University of Hawai'i at Mānoa, Honolulu, HI, USA.
Asia Pac J Public Health. 2021 Sep;33(6-7):767-774. doi: 10.1177/10105395211005921. Epub 2021 Apr 14.
Research on coronavirus disease 2019 (COVID-19) has focused primarily on impacts in Western societies despite emerging evidence of increased vulnerability among indigenous peoples such as Pacific Islanders. Using Facebook public posts, this research assessed compliance to COVID-19 restrictions such as social gatherings (SG) and social distancing (SD) in non-COVID-19, indigenous Fijian () funerals in Fiji. Results showed 95% of the 20 funerals exceeding SG limits with greater, and highly variable crowd sizes in rural than urban communities. Additionally, 75% of the 20 funerals did not adhere to the 2-m SD requirement of which 80% were in rural areas. Higher SG and SD compliance in urban funerals could be partially explained by the presence of a recognized authority who enforced crowd size limits, and the heterogeneous urban community who were more likely to flag breaches than their collectivistic, homogeneous, close-knit, rural counterparts. Ultimately, health authorities need to utilize a social lens that incorporates etic and emic differences in culture to ensure maximum compliance.
关于 2019 年冠状病毒病(COVID-19)的研究主要集中在西方社会的影响上,尽管有证据表明太平洋岛民等土著人民的脆弱性增加。本研究利用 Facebook 公开帖子,评估了在斐济非 COVID-19、土著斐济人葬礼上遵守 COVID-19 限制(如社交聚会(SG)和社交距离(SD))的情况。结果显示,在 20 场葬礼中,有 95%的葬礼超过了 SG 限制,农村社区的人群规模比城市社区更大且差异更大。此外,20 场葬礼中有 75%不符合 2 米 SD 的要求,其中 80%在农村地区。城市葬礼中 SG 和 SD 的更高合规性部分可以通过存在一个公认的权威机构来解释,该机构可以执行人群规模限制,以及城市社区的异质性,他们比他们的集体主义、同质、紧密联系的农村同行更有可能发现违规行为。最终,卫生当局需要利用一个社会视角,将文化的内在和外在差异纳入其中,以确保最大程度的合规。