Eriksen Astrid M A, Hansen Ketil Lenert, Schei Berit, Sørlie Tore, Stigum Hein, Bjertness Espen, Javo Cecilie
a Sami National Centre for Mental Health and Substance Abuse (SANKS) Finnmarkssykehuset HF , Karasjok , Norway.
b Centre for Sami Health Research , UiT, The Arctic University of Norway , Tromsoe , Norway.
Int J Circumpolar Health. 2018 Dec;77(1):1508320. doi: 10.1080/22423982.2018.1508320.
The main objectives of this study were to investigate the association between childhood violence and psychological distress and post-traumatic stress symptoms (PTS) among Sami and non-Sami adults, and to explore a possible mediating effect of childhood violence on any ethnic differences in mental health. This study is part of a larger questionnaire survey on health and living conditions in Mid- and Northern Norway (SAMINOR 2) which included 2116 Sami and 8674 non-Sami participants. A positive association between childhood violence and psychological distress and PTS in adulthood was found regardless of ethnicity. For women, childhood violence may have mediated some of the ethnic differences in psychological distress (53.2%) and PTS (31.4%). A similar pattern was found for men as to psychological distress (45.5%) and PTS (55.5%). The prevalence of psychological distress was significantly higher in the Sami than in the non-Sami group: 15.8% vs. 13.0% for women, and 11.4% vs. 8.0% for men. Likewise, PTS showed a higher prevalence in the Sami group, both for women (16.2% vs. 12.4%) and for men (12.2% vs. 9.1).
A positive association between childhood violence and adult mental distress was found for both Sami and Norwegian adults. More mental problems were found among the Sami. Childhood violence may have mediated some of the ethnic differences.
本研究的主要目的是调查萨米族和非萨米族成年人童年暴力与心理困扰及创伤后应激症状（PTS）之间的关联，并探讨童年暴力对心理健康方面任何种族差异可能产生的中介作用。本研究是挪威中部和北部关于健康与生活状况的一项更大规模问卷调查（SAMINOR 2）的一部分，该调查包括2116名萨米族参与者和8674名非萨米族参与者。无论种族如何，均发现童年暴力与成年期心理困扰和PTS之间存在正相关。对于女性而言，童年暴力可能在一定程度上介导了心理困扰（53.2%）和PTS（31.4%）方面的一些种族差异。在男性的心理困扰（45.5%）和PTS（55.5%）方面也发现了类似模式。萨米族中心理困扰的患病率显著高于非萨米族：女性为15.8% 对13.0%，男性为11.4% 对8.0%。同样，PTS在萨米族中的患病率也更高，女性为16.2% 对12.4%，男性为12.2% 对9.1%。
在萨米族和挪威成年人中均发现童年暴力与成年期心理困扰之间存在正相关。萨米族中发现的心理问题更多。童年暴力可能介导了一些种族差异。
