A Cultural Perspective of Samoans’ Perceived Risk of Cardiovascular Disease and Diabetes

Siaki, Leilani; Loescher, Lois J.; Ritter, Leslie

doi:10.1097/jcn.0b013e31822b9be3

Cited by 9 publications

(25 citation statements)

References 21 publications

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“…Evidence for this synthesis was gathered from literary, qualitative, and quantitative methods with at‐risk Samoan participants (Siaki , Siaki & Loescher , Siaki et al . ). The theory‐building process reported here is part of a larger study of perceived risk of CVD and diabetes in at‐risk Samoans (Siaki ).…”

Section: Data Sourcesmentioning

confidence: 97%

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Synthesis strategy: building a culturally sensitive mid‐range theory of risk perception using literary, quantitative, and qualitative methods

Siaki

Loescher

Trego

2012

Journal of Advanced Nursing

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Section: Data Sourcesmentioning

confidence: 97%

“…We conducted a descriptive study using quantitative and qualitative methods to explore the relationship between perceived risk of CVD and diabetes and the health‐world view of Samoans at risk for these diseases (Siaki , Siaki et al . ). The quantitative methods are reported in detail by Siaki et al .…”

Section: Data Sourcesmentioning

confidence: 97%

Synthesis strategy: building a culturally sensitive mid‐range theory of risk perception using literary, quantitative, and qualitative methods

Siaki

Loescher

Trego

2012

Journal of Advanced Nursing

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“…This review was preliminary work for a mixed methods study on perceived risk and health world views of Samoans, the results of which are extensive and are reported elsewhere (Siaki & Loescher, 2009). …”

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confidence: 98%

Pacific Islanders’ Perceived Risk of Cardiovascular Disease and Diabetes

Siaki

Loescher

2011

J Transcult Nurs

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Perceived risk, an integral part of health behavior change theories, is greatly understudied in Pacific Islanders. Perceived risk research for CVD and diabetes is sparse for any minority group. More research is needed to develop socioculturally appropriate interventions that promote accurate risk perceptions for both diseases and facilitate adoption of health behaviors. Ultimately, these behaviors will reduce the onset and devastating consequences of CVD and diabetes in Pacific Islanders and other minority populations.

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“…There is no prior research about the effectiveness of current diabetes programs in meeting the needs of Samoan people living in Australia; however, the current high prevalence of diabetes in this population suggests there is room for improvement. The evidence from diabetes programs in NZ that have targeted Pacific Island populations with culturally appropriate community‐based diabetes programs suggests that a tailored approach may be more effective …”

Section: Introductionmentioning

confidence: 88%

Samoan migrants’ perspectives on diabetes: A qualitative study

Shahab

Alofivae-Doorbinnia

Reath

et al. 2019

Health Prom J of Aust

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Issue addressed The Samoan community in Australia has one of the highest rates of diabetes in Australia. We explored the experiences and perceptions of Samoan patients living with diabetes and their family members. Methods Semi‐structured interviews were conducted with adults from a Samoan background living in Australia who had diabetes and their family members. Participants were recruited from a single general practice with a high proportion of Pacific Islander patients, through self‐response to waiting room flyers. Inductive thematic analysis was conducted using a constructivist‐grounded theory approach. This qualitative project was part of the developmental phase of a larger project aiming to promote healthy lifestyles and decrease diabetes in the Samoan community in Sydney, Australia. Results Twenty participants, aged 36–67 years, were interviewed. The majority was men (n = 13) and all were migrants to Australia. Participants reported a range of barriers to early detection and self‐management of diabetes, including dietary practices common within their culture and the role of church and religion. They identified that pride in their heritage and role within families could be a barrier to care but also provided an opportunity for health promotion. Conclusions The cultural factors which influence the risk and management of diabetes in the Samoan community in Australia can be the barriers to health change but also provide opportunities for culturally targeted diabetes education and health promotion. So what? These findings will inform the development of approaches for the prevention and management of diabetes within the Samoan‐Australian community. These include health‐promotion initiatives which take into account the role of cultural dietary practices, diabetes stigma, cultural pride and working with churches.

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A Cultural Perspective of Samoans’ Perceived Risk of Cardiovascular Disease and Diabetes

Abstract: Using mixed methods facilitated better understanding of cultural perspectives of perceived risk of CVD and diabetes. These results provide a foundation for developing culturally appropriate interventions targeting CVD and diabetes risk reduction in Samoans.

Cited by 9 publications

References 21 publications

Synthesis strategy: building a culturally sensitive mid‐range theory of risk perception using literary, quantitative, and qualitative methods

Synthesis strategy: building a culturally sensitive mid‐range theory of risk perception using literary, quantitative, and qualitative methods

Pacific Islanders’ Perceived Risk of Cardiovascular Disease and Diabetes

Samoan migrants’ perspectives on diabetes: A qualitative study

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