamma stuora oassi sápmelaččain go álbmot ge muđui raportere sis leabuorre dearvvašvuođadilli. Oassi sápmelaččain geat raporterejit dávddaid nugoalla varradeattu ja sohkardávdda dahje psyhkalaš givssiid nugo vuorrádusa,vuorjašumi dahje balu, lea seamma badjin go álbmogis muđui ge.• Unnit oassi sápmelaččain go álbmot muđui raporterejit oađđinváttisvuođaid,váibbasvuođa ja psyhkalaš dávgguid. Lea maid unnit oassi sápmelaččain geatalmmuhit sii eai rumašlaččat lihkat badjel logi diibmui beaivái, sis leariskageavaheapmi alkoholas, sii almmuhit sii borgguhit beaivválaččat dahje siimuhtomin leat geavahan cannabis.• Unnit oassi sápmelaččain go buohtastahttá álbmogiin muđui dieđihit sis leabuorre bátnedearvvašvuohta ja sii borret šattuid ja ruotnasiid unnimusat oktiibeaivái.• Stuorát oasis sápmelaččain go álbmogis muđui lea oppalaččat buorrepsyhkalaš dearvvašvuohta. Nuppe bealis almmuha stuorát oassi sápmelaččainahte sis leat guhkálmas dávddat dahje doaimmashehttejupmi, bákčasatiešguđet rumašosiin, ástmá, allergiija, buidodat ja buoidivuohta. Oassisápmelaččain geat almmuhit sii snuvssejit beaivválaččat lea maid, Artikelnummer: 23011, Samisk hälsa på lika villkor

Aims: To assess the association between experiences of discrimination and mental health among the Sámi population in Sweden. Methods: Cross-sectional study among the self-identified Sámi population living in Sweden in 2021, registered in the electoral roll of the Sámi Parliament, the reindeer mark register and the ‘Labour statistics based on administrative sources’. The analysis was based on a final sample of 3658 respondents aged between 18 and 84 years. Adjusted prevalence ratios aPRs for psychological distress (Kessler scale), self-reported anxiety and depression were estimated for four different forms of discrimination (direct experience of discrimination, offended because of ethnicity, historical trauma, and combined discrimination). Results: Higher aPRs of psychological distress, anxiety and depression were observed in women experiencing direct discrimination because of their ethnicity, having been offended because of their ethnicity, and those with a family history of discrimination. Among men, higher aPRs for psychological distress were observed in those experiencing the four different forms of discrimination, but not for anxiety. Depression was only detected in the case of having been offended. Adding experiences of discrimination was associated with a higher prevalence of negative outcomes for all the indicators in women and for psychological distress in men. Conclusions: The observed association between experiences of discrimination and mental health problems would support a gender approach when considering ethnic discrimination in public health policies concerning the Sámi in Sweden.

Aims: To assess the association between experiences of discrimination and mental health among the Sámi population in Sweden. Methods: Cross-sectional study among the self-identified Sámi population living in Sweden in 2021, registered in the electoral roll of the Sámi Parliament, the reindeer mark register and the ‘Labour statistics based on administrative sources’. The analysis was based on a final sample of 3658 respondents aged between 18 and 84 years. Adjusted prevalence ratios aPRs for psychological distress (Kessler scale), self-reported anxiety and depression were estimated for four different forms of discrimination (direct experience of discrimination, offended because of ethnicity, historical trauma, and combined discrimination). Results: Higher aPRs of psychological distress, anxiety and depression were observed in women experiencing direct discrimination because of their ethnicity, having been offended because of their ethnicity, and those with a family history of discrimination. Among men, higher aPRs for psychological distress were observed in those experiencing the four different forms of discrimination, but not for anxiety. Depression was only detected in the case of having been offended. Adding experiences of discrimination was associated with a higher prevalence of negative outcomes for all the indicators in women and for psychological distress in men. Conclusions: The observed association between experiences of discrimination and mental health problems would support a gender approach when considering ethnic discrimination in public health policies concerning the Sámi in Sweden.

Circumpolar Indigenous populations continue to experience dramatic health inequities when compared to their national counterparts. The objectives of this study are first, to explore the space given in the existing literature to the concepts of cultural safety and cultural competence, as it relates to Indigenous peoples in Circumpolar contexts; and second, to document where innovations have emerged. We conducted a review of the English, Danish, Norwegian, Russian and Swedish Circumpolar health literature focusing on Indigenous populations. We include research related to Alaska (USA); the Yukon, the Northwest Territories, Nunavik and Labrador (Canada); Greenland; Sápmi (northmost part of Sweden, Norway, and Finland); and arctic Russia. Our results show that the concepts of cultural safety and cultural competence (cultural humility in Nunavut) are widely discussed in the Canadian literature. In Alaska, the term relationship-centred care has emerged, and is defined broadly to encompass clinician-patient relationships and structural barriers to care. We found no evidence that similar concepts are used to inform service delivery in Greenland, Nordic countries and Russia. While we recognise that healthcare innovations are often localised, and that there is often a lapse before localised innovations find their way into the literature, we conclude that the general lack of attention to culturally safe care for Sámi and Greenlandic Inuit is somewhat surprising given Nordic countries' concern for the welfare of their citizens. We see this as an important gap, and out of step with commitments made under United Nations Declarations on the Rights of Indigenous Peoples. We call for the integration of cultural safety (and its variants) as a lens to inform the development of health programs aiming to improve Indigenous in Circumpolar countries.

In 2018 – 19, eight Indigenous and non-Indigenous individuals from Canada, Greenland/Denmark, Sweden, and Alaska/United States came together to address research questions relevant to Arctic nations’ shared challenges and opportunities. Our work incorporated critical, community-based perspectives on Arctic health and well-being and promoted strengths-based approaches developed in partnership with Arctic communities. In this article we describe the group’s 16 action-oriented policy recommendations to support health and well-being in the Arctic in four thematic areas: 1) acknowledge and integrate Indigenous rights and knowledges, 2) implement meaningful action to address Indigenous determinants of health, 3) expand health-oriented monitoring and assessment programs, and 4) implement community-led, critical research approaches that focus on partnerships, reciprocity, adherence to ethical guidelines, and funding community-based research. Our recommendations are actionable guidelines for policy and research aimed at reducing inequities, supporting Indigenous expertise and existing knowledge, and promoting thriving communities in the Arctic.

The aim of this paper was to describe the study design, data collection procedure and participation of the population-based study "Sámi Health on Equal Terms" (SámiHET) conducted among the Sámi in Sweden in 2021. A Sámi sample was constructed, drawing from three pre-existing-registers: the Sámi electoral roll, the reindeer mark register and the "Labour statistics based on administrative sources" register to identify reindeer herding businesses. All identified persons aged 18–84 were invited to participate during February–May 2021. Among the 9,249 invitations, 3,779 answered the survey (participation rate of 40.9%). More women than men participated, and the age group 45–64 was the most common in both sexes. Around 10% of participants were in the youngest group. A majority of participants were residents of Norrbotten (48%), while almost one fourth were living outside Sápmi (22%). SámiHET has been demonstrated to be a feasible and cost-effective way of investigating health and living conditions among the Sámi in Sweden, providing information easy to compare with Swedish data. The knowledge to be produced may be used to inform policy to guide and improve Sámi health, thus contributing to realising the equal health rights of the Indigenous Sámi in Sweden.

The aim of this presentation is to describe the study design, data collection procedure and participation of the population-based study "Sámi Health on Equal Terms" (SámiHET) conducted among the Sámi in Sweden in 2021. A Sámi sample was constructed, drawing from three pre-existing-registers: the Sámi electoral roll, the reindeer mark register and the "Labour statistics based on administrative sources" register to identify reindeer herding businesses. All identified persons aged 18-84 were invited to participate during February-May 2021. Among the 9,249 invitations, 3,779 answered the survey (participation rate of 40.9%). More women than men participated, and the age group 45-64 was the most common in both sexes. Around 10% of participants were in the youngest group. A majority of participants were residents of Norrbotten (48%), while almost one fourth were living outside Sápmi (22%). SámiHET has been demonstrated to be a feasible and cost-effective way of investigating health and living conditions among the Sámi in Sweden, providing information easy to compare with Swedish data. The knowledge to be produced may be used to inform policy to guide and improve Sámi health, thus contributing to realising the equal health rights of the Indigenous Sámi in Sweden.

Context: Men generally seek healthcare less often than women and, other than traditional gender norms, less is known about the explanation. The aim was to identify knowledge gaps and factors influencing men regarding sexual and reproductive healthcare (SRHC) in the Nordic countries. Methods: We searched PubMed and SveMed+ for peer-reviewed articles published between January 2010 and May 2020. The analyses identified factors influencing men’s experiences of and access to SRHC. Results: The majority of the 68 articles included focused on pregnancy, birth, infertility and sexually transmitted infections including HIV. During pregnancy and childbirth, men were treated as accompanying partners rather than individuals with their own needs. The knowledge and attitudes of healthcare providers were crucial for their ability to provide SRHC and for the experiences of men. Organisational obstacles, such as women-centred SRHC and no assigned healthcare profession for men’s sexual and reproductive health issues, hindered men’s access to SRHC. Lastly, the literature rarely discussed the impact of health policies on men’s access to SRHC. Conclusions: The literature lacked the perspectives of specific groups of men such as migrants, men who have sex with men and transmen, as well as the experiences of men in SRHC related to sexual function, contraceptive use and gender-based violence. These knowledge gaps, taken together with the lack of a clear entry point for men into SRHC, indicate the necessity of an improved health and medical education of healthcare providers, as well as of health system interventions.

Aims: Historically, health research in the Arctic has focused on documenting ill-health using a narrow set of deficit-oriented epidemiologic indicators (i.e., prevalence of disease and mortality rates). While useful, this type of research does not adequately capture the breadth and complexities of community health and well-being, and fails to highlight solutions. A community’s context, strengths, and continued expressions of well-being need to guide inquiries, inform processes, and contextualize recommendations. In this paper, we present a conceptual framework developed to address the aforementioned concerns and inform community-led health and social research in the Arctic. Methods: The proposed framework is informed by our collective collaborations with circumpolar communities, and syntheses of individual and group research undertaken throughout the Circumpolar North. Our framework encourages investigation into the contextual factors that promote circumpolar communities to thrive. Results: Our framework centers on the visual imagery of an iceberg. There is a need to dive deeper than superficial indicators of health to examine individual, family, social, cultural, historical, linguistic, and environmental contexts that support communities in the Circumpolar North to thrive. A participatory community-based approach in conjunction with ongoing epidemiologic research is necessary in order to effectively support health and wellness. Conclusions: The iceberg framework is a way to conceptualize circumpolar health research and encourage investigators to both monitor epidemiologic indicators and also dive below the surface using participatory methodology to investigate contextual factors that support thriving communities.

This study analyses suicides amongst reindeer herding Sami in Sweden using information from the database of the National Board of Forensic Medicine. Suicides were identified using registers (39 suicides from 1961-2000) and key informants (11 suicides from 2001-2017). A great majority of cases were males (43 males, 7 females), and 50% occurred in the northernmost region. The mean age was 37.4 years with a peak in the group 20-29 years of age. Shooting was the most common (56%) method, followed by hanging. Blood alcohol concentration measures available from 1993 were above 0.2 g/l in 76% of the cases. There was a maximum incidence of suicides between 1981 and 1990. An accumulation of suicides in the months of May (N = 8) and November (N = 7) was seen. The annual suicide rate was estimated to be between 17.5 and 43.9 per 100 000 population. There was a clear gradient in suicide incidence with the highest being in the southernmost region (Jamtland/Harjedalen) and the lowest in the northernmost county (Norrbotten). For strengthened suicide prevention in this group, future research should address sex differences, the role of alcohol use and the general conditions for reindeer herding.