Fa'afaletui : a framework for the promotion of kidney health in an Australian Samoan community

McCarthy, Alexandra, Shaban, Ramon, & Stone, Cassandra (2011) Fa'afaletui : a framework for the promotion of kidney health in an Australian Samoan community. Journal of Transcultural Nursing, 22(1), pp. 55-62.

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Samoan communities in Australia exhibit a disproportionate rate of kidney disease compared with other Australians. This article describes a research project that used a culturally sensitive framework, Fa’afaletui, to help reduce the barriers of language and culture and increase our understanding of the factors contributing to kidney disease, in one Samoan community in Australia.


Semistructured group interviews were undertaken with Samoan community families and groups. The interviews were analyzed according to key concepts embedded in the Fa’afaletui framework.


Four factors associated with health risks in this Samoan community emerged—diet and exercise; issues related to the collective (incorporating the village, church, and family); tapu or cultural protocols; and the importance of language.


The findings suggest that future kidney health promotion initiatives within this Samoan community will be more effective if they are sensitive to Samoan cultural norms, language, and context.

Impact and interest:

2 citations in Scopus
1 citations in Web of Science®
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ID Code: 38165
Item Type: Journal Article
Refereed: Yes
Keywords: community health, transcultural health, Samoan, renal health, promotion
DOI: 10.1177/1043659610387154
ISSN: 1043-6596
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Deposited On: 26 Oct 2010 01:29
Last Modified: 23 Oct 2013 03:57

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