Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study
ABSTRACTThe 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. Ov...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | International Journal of Circumpolar Health |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/22423982.2023.2213909 |
| _version_ | 1827579015484932096 |
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| author | Menayit Tamrat Dresse Jon Petter Stoor Miguel San Sebastian Lena Maria Nilsson |
| author_facet | Menayit Tamrat Dresse Jon Petter Stoor Miguel San Sebastian Lena Maria Nilsson |
| author_sort | Menayit Tamrat Dresse |
| collection | DOAJ |
| description | ABSTRACTThe 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. |
| first_indexed | 2024-03-08T21:55:40Z |
| format | Article |
| id | doaj.art-0b1bfb8095bf4a1d8152b638a5bfe350 |
| institution | Directory Open Access Journal |
| issn | 2242-3982 |
| language | English |
| last_indexed | 2024-03-08T21:55:40Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Circumpolar Health |
| spelling | doaj.art-0b1bfb8095bf4a1d8152b638a5bfe3502023-12-19T21:44:11ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822023-12-0182110.1080/22423982.2023.2213909Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET studyMenayit Tamrat Dresse0Jon Petter Stoor1Miguel San Sebastian2Lena Maria Nilsson3Department of Epidemiology and Global Health, Lávvuo-Research and Education for Sámi Health, Umeå University, Umeå, SwedenDepartment of Epidemiology and Global Health, Lávvuo-Research and Education for Sámi Health, Umeå University, Umeå, SwedenDepartment of Epidemiology and Global Health, Lávvuo-Research and Education for Sámi Health, Umeå University, Umeå, SwedenDepartment of Epidemiology and Global Health, Lávvuo-Research and Education for Sámi Health, Umeå University, Umeå, SwedenABSTRACTThe 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.https://www.tandfonline.com/doi/10.1080/22423982.2023.2213909SámiIndigenousCOVID-19healthcare avoidancefearseconomic stress |
| spellingShingle | Menayit Tamrat Dresse Jon Petter Stoor Miguel San Sebastian Lena Maria Nilsson Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study International Journal of Circumpolar Health Sámi Indigenous COVID-19 healthcare avoidance fears economic stress |
| title | Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study |
| title_full | Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study |
| title_fullStr | Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study |
| title_full_unstemmed | Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study |
| title_short | Prevalence and factors associated with healthcare avoidance during the COVID-19 pandemic among the Sámi in Sweden: the SámiHET study |
| title_sort | prevalence and factors associated with healthcare avoidance during the covid 19 pandemic among the sami in sweden the samihet study |
| topic | Sámi Indigenous COVID-19 healthcare avoidance fears economic stress |
| url | https://www.tandfonline.com/doi/10.1080/22423982.2023.2213909 |
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