Pacific Peoples' Experiences of Cancer and Its Treatment in Aotearoa New Zealand Through Talanoa: A Qualitative Study of Samoan and Tongan Participants.

IF 3.2 Q2 ONCOLOGY JCO Global Oncology Pub Date : 2025-01-01 Epub Date: 2025-01-03 DOI:10.1200/GO.24.00133
Olivia M Perelini, Vili H Nosa, Michelle K Wilson, Nicola J Lawrence, Rob B McNeill, Sheridan Wilson
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Abstract

Purpose: In Aotearoa New Zealand, there are inequitable outcomes for Pacific peoples who experience higher rates of preventable cancers and poorer survival compared with other ethnicities. The aim of this study was to explore Pacific peoples lived experience of cancer and its treatment in the Auckland setting.

Methods: Data were collected through semistructured interviews (talanoa) with Pacific patients under the Auckland Regional Cancer and Blood Service. A general inductive approach was used to analyze the data. Ethical approval was granted by the Auckland Health Research Ethics Committee (reference number AH24086).

Results: Thirteen participants of Samoan and Tongan ethnicity were interviewed. Participants had a range of tumor diagnoses and were receiving curative and noncurative treatments. Five key themes were identified, giving insight into beliefs around cancer, struggles faced by patients, and potential areas of priority. These include (1) cancer means death, (2) holistic and collective approach to support, (3) communication and trust, (4) cost in accessing cancer care and treatment, and (5) Pacific representation.

Conclusion: This study sheds light on both positive and negative experiences of Pacific peoples living with cancer in Aotearoa New Zealand. It highlights gaps in the current model of oncology care for this population, which are multilevel and therefore require a multifaceted approach. It calls for priority toward reducing barriers to access of care and creating a more culturally safe pathway.

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太平洋人民的癌症经历及其在新西兰通过塔拉诺亚的治疗:萨摩亚和汤加参与者的定性研究。
目的:在新西兰,与其他种族相比,太平洋民族的可预防癌症发病率较高,生存率较低,结果不公平。本研究的目的是探索太平洋地区居民的癌症生活经历及其在奥克兰的治疗。方法:通过半结构化访谈(talanoa)对奥克兰地区癌症和血液服务中心的太平洋患者进行数据收集。采用一般归纳的方法来分析数据。伦理批准由奥克兰健康研究伦理委员会(参考编号AH24086)授予。结果:访谈了13名萨摩亚和汤加族裔的参与者。参与者有一系列的肿瘤诊断,并接受治愈和非治愈的治疗。确定了五个关键主题,深入了解人们对癌症的看法,患者面临的斗争,以及潜在的优先领域。这些包括(1)癌症意味着死亡,(2)整体和集体的支持方法,(3)沟通和信任,(4)获得癌症护理和治疗的成本,以及(5)太平洋代表性。结论:这项研究揭示了新西兰奥特罗阿太平洋地区癌症患者的积极和消极经历。它突出了目前针对这一人群的肿瘤护理模式的差距,这是多层次的,因此需要多方面的方法。它呼吁优先减少获得保健的障碍,并创造一条文化上更安全的途径。
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来源期刊
JCO Global Oncology
JCO Global Oncology Medicine-Oncology
CiteScore
6.70
自引率
6.70%
发文量
310
审稿时长
7 weeks
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