Beliefs about cancer causation in Samoa: results from an awareness campaign recall survey
Beatriz Cuesta-Briand1, Ernesta Sofija2, Shelley Burich3
1Samoa Cancer Society, Hospital Complex, Moto'otua, Apia, Samoa. Present address: Rural Clinical School, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia beatriz.cuestabriand@rcswa.edu.au.
Introduction:
Cancer is a leading cause of death in Samoa. Cultural beliefs shape attitudes towards disease and disease prevention in Pacific countries, and are a barrier to engaging in cancer screening services.
Methods:
A survey of 205 Samoan adults conducted as part of the evaluation of the first cancer awareness campaign implemented in Samoa explored beliefs about cancer causation.
Results:
Lifestyle factors associated with a departure from fa'aSamoa (traditional lifestyle) were most commonly cited as causing cancer. Cancer was also attributed to pathogens and person-to-person transmission, and, to a lesser extent, cultural beliefs including supernatural agency (spirits, God).
Conclusion:
Addressing misconceptions while integrating certain aspects of fa'aSamoa into cancer control strategies could support greater engagement in health promotion practices and screening initiatives.
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