Omma Lotta, Petersen Solveig
Division of Psychiatry, Department of Clinical Sciences, Umeå University, Umeå, Sweden.
Acta Paediatr. 2015 Jan;104(1):75-83. doi: 10.1111/apa.12786. Epub 2014 Oct 7.
To investigate health-related quality of life (HRQOL) in indigenous Sami schoolchildren in Sweden and its associations with sex, age, enculturation and ethnicity-related negative treatment.
The study population was comprised of all children in grades 6-12 (ages 12-18 years) who attended specific Sami school programmes in Sweden. HRQOL was measured by the Kidscreen-52 self-report form, which was filled in at school (n = 121).
The indigenous Sami children in Sweden experienced lower HRQOL than Swedish children in general, with regard to their school situation, financial resources, parents' relations, physical well-being and social support from peers. In Sami children, functioning and well-being generally decreased by older age group and girls reported lower physical well-being, more negative feelings and more negative self-perception than boys. Finally, more than half of the Sami children had experienced ethnicity-related negative treatment, and these children reported a robustly lower functioning and well-being compared with those without this experience.
In some aspects of HRQOL, indigenous Sami schoolchildren with an explicit ethnic identity experienced less favourable functioning and well-being than Swedish children in general, which is worrisome. A high degree of ethnicity-related negative treatment may partly explain this lower HRQOL in Sami children.
调查瑞典萨米族本土学童的健康相关生活质量(HRQOL)及其与性别、年龄、文化适应和种族相关负面待遇的关联。
研究人群包括在瑞典参加特定萨米族学校项目的所有6至12年级(12至18岁)儿童。HRQOL通过在学校填写的儿童生活质量量表-52自评表进行测量(n = 121)。
在学校情况、财务资源、父母关系、身体健康和同伴的社会支持方面,瑞典的萨米族本土儿童的HRQOL总体上低于瑞典儿童。在萨米族儿童中,功能和幸福感通常随着年龄增长而下降,并且女孩报告的身体健康状况低于男孩,负面情绪和负面自我认知更多。最后,超过一半的萨米族儿童经历过与种族相关的负面待遇,与没有这种经历的儿童相比,这些儿童报告的功能和幸福感明显更低。
在HRQOL的某些方面,具有明确种族身份的萨米族本土学童的功能和幸福感总体上不如瑞典儿童,这令人担忧。高度的与种族相关的负面待遇可能部分解释了萨米族儿童较低的HRQOL。