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Related Experiment Videos

Attitudes regarding tuberculosis among Samoans.

L P AhChing1, M Sapolu, M Samifua

  • 1University of Hawaii, John A. Burns School of Medicine, 1960 East-West Road, Honolulu, HI 96822

Pacific Health Dialog
|May 23, 2002
PubMed
Summary

Samoan immigrants in Hawaii perceive tuberculosis (TB) as highly contagious, leading to stigma. While they accept biomedical treatment, traditional herbal medicine is also used, indicating a blend of beliefs about TB transmission and care.

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Area of Science:

  • Public Health
  • Medical Anthropology
  • Sociology of Health

Background:

  • Tuberculosis (TB) remains a significant global health challenge.
  • Understanding community-specific knowledge, attitudes, and practices (KAP) is crucial for effective TB control.
  • Samoan immigrant communities may have unique cultural perspectives influencing their approach to TB.

Purpose of the Study:

  • To explore knowledge, attitudes, and practices regarding tuberculosis (TB) among Samoan immigrants in Hawaii.
  • To understand participants' explanatory models of TB transmission and treatment.
  • To identify potential barriers and facilitators for TB prevention and management in this population.

Main Methods:

  • A qualitative focus group methodology was employed.

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  • Eight Samoan immigrants residing in Hawaii participated.
  • Samoan health workers facilitated the discussion to explore explanatory models of TB.

    • Main Results:

    • Participants believed TB to be extremely contagious, exceeding actual transmissibility.
    • Social stigma and isolation were identified as consequences of perceived contagiousness.
    • Biomedical treatment was generally accepted as necessary.
    • Traditional herbal medicine was viewed as a complementary, rather than alternative, treatment.

    Conclusions:

    • Samoan immigrants largely adhere to biomedical explanatory models for TB.
    • Beliefs in traditional medicine persist alongside biomedical understanding.
    • Perceptions of high TB contagiousness contribute to ongoing disease-related stigma.
    • Addressing misconceptions about TB transmission is vital for reducing stigma and improving health outcomes.