The prevalence of psychological distress and its association with ethnic discrimination was examined among 13,703 participants (36 to 79 years of age) in a population-based study of health and living conditions in areas with indigenous Sami, Kven (descendants of Finnish immigrants), and Ethnic Norwegian populations (the SAMINOR study). Sami and Kven males reported greater levels of stress than Ethnic Norwegians. Ethnic discrimination was strongly associated with elevated levels of psychological distress. Results suggest that ethnic discrimination is a major potential risk factor for poor mental health, and may contribute to ethnicity-related differences in mental health between Sami and non-Sami populations.
AhmedA. T.MohammedS. A.WilliamsD. R. (2007). Racial discrimination & health: Pathways & evidence. Indian Journal of Medical Research, 126, 318–327.
2.
AubertV. (1978). Den samiske befolkning i Nord-Norge [The Sami population in northern Norway], 107 ed. Oslo, Norway: Statistisk sentralbyrå.
3.
BakkenK.MelhusM.LundE. (2006). Use of hypnotics in Sami and non-Sami populations in northern Norway. International Journal of Circumpolar Health, 65, 261–270.
4.
BalsM.TuriA. L.SkreI.KvernmoS. (2010). Internalization symptoms, perceived discrimination, and ethnic identity in indigenous Sami and non-Sami youth in Arctic Norway. Ethnicity & Health, 15(2), 1–15.
5.
BarthF. (1982). Ethnic groups and boundaries: The social organization of culture difference. Oslo, Norway: Universitetforlaget.
6.
BarthF. (1998). Ethnic groups and boundaries: The social organization of culture difference. Prospect Heights, IL: Waveland Press.
7.
BongoB. A. (2002). “Hva er en bærer”?: Belysning om “en” måte å forstå psykisk lidelser på i den samiske kulturen [“What is a carrier”?: How to understand mental disorders in the Sami culture]. Tromsø, Norway: Faculty of Medicine, University of Tromsø.
8.
BrondoloE.Brady VerH. N.PencilleM.BeattyD.ContradaR. J. (2009). Coping with racism: A selective review of the literature and a theoretical and methodological critique. Journal of Behavioral Medicine, 32, 64–88.
9.
EidheimH. (1977). Aspects of the Lappish minority situation, 3rd ed. Oslo, Norway: Universitetsforlaget.
10.
EriksonE. H. (1971). Identitet ungdom og kriser [Identity, youth and crisis]. Copenhagen, Denmark: Reitzel.
11.
FrydenbergE. (1997). Adolescent coping: Theoretical and research perspectives. London, UK: Routledge.
12.
GaskiH. (1997). Sami culture in a new era: The Norwegian Sami experience. Karasjok, Norway: Davvi Girji.
13.
GeeG. C.SpencerM.ChenJ.YipT.TakeuchiD. T. (2007). The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide. Social Science and Medicine, 64, 1984–1996.
14.
HallL. E. (2005). Dictionary of multicultural psychology: Issues, terms and concepts. Thousand Oaks, CA: Sage.
15.
HansenK. L.MelhusM.HogmoA.LundE. (2008). Ethnic discrimination and bullying in the Sami and non-Sami populations in Norway: The SAMINOR study. International Journal of Circumpolar Health, 67, 97–113.
16.
HansenK. L.MelhusM.LundE. (2010). Ethnicity, self-reported health, discrimination and socio-economic status: A study of Sami and non-Sami Norwegian populations. International Journal of Circumpolar Health, 69, 111–128.
17.
HarrisR.TobiasM.JeffreysM.WaldegraveK.KarlsenS.NazrooJ. (2006a). Effects of self-reported racial discrimination and deprivation on Maori health and inequalities in New Zealand: Cross-sectional study. Lancet, 367, 2005–2009.
18.
HarrisR.TobiasM.JeffreysM.WaldegraveK.KarlsenS.NazrooJ. (2006b). Racism and health: The relationship between experience of racial discrimination and health in New Zealand. Social Science and Medicine, 63, 1428–1441.
19.
HoëmA. (1976). Makt og kunnskap [Power and knowledge]. Oslo, Norway: Universitetsforlaget.
JavoC.AlapackR.HeyerdahlS.RønningJ. A. (2003). Parental values and ethnic identity in indigenous Sami families: A qualitative study. Family Process, 42, 151–164.
22.
JavoC.RønningJ. A.HeyerdahlS. (2004). Child-rearing in an indigenous Sami population in Norway: A cross-cultural comparison of parental attitudes and expectations. Scandinavian Journal of Psychology, 45, 67–78.
23.
JensenE. B. (2005). Skoleverket og de tre stammers møte, Vol. 7, Tromsø, Norway: Eureka.
24.
JernslettenN.(1993) Sami language communities and the conflict between Sami and Norwegian. In: JahrE. H. (Ed). Language conflicts and language planning: Trends in linguistics. Berlin, Germany: Mouton de Gruyter, 115–132.
25.
JohansenR.RognerudM.SundetJ. (2008). Utvikling i psykisk helse – Levekårsundersøkelsene 1998, 2002 og 2005 [Development in mental health – Survey of living conditions 1998, 2002 and 2005] (Rep. No. 4). Oslo, Norway: Folkehelseinstituttet.
26.
JohnsonL.CameronM. (2001). Barriers to providing effective mental health services to American Indians. Mental Health Services Research, 3, 215–223.
27.
KarlsenS.NazrooJ. Y. (2002). Relation between racial discrimination, social class, and health among ethnic minority groups. American Journal of Public Health, 92, 624–631.
28.
KelaherM.PaulS.LambertH.AhmadW.ParadiesY.DaveyS. G. (2008). Discrimination and health in an English study. Social Science and Medicine, 7, 1627–1636.
29.
KesslerR. C.AvenevoliS.MerikangasK. R. (2001). Mood disorders in children and adolescents: An epidemiologic perspective. Biological Psychiatry, 49, 1002–1014.
30.
KleinmanA. (1988). Rethinking psychiatry: From cultural category to personal experience. New York, NY: Free Press.
31.
KriegerN. (1999). Embodying inequality: A review of concepts, measures, and methods for studying health consequences of discrimination. International Journal of Health Services, 29, 295–352.
32.
KvernmoS. (2004). Mental health of Sami youth. International Journal of Circumpolar Health, 63, 221–234.
33.
LazarusR. S.FolkmanS. (1984). Stress, appraisal, and coping. New York, NY: Springer.
34.
LundE.MelhusM.HansenK. L.NystadT.BroderstadA. R.SelmerR.Lund-LarsenP. G. (2007). Population based study of health and living conditions in areas with both Sami and Norwegian populations – The SAMINOR study. International Journal of Circumpolar Health, 66, 113–128.
35.
McKenzieK. (2006). Racial discrimination and mental health. Psychiatry, 5, 383–387.
36.
MøllersenS.HolteA. (2008). Ethnicity as a variable in mental health research: A systematic review of articles published 1990–2004. Nordic Journal of Psychiatry, 62, 322–328.
37.
MøllersenS.SextonH. C.HolteA. (2005). Ethnic variations in the initial phase of mental health treatment: A study of Sami and non-Sami clients and therapists in northern Norway. Scandinavian Journal of Psychology, 46, 447–457.
38.
MyklevollK. (1995). NOU 1995:6 Plan for helse- og sosialtjenester til den samiske befolkning i Norge/fra et utvalg oppnevnt av Sosial- og helsedepartementet den 24. oktober 1991 [NOU 1995: 6 Plan for health and social services for the Sami population in Norway The Norwegian Ministry of Health and Care Service] (Rep. No. 1995:6). Oslo, Norway: Statens forvaltningstjeneste, Seksjon statens trykning: Sosial- og helsedepartementet.
39.
NazrooJ. Y. (2003). The structuring of ethnic inequalities in health: Economic position, racial discrimination, and racism. American Journal of Public Health, 93, 277–284.
40.
NystadT.MelhusM.LundE. (2008). Sami speakers are less satisfied with general practitioners’ services. International Journal of Circumpolar Health, 67, 114–121.
41.
OngA. D.Fuller-RowellT.BurrowA. L. (2009). Racial discrimination and the stress process. Journal of Personality and Social Psychology, 96, 1259–1271.
42.
ParadiesY. (2006). A systematic review of empirical research on self-reported racism and health. International Journal of Epidemiology, 35, 888–901.
43.
ParadiesY.WilliamsD. R.(2008) Racism and health. In: HeggenhougenK.QuahS. (Eds). International encyclopedia of public health, Vol. 5, San Diego, CA: Academic Press, 474–483.
44.
PascoeE. A.SmartR. L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135, 531–554.
45.
PedersenP.HøgmoA. (2004). Kamp, krise og forsoning sosiale, kulturelle og økonomiske virkninger av samepolitiske tiltak [Fight, crisis and reconciliation social, cultural and economic effects of the Sami movement policies]. Tromsø, Norway: NORUT samfunnsforskning.
46.
Samisketall forteller 2. (2009). Samiske tall forteller 2: kommentert samisk statistikk 2009 [Sami number 2: Comments to Sami statistics 2009]. Kautokeino, Norway: Sami allaskuvla.
47.
SøgaardA. J.BjellandI.TellG. S.RøysambE. (2003). A comparison of the CONOR Mental Health Index to the HSCL-10 and HADS measuring mental health status in The Oslo Health Study and the Nord-Trøndelag Health Study. Norsk Epidemiologi, 13(2), 279–284.
48.
SørlieT.NergaardJ. I. (2005). Treatment satisfaction and recovery in Saami and Norwegian patients follwing psychiatric hospital treatment. Transcultural Psychiatry, 42, 295–316.
StordahlV. (1991). Ethnic integration and identity management: Discourses of Sami self-awareness. North Atlantic Studies, 3, 25–30.
51.
StrandB. H.DalgardO. S.TambsK.RognerudM. (2003). Measuring the mental health status of the Norwegian population: A comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36). Nordic Journal of Psychiatry, 57, 113–118.
TuriA. L.BalsM.SkreI. B.KvernmoS. (2009). Health service use in indigenous Sami and non-indigenous youth in North Norway: A population based survey. BMC Public Health, 9, 378–378.
54.
WilliamsD. R.MohammedS. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32, 20–47.
55.
WilliamsD. R.NeighborsH. W.JacksonJ. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93, 200–208.
56.
YipT.GeeG. C.TakeuchiD. T. (2008). Racial discrimination and psychological distress: The impact of ethnic identity and age among immigrant and United States-born Asian adults. Developmental Psychology, 44, 787–800.
57.
YoungK. T.BjerregaardP. (2008). Health transitions on Artic populations. Toronto, Canada: University of Toronto Press.
