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dc.contributor.authorEliassen, Bent-Martin
dc.contributor.authorBraaten, Tonje
dc.contributor.authorMelhus, Marita
dc.contributor.authorHansen, Ketil Lenert
dc.contributor.authorBroderstad, Ann Ragnhild
dc.date.accessioned2012-11-16T13:07:36Z
dc.date.available2012-11-16T13:07:36Z
dc.date.issued2012
dc.description.abstractAcculturation is for indigenous peoples related to the process of colonisation over centuries as well as the on-going social transition experienced in the Arctic today. Changing living conditions and lifestyle affect health in numerous ways in Arctic indigenous populations. Self-rated health (SRH) is a relevant variable in primary health care and in general public health assessments and monitoring. Exploring the relationship between acculturation and SRH in indigenous populations having experienced great societal and cultural change is thus of great importance. The principal method in the Survey of Living Conditions in the Arctic (SLiCA) was standardised face-to-face interviews using a questionnaire. Very high overall participation rates of 83% were obtained in Greenland and Alaska, whilst a more conventional rate of 57% was achieved in Norway. Acculturation was conceptualised as certain traditional subsistence activities being of lesser importance for people’s ethnic identity, and poorer spoken indigenous language ability (SILA). Acculturation was included in six separate gender- and country-specific ordinal logistic regressions to assess qualitative effects on SRH. Multivariable analyses showed that acculturation significantly predicted poorer SRH in Greenland. An increased subsistence score gave an OR of 2.32 (P<0.001) for reporting poorer SRH among Greenlandic men, while an increased score for Greenlandic women generated an OR of 1.71 (P=0.01). Poorer SILA generated an OR of 1.59 in men (p=0.03). In Alaska, no evidence of acculturation effects was detected among Iñupiaq men. Among Iñupiaq women, an increased subsistence score represented an increased odds of 73% (p=0.026) for reporting poorer SRH. No significant effects of acculturation on SRH were detected in Norway. This study shows that aggregate acculturation is a strong risk factor for poorer SRH among the Kalaallit of Greenland and female Iñupiat of Alaska, but our cross-sectional study design does not allow any conclusion with regard to causality. Limitations with regard to wording, categorisations, assumed cultural differences in the conceptualisation of SRH, and confounding effects of health care use, SES and discrimination, make it difficult to appropriately assess how strong this effect is though.en
dc.descriptionThis paper is part of Bent-Martin Eliassen's doctoral thesis, available in Munin at <a href=http://hdl.handle.net/10037/5507>http://hdl.handle.net/10037/5507</a>
dc.identifier.citationBMC Public Health (2012), vol.12:948en
dc.identifier.cristinIDFRIDAID 962359
dc.identifier.doidoi: 10.1186/1471-2458-12-948
dc.identifier.issn1471-2458
dc.identifier.urihttps://hdl.handle.net/10037/4625
dc.identifier.urnURN:NBN:no-uit_munin_4340
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Social science: 200en
dc.subjectVDP::Samfunnsvitenskap: 200en
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803en
dc.subjectSLiCAen
dc.subjectliving conditionsen
dc.subjectIndigenous peoplesen
dc.subjectInuiten
dc.subjectSamien
dc.subjectIñupiaten
dc.subjectKalaalliten
dc.subjectAcculturationen
dc.subjectSelf-rated healthen
dc.titleAcculturation and self-rated health among Arctic indigenous peoples : a population-based cross-sectional studyen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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