Work

‘It’s more than just kale (cough)’. New Zealand Sāmoan attitudes to living with chronic cough and healthcare access

Year: 2025

Type: article

Abstract: INTRODUCTION: Chronic cough is burdensome for individuals and healthcare providers and is a symptom common to a number of health conditions, including bronchiectasis. The prevalence of respiratory conditions, particularly bronchiectasis, is disproportionately high among Pacific people residing in Counties Manukau. Barriers to healthcare access and engagement, both practical and cultural, contribute to delayed presentation and advanced illness. AIM: This study aims to explore attitudes to cough and healthcare access by Sāmoan adults living in Counties Manukau. METHODS: Semi-structured interviews guided by Talanoa, a Pacific-specific method, were conducted focusing on cough duration and characteristics, treatment-seeking behaviours, and healthcare experiences. Data were analysed thematically and framed using the Fonofale Model of Health. RESULTS: Two overarching themes were constructed from seven Talanoa: 'Understanding my cough' and 'healing, curing and coping with cough'. Chronic kale/cough was found to impact on all pou (posts) of the Fonofale health model. Kale/cough management strategies were drawn from Sāmoan and Western health paradigms, perceived as complementary. Access to specialist services was valued and extended participants' coping repertoire further. Respect and trust shaped relationships with healthcare providers and influenced engagement. DISCUSSION: Models such as the Fonofale health model provide a framework for healthcare providers to better understand the multi-dimensional impact of cough. Recognising the cultural perspectives of populations underrepresented in the health workforce provides valuable insights to re-frame healthcare practice and service to optimise engagement with on-going symptoms such as cough and to support chronic conditions.

Source: Journal of Primary Health Care

DOI: 10.1071/hc25114

Authors: Sarah Mooney, Jessee Tanu Fia’Ali’i, Eti Televave, Angela Upsdell

Institutions: Health New Zealand, Counties Manukau District Health Board

Language: English

Topic: Indigenous Health, Education, and Rights

Subfield: Health

Field: Social Sciences

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: Thoracic Society of Australia and New Zealand