Cultural Experiences,Patterns,and Practices of American Indian Women With Polycystic Ovary Syndrome: An Ethnonursing Study

Abstract

Introduction: Knowledge is needed about the cultural experiences, patterns, and practices of American Indian women with polycystic ovary syndrome (PCOS), so nurses can provide culturally congruent care. Method: A qualitative, ethnonursing study based on Leininger’s theory of culture care diversity and universality. Data were collected from 13 key informants living on a reservation in the Western United States. Data were analyzed with Leininger’s four phases of qualitative analysis. Results: Three universal themes were identified: (1) control of PCOS symptoms is important for the cultural well-being of tribal women, (2) culturally congruent PCOS education and health care are important with variations in approaches to treatment, and (3) tribal culture is important with variations in use of tribal practices. Discussion: Tribal culture affects the health care beliefs and practices of American Indian women with PCOS. The findings can be used to improve culturally congruent care for women with this chronic condition.

Keywords

polycystic ovary syndrome American Indian women Native American women culturally congruent care Leininger’s theory of culture care diversity and universality

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References

American Diabetes Association. (2018). Classification and diagnosis of diabetes: Standards of Medical Care in Diabetes-2018. Diabetes Care, 41(Suppl. 1), S13-S27. doi:10.2337/dc18-S002

Amparo

Farr

S. L.

Dietz

P. M.

(2011). Chronic disease risk factors among American Indian/Alaska Native women of reproductive age. Preventing Chronic Disease: Public Health Research, Practice, and Policy, 8(6), A118.

Corbould

Kim

Youngren

J. F.

Pender

Kahn

B. B.

Lee

Dunaif

(2005). Insulin resistance in the skeletal muscle of women with PCOS involves intrinsic and acquired defects in insulin signaling. American Journal of Physiology-Endocrinology and Metabolism, 288, E1047-E1054. doi:10.1152/ajpendo.00361.2004

Cromer

L. D.

Gray

M. E.

Vasquez

Freyd

J. J.

(2018). The relationship of acculturation to historical loss awareness, institutional betrayal, and the intergenerational transmission of trauma in the American Indian experience. Journal of Cross-Cultural Psychology, 49, 99-114. doi:10.1177/0022022117738749

Futterweit

(2007). Polycystic ovary syndrome: A common reproductive and metabolic disorder necessitating early recognition and treatment. Primary Care: Clinics in Office Practice, 34, 761-789. doi:10.1016/j.pop.2007.07.004

Goodkind

J. R.

Gorman

Hess

J. M.

Parker

D. P.

Hough

R. L.

(2015). Reconsidering culturally competent approaches to American Indian healing and well-being. Qualitative Health Research, 25, 486-499. doi:10.1177/1049732314551056

Gurr

(2015). Reproductive justice. New Brunswick, NJ: Rutgers University Press.

Hanson

J. D.

(2012). Understanding prenatal health care for American Indian women in a northern plains tribe. Journal of Transcultural Nursing, 23, 29-37. doi:10.1177/10436559611423826

Haozous

E. A.

Neher

(2015). Best practices for effective clinical partnerships with Indigenous population so North American (American Indian, Alaska Native, First Nations, Métis, and Inuit). Nursing Clinics of North American, 50, 499-508. doi:10.1016/j.cnur.2015.05.005

10.

Hilton

B. T.

Betancourt

Morrell

H. E. R.

Lee

Doegey

J. A

. (2018). Substance abuse among American Indians and Alaska Natives: An Integrative cultural framework for advancing research. International Journal of Mental Health Addiction, 16, 507-523. doi:10.1007/s11469-017-9869-1

11.

Houghtaling

Shanks

C. B.

Ahmed

Rink

(2018). Grandmother and health care professional breastfeeding perspectives provide opportunities for health promotion in an American Indian community. Social Science & Medicine, 208, 80-88. doi:10.1016/j.socscimed.2018.05.017

12.

Kirmayer

L. J.

Gone

J. P.

Moses

(2014). Rethinking historical trauma. Transcultural Psychiatry, 51, 299-319. doi:10.1177/1363461514536358

13.

Lawrence

(2000). The Indian Health Service and the sterilization of Native American women. American Indian Quarterly, 24, 400-419.

14.

Legro

R. S.

Brzyski

R. G.

Diamond

M. P.

Coutifaris

Schlaff

W. D.

Alvero

. . . Zhang

(2014). The pregnancy in Polycystic Ovary Syndrome II study: Baseline characteristics and effects of obesity from a multicenter randomized clinical trial. Fertility and Sterility, 101, 258-269. doi:10.1016/j.fertnstert.2013.08.056

15.

Leininger

M. M.

(Ed.). (1991). Culture care diversity and universality: A theory of nursing (Pub. No. 15-2402). New York, NY: National League for Nursing Press.

16.

Leininger

M. M.

(1997). Overview of the theory of culture care with the ethnonursing research method. Journal of Transcultural Nursing, 8, 32-52.

17.

Leininger

M. M.

McFarland

M. R.

(2006). Culture care diversity and universality: A worldwide nursing theory (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

18.

Lizneva

Suturina

Walker

Brakta

Gavrilova-Jordan

Azziz

(2016). Criteria, prevalence, and phenotypes of polycystic ovary syndrome. Fertility and Sterility, 106, 6-15. doi:10.1016/j.fertnstert.2016.05.003

19.

McCartney

C. R.

Marshall

J. C.

(2016). Polycystic ovary syndrome. New England Journal of Medicine, 375, 54-64. doi:10.1056/NEJMcp1514916.

20.

McFarland

M. R.

Wehbe-Alamah

H. B.

(2015). Culture care diversity and universality: A worldwide nursing theory (3rd ed.). Burlington MA: Jones & Bartlett Learning.

21.

Norris

Vines

P. L.

Hoeffel

E. M.

(2012). The American Indian and Alaska Native population: 2010. Retrieved from https://www.census.gov/history/pdf/c2010br-10.pdf

22.

Rotterdam ESHRE/ASRM-sponsored PCOS Consensus Workshop Group. (2004). Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Human Reproduction, 19, 41-47. doi:10.1093/humrep/deh098

23.

Schiff

J. W.

Pelech

(2007). The sweat lodge ceremony for spiritual healing. Journal of Religion & Spirituality in Social Work: Social Thought, 26(4), 71-93. doi:10.1300/j377v26n04_04

24.

Tomlinson

Pinkney

Adams

Stenhouse

Bendall

Corrigan

Letherby

(2017). The diagnosis and lived experience of polycystic ovary syndrome: A qualitative study. Journal of Advanced Nursing, 73, 2318-2326. doi:10.1111/jan.13300

25.

Wang

Alvero

(2013). Racial and ethnic differences in physiology and clinical symptoms in polycystic ovary syndrome. Seminars in Reproductive Medicine, 31, 365-369. doi:10.1055/s-0033-1348895

26.

Warne

Lajimodiere

(2015). American Indian health disparities: Psychosocial influences. Social and Personality Psychology Compass, 9/10, 567-579. doi:10.1111/spc3.12198

27.

Wijeyaratne

C. N.

Udayangani

S. A. D.

Balen

A. H.

(2013). Ethnic-specific polycystic ovary syndrome: Epidemiology, significance and implications. Expert Review of Endocrinology & Metabolism, 8, 71-79.

28.

Williams

Sheffield

Knibb

R. C.

(2016). A snapshot of the lives of women with polycystic ovary syndrome: A photovoice investigation. Journal of Health Psychology, 21, 1170-1182. doi:10.1177/1359105314547941