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Exploring beliefs about cancer among American Samoans: focus group findings
F Allan Hubbell1, Pat H Luce, Juliet M McMullin
1Department of Medicine, Center for Health Policy and Research, University of California, Irvine, UCI Medical Center, 101 City Drive, Orange, CA 92868-4076, USA. fahubbel@uci.edu
Objective:
To evaluate answers to the following questions among American Samoans: What is cancer? What causes cancer? And what can you do to prevent cancer?
Design:
Focus groups (four with women and four with men).
Settings:
Pago Pago and the Manu'a islands, American Samoa; Honolulu, Hawaii; Los Angeles, California.
Participants:
80 self-reported Samoan men and women over the age of 18 years, selected through non-probability purposive sampling with help from Samoan community-based organizations.
Measurement:
Qualitative content analysis of focus findings to identify themes.
Results:
The concepts that cancer was not a Samoan illness, that failure to follow fa'aSamoa (the traditional Samoan way of life) could lead to cancer, and that a return to fa'aSamoa could prevent cancer were the prevalent themes in the focus groups.
Conclusion:
The value that Samoans place on fa'aSamoa, a traditional healthy lifestyle, provides insights into the design of future intervention programs aimed at improving cancer control in this population.
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