Living With Ma’i Suka: Individual, Familial, Cultural, and Environmental Stress Among Patients With Type 2 Diabetes Mellitus and Their Caregivers in American Samoa

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Elstad, Emily ; Tusiofo, Corabelle ; Rosen, Rochelle K ; McGarvey, Stephen T
• Description:
  Introduction
  
  The U.S. territory of American Samoa has a disproportionate number of people with type 2 diabetes mellitus compared with neighboring Samoa and the U.S. mainland. The purpose of this research was to study perceptions of diabetes among people with type 2 diabetes in American Samoa in order to design culturally appropriate interventions to prevent and manage diabetes effectively.
  
  Methods
  
  Seven focus groups were held with 64 participants at a primary health care facility and a nearby workplace in American Samoa. These focus groups were conducted in the Samoan language and explored perceptions of diabetes, including its meaning, etiology, and the illness experience. Participants were people with diabetes at the health care facility and their family caregivers.
  
  Results
  
  Our systematic analysis of the translated transcripts showed that American Samoans with type 2 diabetes experienced individual, familial, cultural, and environmental stress. They also associated environmental and familial stressors with the worsening of symptoms and increases in blood glucose levels. Although participants believed that stress within the family worsened diabetes symptoms, family members figured prominently as primary caregivers.
  
  Conclusion
  
  Interventions aimed at improving diabetes management in American Samoa should emphasize family involvement coupled with education and methods to reduce caregiver burden, given the chronic, lifelong nature of diabetes.
  
  
• Subjects:
  Adult Aged Aged, 80 And Over American Samoa Caregivers Cross-Sectional Studies Cultural Characteristics Diabetes Mellitus, Type 2 Family Female Focus Groups Health Knowledge, Attitudes, Practice Humans Male Middle Aged Stress, Psychological

  More +
• Source:
  Prev Chronic Dis. 2008; 5(3).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Volume:
  5
• Issue:
  3
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:3ead1c266e948e55d48e654ff4ef0eacfb698e7f57f647f913038d8308d35f77b252fcc00d32d4145e5087a23ef66a242a1fa4ce583e8b67a77d48881ac7c8ff
• Download URL:
  https://stacks.cdc.gov/view/cdc/20255/cdc_20255_DS1.pdf
• File Type:
  [PDF - 467.60 KB ]