Living With Ma’i Suka: Individual, Familial, Cultural, and Environmental Stress Among Patients With Type 2 Diabetes Mellitus and Their Caregivers in American Samoa
2008

Living With Ma’i Suka: Stress Among Diabetes Patients in American Samoa

Sample size: 64 publication Evidence: moderate

Author Information

Author(s): Elstad Emily, Tusiofo Corabelle, Rosen Rochelle K, McGarvey Stephen T

Primary Institution: Brown University

Hypothesis

The study aims to explore perceptions of diabetes among people with type 2 diabetes in American Samoa to design culturally appropriate interventions.

Conclusion

Interventions for diabetes management in American Samoa should focus on family involvement and reducing caregiver burden.

Supporting Evidence

  • Participants reported that family stress worsened their diabetes symptoms.
  • Many participants associated their diabetes with cultural and environmental changes.
  • Family members were identified as primary caregivers, despite being a source of stress.

Takeaway

People with diabetes in American Samoa feel stressed by their illness and family issues, which makes it harder for them to manage their diabetes.

Methodology

The study used focus group interviews to gather qualitative data from participants about their experiences with diabetes.

Potential Biases

The presence of proxy caregivers in focus groups may have influenced participant responses.

Limitations

Some meaning may have been lost in translation, and the sample may not be representative of all adults with type 2 diabetes in American Samoa.

Participant Demographics

Participants included 35 individuals with diabetes (15 men and 20 women) and their caregivers, with ages ranging from 30 to 84 years.

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