Burden and spectrum of disease in people with diabetes in Tonga

Matoto, V.; Viney, Kerri; Roseveare, Christine; Colaguiri, R.; Marais, Ben J.

doi:10.5588/pha.13.0080

Cited by 12 publications

(15 citation statements)

References 11 publications

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“…Participants generally demonstrated an understanding of the mechanisms involved in the development of T2DM, but others were unable to de ne the condition or believed there was a general lack of knowledge around diabetes in their community [32]. A retrospective audit of the Tongan National Diabetes Registry reported that only around 3% of individuals living with diabetes during the period 2011 to 2012 accessed health care indicating that many Tongans failed to utilise relevant services [9]. It has been well established that diabetes complications can be reduced by implementing positive lifestyle changes [31,32,33,34,35,36].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, Noncommunicable diseases such as T2DM and Cardiovascular disease pose signi cant challenges for the countries healthcare system [21]. Christianity is embedded in Tongan society with health inextricably in uenced by this [2,9]. Food is given and shared among families and church communities with copious amounts being a sign of respect.…”

Section: Settingmentioning

confidence: 99%

“…A semi-structured interview guide was developed by the research team based upon a review of the published literature [9,24,26,27]. The majority of questions were kept deliberately open providing cues for participants to talk with a minimum of interruption and without judgment.…”

Section: Data Collectionmentioning

confidence: 99%

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Living with Type 2 Diabetes Mellitus in the Kingdom of Tonga: A Qualitative Investigation of the barriers and enablers to lifestyle management

Taumoepeau

Knight-Agarwal

Tu'i

et al. 2021

Preprint

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Background and Objectives: Despite the increasing prevalence of Type 2 Diabetes Mellitus in the Kingdom of Tonga little is known of the experiences of adults living with this non-communicable disease. This investigation aimed to explore the barriers and enablers to healthy lifestyles in a group of men and women living with type 2 diabetes mellitus residing in this pacific island nation.Methods and Study Design: This qualitative study consisted of three semi-structured focus groups (n = 16) which were conducted at Tonga’s only Public Hospital located in the capital, Nuku’alofa. Discussions were audio recorded, transcribed, cross-checked for consistency and entered into a word processing document for further scrutiny. Data was analysed using Interpretative Phenomenological Analysis. In any phenomenological study the researcher’s objective is to elicit the participant’s views on their lived experiences.Results: Four main themes were identified: (1) Knowledge and Support; (2) Fear and Motivation; 3) Environment; and (4) Faith and Culture.Conclusion: The qualitative findings from this study may assist the future development and dissemination of culturally appropriate lifestyle-related information for men and women living with Type 2 Diabetes Mellitus in the Kingdom Tonga. The need for collaboration between practitioners at the hospital, the church, family members and local traditional healers is important if the lifestyle-related needs and wants of this group of people are to be met.

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Section: Discussionmentioning

confidence: 99%

Section: Settingmentioning

confidence: 99%

See 1 more Smart Citation

Living with Type 2 Diabetes Mellitus in the Kingdom of Tonga: A Qualitative Investigation of the barriers and enablers to lifestyle management

Taumoepeau

Knight-Agarwal

Tu'i

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Participants generally demonstrated an understanding of the mechanisms involved in the development of T2DM, but others were unable to de ne the condition or believed there was a general lack of knowledge around diabetes in their community [25]. A retrospective audit of the Tongan National Diabetes Registry reported that only around 3% of individuals living with diabetes during the period 2011 to 2012 accessed health care indicating that many Tongans failed to utilise relevant services [9]. It has been well established that diabetes complications can be reduced by implementing positive lifestyle changes [26,27].…”

Section: Discussionmentioning

confidence: 99%

“…Christianity is embedded in Tongan society with health inextricably in uenced by this [2,9]. Food is given and shared among families and church communities with copious amounts being a sign of respect.…”

Section: Settingmentioning

confidence: 99%

Living with Type 2 Diabetes Mellitus in the Kingdom of Tonga: A Qualitative Investigation of the barriers and enablers to lifestyle management

Taumoepeau

Knight-Agarwal

Tu'i³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Despite the increasing prevalence of Type 2 Diabetes Mellitus in the Kingdom of Tonga little is known of the experiences of adults living with this non-communicable disease. This investigation aimed to explore the barriers and enablers to healthy lifestyles in a group of men and women living with type 2 diabetes mellitus residing in this pacific island nation.Methods: This qualitative study consisted of three semi-structured focus groups (n=16) which were conducted at Tonga’s only Public Hospital located in the capital, Nuku’alofa. Discussions were audio recorded, transcribed, cross-checked for consistency, and entered into a word processing document for analysis. Thematic analysis was employed to synthesise results.Results: Four main themes were identified: (1) Knowledge and Support; (2) Fear and Motivation; 3) Physical and Psychological Environment; and (4) Faith and Culture. Conclusion: The qualitative findings from this study may assist the future development and dissemination of culturally appropriate lifestyle-related information for men and women living with Type 2 Diabetes Mellitus in the Kingdom Tonga. The need for collaboration between practitioners at the hospital, the church, family members and local traditional healers is important if the lifestyle-related needs and wants of this group of people are to be met.

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Harmonising Incompatible Datasets to Enable GIS Use to Study Non-communicable Diseases in Tonga

Jione¹,

Norman

2022

Appl. Spatial Analysis

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We investigated the use of geographic information systems (GIS) to study the prevalence of non-communicable diseases (NCDs) in association with area deprivation within Tongatapu, the largest island in Tonga. This is a case study to determine what is possible to achieve since various data issues influenced by institutional and organizational barriers exist, affecting data integration and GIS use. A data conversion framework was developed using geographic conversion tables (GCTs) to process existing data into a compatible format and create new geographies to analyse the prevalence of NCDs and area deprivation across different levels of geography. Area deprivation was higher in the rural district and was associated with the prevalence of NCDs. However, at lower levels of geography, the distribution and patterns of NCDs, and area deprivation were unclear. This was influenced by the methods of data collection, recording and dissemination. There is a need for a national action plan outlining the standard operating procedures for all stakeholders to adhere to, and thereby produce and disseminate comprehensive, reliable, and high-quality data. Otherwise, data will be collected for basic reporting but impractical for sophisticated analysis and research. We suggest an investigation into dasymetric mapping to disaggregate population data and develop automating processes for large national datasets.

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Burden and spectrum of disease in people with diabetes in Tonga

Abstract: DM was associated with high levels of morbidity and mortality. DM care improved hypertension control, but had little impact on other comorbid conditions. Enhanced monitoring and greater patient involvement should improve care; creative strategies are required to prevent and reduce obesity.

Cited by 12 publications

References 11 publications

Living with Type 2 Diabetes Mellitus in the Kingdom of Tonga: A Qualitative Investigation of the barriers and enablers to lifestyle management

Living with Type 2 Diabetes Mellitus in the Kingdom of Tonga: A Qualitative Investigation of the barriers and enablers to lifestyle management

Living with Type 2 Diabetes Mellitus in the Kingdom of Tonga: A Qualitative Investigation of the barriers and enablers to lifestyle management

Harmonising Incompatible Datasets to Enable GIS Use to Study Non-communicable Diseases in Tonga

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