Hanna J M, Fitzgerald M H
Department of Physiology, John A. Burns School of Medicine, University of Hawaii, Honolulu 96822.
Soc Sci Med. 1993 May;36(9):1169-80. doi: 10.1016/0277-9536(93)90237-x.
A health questionnaire, which included a 91 item list of symptoms was administered to three groups of young Samoan adults. These young adults resided in a traditional Samoan village in Western Samoa (n = 50), several villages in modernizing American Samoa (n = 50) and in urban Honolulu, Hawaii (n = 52). Each yes response to a symptom was followed by an expanded interview providing details. The yes answer frequency and the contents of the expanded answers were examined with respect to site of residence. Western Samoan responses differed from the other sites in a number of areas suggesting possible differences related to the process of modernization. These response differences suggest four areas in which the stressors of modernization may have health influences: (1) wage employment outside of the family, (2) increased size of support networks by including non-family members and non-Samoans (3) the greater availability of alcohol, and (4) changes in the perceptions of food.
一份包含91项症状清单的健康调查问卷被发放给三组年轻的萨摩亚成年人。这些年轻人分别居住在西萨摩亚的一个传统萨摩亚村庄（n = 50）、美属萨摩亚几个正在进行现代化建设的村庄（n = 50）以及夏威夷檀香山的市区（n = 52）。对每个症状回答“是”之后，会接着进行一次详细访谈以提供更多细节。针对居住地点，研究了回答“是”的频率以及详细回答的内容。西萨摩亚人的回答在许多方面与其他地点不同，这表明可能存在与现代化进程相关的差异。这些回答差异表明现代化压力源可能在四个方面对健康产生影响：（1）家庭以外的有偿工作，（2）通过纳入非家庭成员和非萨摩亚人扩大支持网络规模，（3）酒精供应增加，以及（4）对食物认知的变化。
