Exploring views among Norwegian Sámi regarding gambling and gambling treatment.

Aim: To explore gambling in the indigenous Sámi culture by studying thoughts, ideas and attitudes towards gambling among Sámi and people living in majority Sámi areas with knowledge of the culture. Methods: The topic was investigated in an inductive thematic analysis of semi-structured interviews with 14 people (n = 13 self-reported Sámi ethnicity). Results: The majority of the informants knew of superstitious practices that were specific to the Sámi culture, though most did not believe that these could influence gambling outcomes. Several features of the Sámi culture, including religious commitment (Laestadianism), family-oriented societies, non-materialistic ideals and self-sufficiency ideals, were presumed to protect against developing gambling issues. There were reports of reduced trust in the Norwegian healthcare system and a lack of treatment services with sufficient knowledge about Sámi culture. Conclusion: Culture-specific factors protecting against development of gambling problems could be a factor in maintaining established gambling problems by increasing associated shame and stigma, resulting in a higher threshold for help-seeking among Sámi. The findings and their potential implications with regards to the existing literature are discussed.