Background: Samoa is a Pacific Island country facing one of the highest burdens of non-communicable disease globally.
Methods: In this study, we apply a cascade-of-care approach to understand gaps in the awareness, treatment, and control cascade of diabetes and hypertension in a cross-sectional, convenience sample of 703 young, high-risk Samoan adults (29.5-50.
Objective: Samoa needs to intensify the response to the growing non-communicable disease burden. This study aimed to assess bottlenecks in the care continuum and identify possible solutions.
Methods: The mixed-methods study used the cascade framework as an analysis tool and hypertension as a tracer condition for chronic non-communicable diseases.
The Samoan population has been undergoing a nutrition transition toward more imported and processed foods and a more sedentary lifestyle. We aimed to identify dietary patterns in Samoa and to evaluate their associations with metabolic outcomes. The sample of this cross-sectional study includes 2774 Samoan adults recruited in 2010 (1104 with metabolic syndrome compared with 1670 without).
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