title: Use of hypnotics in Sámi and non-Sámi populations in northern Norway.
abstract: OBJECTIVE
  Our knowledge of the impact of indigenous culture on drug consumption is scarce. Based on the Sámi Health Study, we compare the use of hypnotics among the Sámi and non-Sámi people, living in the same area at 70 degrees N in northern Norway.
  
  
  METHODS
  Cross-sectional survey based on a cardiovascular screening, including questionnaires and a clinical examination.
  
  
  METHODS
  A total of 16 323 men and women born 1925 - 1967 in counties with a mixed Sámi and non-Sámi population responded to a questionnaire delivered at attendance of a health study. The response rate was 60%. The main analyses were restricted to 12 378 subjects with information on all relevant variables, including ethnicity and use of hypnotics.
  
  
  RESULTS
  The prevalence of insomnia and use of hypnotics was significantly lower in the Sámi compared to the non-Sámi population in northern Norway (p < 0.0001). Regardless of ethnicity and age, prevalence of use of hypnotics in women was twice that of men. People who consulted modern, or traditional healers had a higher prevalence of use of hypnotics compared to those who did not.
  
  
  CONCLUSIONS
  The stronger the Sámi affiliation, the lower the prevalence of use of hypnotics. In general, insomnia is less frequently stated in the Sámi than in the non-Sámi study population. This may reflect a different attitude to sleep as a phenomenon among the Sámi.
authors.affiliation: Department of Community Medicine, University of Tromsø, Norway. kjersti.bakken@ism.uit.no
authors.forename: Kjersti
authors.initials: K
authors.lastname: Bakken
authors.forename: Marita
authors.initials: M
authors.lastname: Melhus
authors.forename: Eiliv
authors.initials: E
authors.lastname: Lund
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking; D003430:Cross-Sectional Studies; D004363:Drug Utilization; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009664:Norway / Q000453:epidemiology; D012737:Sex Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000188:drug therapy* / Q000208:ethnology*; D044465:White People
chemical_list: D006993:Hypnotics and Sedatives