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Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Centre for Sámi Health Research, Department of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway.ORCID iD: 0000-0002-1580-8307
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.ORCID iD: 0000-0001-7234-3510
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Arctic Research Centre at Umeå University. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health. Umeå University, Faculty of Arts, Várdduo – Centre for Sámi Research.ORCID iD: 0000-0002-2354-7258
2023 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 82, no 1, article id 2213909Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Informa UK Limited , 2023. Vol. 82, no 1, article id 2213909
Keywords [en]
COVID-19, economic stress, fears, healthcare avoidance, Indigenous, Sweden, Sámi
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-208847DOI: 10.1080/22423982.2023.2213909ISI: 000993230200001PubMedID: 37216571Scopus ID: 2-s2.0-85159792898OAI: oai:DiVA.org:umu-208847DiVA, id: diva2:1761632
Funder
Public Health Agency of Sweden , 01401-2021.2.3.2Available from: 2023-06-01 Created: 2023-06-01 Last updated: 2023-06-21Bibliographically approved

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Stoor, Jon Petter A.San Sebastian, MiguelNilsson, Lena Maria

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Stoor, Jon Petter A.San Sebastian, MiguelNilsson, Lena Maria
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Department of Epidemiology and Global HealthDepartment of Public Health and Clinical MedicineArctic Research Centre at Umeå UniversityNutritional ResearchSection of Sustainable HealthVárdduo – Centre for Sámi Research
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International Journal of Circumpolar Health
Public Health, Global Health, Social Medicine and Epidemiology

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