Understanding the role of culture in pain: Māori practitioner perspectives relating to the experience of pain

N Z Med J. 2011 Jan 21;124(1328):41-51.

Abstract

Aims: As there is growing interest in the role of cultural diversity within healthcare settings it is important to determine how culture can influence such things as pain. A person's culture can impact not only how they perceive and experience pain but also how they interact with healthcare professionals and adhere to advice provided. To better assess and treat pain in different cultures the perspectives and experiences of that culture must be taken into consideration and therefore the present study was undertaken to better understand Māori perspectives of pain.

Methods: Māori healthcare providers and kaumātua (tribal leaders/elders) were interviewed in order to gain insight into how pain was perceived and expressed by Māori with whom they had health-related interactions.

Results: The interviews reflected themes consistent within the greater body of literature in that as with many cultures, Māori perceive pain as a multidimensional experience impacting them physically, psychologically, socially and spiritually.

Conclusions: While our findings indicate that there is a commonality between cultures with regard to the experience of pain, it is valuable to understand a culture's perceptions and experiences regarding pain before assessing and treating it as indicated in the findings from this study wherein cultural factors such as the role of the whānau (family) and the importance of the development of relationships with healthcare providers were points of emphasis in terms of ways to enhance Māori health.

MeSH terms

  • Adult
  • Aged
  • Cultural Characteristics*
  • Female
  • Health Personnel
  • Humans
  • Male
  • Middle Aged
  • Native Hawaiian or Other Pacific Islander*
  • New Zealand
  • Pain / ethnology*
  • Pain Measurement