Objectives. To assess the distribution of blood lipids, lipoprotein and apoB/apoA-1 ratio in a multi-ethnic population of Sami, Kvens and Norwegians in Norway. Study design. A population-based cross-sectional study was carried out in 2 003-2004 in an area with a mixed Sami, Kvens/Finns and Norwegian population, the SAMINOR study. Methods. A self-administrated questionnaire was distributed and total cholesterol, HDL cholesterol, triglycerides, apoB and apoA-1 counts were analysed in 6,461 women and 5 ,772 men between the ages of 36 and 79. Results. In 3 6–64 age group, Sami men and women had the highest apoB/apoA-1 ratio of the ethnic groups. The ethnic differences remained after adjustment for waist hip ratio, cigarette smoking, systolic and diastolic pressures, alcohol consumption, physical activity during leisure time and family history of myocardial infarction (MI). There were no significant ethnic differences in apoB/apoA-1 ratio in the older age group. Total cholesterol was significantly lower among Sami men and women, aged 65–79 years, than among the Norwegian. The opposite occurred in the 3 6–49 age group, with higher levels in the Sami population. We found no ethnic differences in HDL cholesterol and triglycerides. Conclusions. Middle-aged Sami women and men have increased levels of apoB/apoA-1 ratio and total cholesterol compared with Norwegians.
Medicine and public health provision have often been used as instruments of power that have shaped relations between the colonizer and the colonized. The county councils, established in 1862 as regional self-governing authorities, became (and have remained) the main architects of Swedish public healthcare services. In this paper, we investigate the political praxis in regional public healthcare development in the three northernmost counties of Sweden, during 1863–1950. Our study finds that the “Lapp shall remain Lapp” policy, which dominated Swedish Sami policy at the time, had little if any influence on regional public healthcare politics. During the focal period, there were no public healthcare facilities and virtually no specific policies or directives aimed at improving access to healthcare for the Sami population.
This article describes the development and results of behavioral training via telecommunication for three caregivers of children with autism. A single-subject, multiple baseline experimental design, replicated across caregivers, preschool children with autism, and tasks, was used to evaluate the effects of the training. Dependent measures were collected in vivo and via telecommunication and included parent, teacher, and child responses during naturalistic play. The intervention involved teaching caregivers methods to increase children’s sociocommunicative behavior. Both child and caregiver behaviors increased during intervention and follow-up observations. The results indicate that training via telecommunication is a promising alternative for families that do not have access to evidence-based intervention and expertise. The results are discussed in the context of technological benefits and difficulties during data based consulting. Further development is important to understand technological variables that enhance or hinder the progress of rural children and their caregivers.