Navigating between illness paradigms: treatment seeking by Samoan people in Samoa and New Zealand.

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dc.contributor.author Norris, Pauline en
dc.contributor.author Fa'alau, Fuafiva en
dc.contributor.author Va'ai, Cecilia en
dc.contributor.author Churchward, Marianna en
dc.contributor.author Arroll, Bruce en
dc.date.accessioned 2018-10-16T23:40:21Z en
dc.date.issued 2009-10 en
dc.identifier.issn 1049-7323 en
dc.identifier.uri http://hdl.handle.net/2292/42253 en
dc.description.abstract There are substantial Samoan communities in New Zealand. Most Samoan people use both palagi (Western) and traditional Samoan health care. Western practitioners sometimes comment on Samoan patients' seemingly erratic patterns of seeking and using health care. Within a larger study on knowledge and the use of antibiotics, we carried out semistructured interviews with 31 Samoan people in Samoa and New Zealand.Accounts of participants' responses to illness and patterns of treatment seeking reveal how Samoan people draw on traditional and Western models of treatment and healing resources. Samoan people are very active interpreters of illness symptoms, using (at least) the two illness paradigms they know of to make sense of symptoms.These paradigms and systems of treatment are sometimes used experimentally, to determine whether illnesses are Samoan or Western. Symptom interpretation and decision making about treatment are done at the family level as well as the individual level. The individual might hold a particular view of what symptoms mean and what to do about them, but might not act on this if overruled or persuaded by other family members. en
dc.format.medium Print en
dc.language eng en
dc.relation.ispartofseries Qualitative health research en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Humans en
dc.subject Health Knowledge, Attitudes, Practice en
dc.subject Family en
dc.subject Cultural Characteristics en
dc.subject Adult en
dc.subject Aged en
dc.subject Aged, 80 and over en
dc.subject Middle Aged en
dc.subject Health Services Accessibility en
dc.subject Patient Acceptance of Health Care en
dc.subject New Zealand en
dc.subject Samoa en
dc.subject Female en
dc.subject Male en
dc.subject Interviews as Topic en
dc.subject Emigrants and Immigrants en
dc.title Navigating between illness paradigms: treatment seeking by Samoan people in Samoa and New Zealand. en
dc.type Journal Article en
dc.identifier.doi 10.1177/1049732309348364 en
pubs.issue 10 en
pubs.begin-page 1466 en
pubs.volume 19 en
dc.rights.holder Copyright: The author en
dc.identifier.pmid 19805808 en
pubs.end-page 1475 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype Journal Article en
pubs.elements-id 185999 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.org-id Pacific Health en
pubs.record-created-at-source-date 2009-10-06 en
pubs.dimensions-id 19805808 en


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