Norum Jan, Bjerke Fred Emil, Nybrodahl Inger, Olsen Aina
Northern Norway Regional Health Authority, Bodø, Norway and Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway.
Nord J Psychiatry. 2012 Dec;66(6):422-7. doi: 10.3109/08039488.2012.668936. Epub 2012 Mar 27.
The aim of this study was analyze the admission and inpatient stay at psychiatric hospital in northern Norway among people from the Sami-speaking municipalities (Sami group) and a control group (non-Sami group). Are they treated equally?
All admissions and inpatient stay from the administration area of the Sami language law (eight municipalities) was matched with a control group of 11 municipalities. All adult patients treated during the 2-year time period 2009-2010 and registered by the Norwegian Patient Registry (NPR) were included in the study. Population data as of 2009 was accessed from Statistics Norway. The admission rate and the days in hospital (DiH) rate per 10,000 inhabitants/year were set as 1.0.
Both study groups had a significantly higher admission and DiH-rate than northern Norwegians in general. The median annual admission rate/10,000 inhabitants was 284 (Sami) and 307 (non-Sami), respectively (P = 0.23). Whereas there were no difference between groups with regard to DiH/10,000 inhabitants/year (P = 0.24), the males of the Sami group spent significantly fewer DiH when any form of coercion was used (RR = 0.41).
Sami did not experience significantly more or fewer admissions (voluntary and compulsory) to psychiatric hospitals than the control group. There were significant intergroup variations in both groups.
本研究旨在分析挪威北部精神病院收治的来自讲萨米语自治市的人群（萨米组）和对照组（非萨米组）的入院情况及住院时间。他们是否得到平等对待？
将萨米语法律适用行政区（8个自治市）的所有入院情况及住院时间与11个自治市的对照组进行匹配。纳入2009 - 2010年两年期间接受治疗并在挪威患者登记处（NPR）登记的所有成年患者。2009年的人口数据来自挪威统计局。每10,000居民/年的入院率和住院天数（DiH）率设定为1.0。
两个研究组的入院率和DiH率均显著高于挪威北部的一般人群。每10,000居民的年入院率中位数分别为284（萨米组）和307（非萨米组）（P = 0.23）。虽然两组每10,000居民/年的DiH率无差异（P = 0.24），但在使用任何形式的强制手段时，萨米组男性的住院天数显著减少（RR = 0.41）。
与对照组相比，萨米人在精神病院的入院人数（自愿和非自愿）没有显著更多或更少。两组之间存在显著的组间差异。
