What is known about the health and living conditions of the indigenous people of northern Scandinavia, the Sami?
What is known about the health and living conditions of the indigenous people of northern Scandinavia, the Sami?
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DOI：
10.3402/gha.v4i0.8457
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发表时间：
2011
影响因子：
2.6
通讯作者：
Sjölander P
中科院分区：
文献类型：
--
作者：
Sjölander P
萨米人是斯堪的纳维亚半岛北方的土著民族。他们的健康状况鲜为人知，尽管在过去十年中知识有所提高。目的是审查瑞典萨米人死亡率、疾病和风险因素暴露的现有资料。在科学期刊和选集上发表的关于萨米人群体的健康相关研究被用来比较萨米人和大多数非萨米人的健康状况。在相关情况下，将瑞典萨米人的数据与挪威和芬兰萨米人的相应数据进行了比较。萨米人的预期寿命和死亡率模式与大多数人口相似。据报道，癌症和心血管疾病的发病率略有不同。萨米人的传统生活方式似乎含有减少患癌症和心血管疾病风险的因素，例如体育活动、富含抗氧化剂和不饱和脂肪酸的饮食以及强烈的文化认同。驯鹿放牧是萨米人的一项重要文化活动，发生事故的风险很高。在驯鹿放牧家庭中，下背部、颈部、肩部、肘部和手部的疼痛在男性和女性中都很常见。对于男性来说，这些症状与高暴露于地形车辆，特别是雪地摩托车有关，而对于女性来说，心理社会风险因素似乎更重要，例如社会支持差，高努力，低回报和高经济责任。虽然萨米人的健康状况似乎与瑞典一般人口的健康状况相当相似，但也发现了一些具体的健康问题，尤其是在驯鹿放牧的萨米人中。这些问题的根源大多是边缘化，以及大多数人对驯鹿畜牧业和萨米文化缺乏了解。据建议，改善驯鹿放牧萨米人健康的最可持续措施是改善驯鹿放牧和萨米文化的条件。
The Sami are the indigenous ethnic population of northern Scandinavia. Their health condition is poorly known, although the knowledge has improved over the last decade. The aim was to review the current information on mortality, diseases, and risk factor exposure in the Swedish Sami population. Health-related research on Sami cohorts published in scientific journals and anthologies was used to compare the health condition among the Sami and the majority non-Sami population. When relevant, data from the Sami populations in Swedish were compared with corresponding data from Norwegian and Finnish Sami populations. Life expectancy and mortality patterns of the Sami are similar to those of the majority population. Small differences in incidences of cancer and cardiovascular diseases have been reported. The traditional Sami lifestyle seems to contain elements that reduce the risk to develop cancer and cardiovascular diseases, e.g. physical activity, diet rich in antioxidants and unsaturated fatty acids, and a strong cultural identity. Reindeer herding is an important cultural activity among the Sami and is associated with high risks for accidents. Pain in the lower back, neck, shoulders, elbows, and hands are frequent among both men and women in reindeer-herding families. For men, these symptoms are related to high exposure to terrain vehicles, particularly snowmobile, whereas for women psychosocial risk factors seem to more important, e.g. poor social support, high effort, low reward, and high economical responsibilities. Although the health condition of the Sami population appears to be rather similar to that of the general Swedish population, a number of specific health problems have been identified, especially among the reindeer-herding Sami. Most of these problems have their origin in marginalization and poor knowledge of the reindeer husbandry and the Sami culture in the majority population. It is suggested that the most sustainable measure to improve the health among the reindeer-herding Sami would be to improve the conditions of the reindeer husbandry and the Sami culture.
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影响因子：
2
作者：
Kaiser, Niclas;Nordstrom, Annika;Renberg, Ellinor Salander
通讯作者：
Renberg, Ellinor Salander
影响因子：
13.6
作者：
Hassler, Sven;Sjolander, Per;Damber, Lena
通讯作者：
Damber, Lena
影响因子：
9.8
作者：
Kaessmann, H;Zöllner, S;Pääbo, S
通讯作者：
Pääbo, S
影响因子：
13.6
作者：
Hassler, S;Sjölander, P;Kadesjö, A
通讯作者：
Kadesjö, A
影响因子：
2.4
作者：
Haldorsen, T;Tynes, T
通讯作者：
Tynes, T