Juju is Not the Cause of My Pain 1

Running Head: Juju is Not the Cause of My Pain

Juju is Not the Cause of My Pain: Pain Beliefs of the Igbo in the United States

Miriam O. Ezenwa, MS, RN

Doctoral Student, University of Wisconsin-Madison

School of Nursing

E-mail:

Erica O’Brien, MS, RN

Assistant Professor, Alverno College

School of Nursing

E-mail:

Molly McGee Hanson, BS

Nursing Student, Thomas Jefferson University

School of Nursing

Email:

Sandra E. Ward, PhD, RN, FAAN

Professor, University of Wisconsin-Madison

School of Nursing

E-mail:

Correspondence to:

Miriam O. Ezenwa, MS, RN

University of Wisconsin-Madison School of Nursing

600 Highland Avenue

K6/391 Clinical Science Center

Madison, WI 53792-2455

E-mail:

Phone: 608-263-6474

Abstract

The purpose of this descriptive study was to explore pain beliefs of the Igbo, a Nigerian ethnic group, in the U.S. Participants (N=10) completed the General Ethnicity Questionnaire-Igbo (GEQI, alpha = 0.88), an acculturation measure (or conversely, heritage consistency), and were interviewed using a semi-structured interview guide, with questions informed by the Common Sense Model (CSM) of Illness Representations. The interview data were analyzed using content analysis. Participants ranged in age from 19 to over 65, and their mean (SD) years in the U.S. was 16.10 (8.33). Participants had high heritage consistency with a mean (SD) GEQI of 4.06 (0.40). While only one participant (10%) reported a belief that witchcraft (juju) was a cause of his/her pain, 90% believed that juju can cause pain. Sixty percent of participants used a folk remedy for pain treatment and all used over-the-counter pain medication. The findings suggest that the Igbo in the U.S. have modified their illness beliefs, which was reflected in their coping strategies, although they had remained tied to their culture of origin.

Keywords: Igbo, Witchcraft, juju, Pain Beliefs, Pain Coping.

Alubo, S. O. (1987). Drugging the people: Pill, profits, and underdevelopment in nigeria. In B. E. Jackson, and Ugalde, A. (Ed.), The impact of development and modern technologies in third world health. (Vol. 34, pp. 89-114). Williamsburg, VA: Department of Anthropology, College of William and Mary.

Bates, M. S., Edwards, W. T., & Anderson, K. O. (1993). Ethnocultural influences on variation in chronic pain perception. Pain, 52(1), 101-112.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates Inc.

Durodola, J. I. (1978). The place of traditional medicine in modern medical practice in nigeria. Nigerian Medical Journal, 8(4), 308-311.

Enwereji, E. (1999). Views on tuberculosis among the igbo of nigeria. Indigenous Knowledge and Development Monitor, 7(2), 4-7.

Ezenwa, M. O., Ameringer, S., Ward, S. E., & Serlin, R. C. (2006). Racial and ethnic disparities in pain management in the united states. Journal of Nursing Scholarship, 38(3), 225-233.

Faucett, J., Gordon, N., & Levine, J. (1994). Differences in postoperative pain severity among four ethnic groups. J Pain Symptom Manage, 9(6), 383-389.

Flannery, R. B., Jr., Sos, J., & McGovern, P. (1981). Ethnicity as a factor in the expression of pain. Psychosomatics, 22(1), 39-40, 45, 49-50.

Ibrahim, S. A., Burant, C. J., Mercer, M. B., Siminoff, L. A., & Kwoh, C. K. (2003). Older patients' perceptions of quality of chronic knee or hip pain: Differences by ethnicity and relationship to clinical variables. J Gerontol A Biol Sci Med Sci, 58(5), M472-477.

Izugbara, C. O., & Afangideh, A. I. (2005). Urban women's use of rural-based health care services: The case of igbo women in aba city, nigeria. Journal of Urban Health, 82(1), 111-121.

Izugbara, C. O., Etukudoh, I. W., & Brown, A. S. (2005). Transethnic itineraries for ethnomedical therapies in nigeria: Igbo women seeking ibibio cures. Health Place, 11(1), 1-14.

James, Wells, J. E., Large, R. G., & Bushnell, J. A. (1991). Epidemiology of pain in new zealand. Pain, 44(3), 279-283.

Juarez, G., Ferrell, B., & Borneman, T. (1998). Influence of culture on cancer pain management in hispanic patients. Cancer Practice, 6(5), 262-269.

Krippendorff, K. (2004). Content analysis: An introduction to its methodology (2nd ed.). California: Thousand Oaks.

Leventhal, H., Nerenz, D. R., & Steele, D. J. (1984). Illness representations and coping with health threats. In A. Baum, & Singer, J.E. (Ed.), Handbook of psychology and health (Vol. IV). New York: Erlbaum.

Leventhal, H., Nerenz, D.R., and Steele, D.J. (1984). Illness representations and coping with health threats. In A. Baum, and Singer, J.E. (Ed.), Handbook of psychology and health (Vol. IV, pp. 221-252). New York: Erlbaum.

Lipton, J. A., & Marbach, J. J. (1984). Ethnicity and the pain experience. Soc Sci Med, 19(12), 1279-1298.

Mikhail, N., Wali, S., & Ziment, I. (2004). Use of alternative medicine among hispanics. Journal of Alternative and Complementary Medicine, 10(5), 851-859.

Nwoga, I. A. (1994). Traditional healers and perceptions of the causes and treatment of cancer. Cancer Nursing, 17(6), 470-478.

Obiechina, N. J., Diwe, K., & Ikpeze, O. C. (2002). Knowledge, awareness and perception of sexually transmitted diseases (stds) among nigerian adolescent girls. Journal of Obstetrics and Gynaecology, 22(3), 302-305.

Onyejekwe, U. N. (2003). Witchcraft: Myth of a curious institution. Lagos: Curator, National Museum.

Orubuloye, I. O., & Oni, J. B. (1996). Health transition research in nigeria in the era of the structural adjustment programme. Health Transition Review, 6 Suppl, 301-324.

Pearce, T. O. (2000). Death and maternity in nigeria. In M. Turshen (Ed.), African women's health (pp. 1-26). New Jersey: African World Press, Inc.

Portenoy, R. K., Ugarte, C., Fuller, I., & Haas, G. (2004). Population-based survey of pain in the united states: Differences among white, african american, and hispanic subjects. J Pain, 5(6), 317-328.

Rekola, K. E., Keinanen-Kiukaanniemi, S., & Takala, J. (1993). Use of primary health services in sparsely populated country districts by patients with musculoskeletal symptoms: Consultations with a physician. J Epidemiol Community Health, 47(2), 153-157.

Riley, J. L., Wade, J. B., Myers, C. D., Sheffield, D., Papas, R. K., & Price, D. D. (2002). Racial/ethnic differences in the experience of chronic pain. Pain, 100(3), 291-298.

Risser, A. L., & Mazur, L. J. (1995). Use of folk remedies in a hispanic population. Archives of Pediatrics and Adolescent Medicine, 149(9), 978-981.

Shelton, A. J. (1965). The meaning and method of afa divination among the northern nsukka ibo. American Anthropologist, New Series, Part 1, 67(6), 1441-1445.

Singer, P. (1977). Introduction: From anthropology and medicine to "Therapy" And neo-colonialism. In P. Singer (Ed.), Traditional healing: New science or new colonialism? (essays in critique of medical anthropology. Buffalo NY: Conch Magazine.

Tsai, J. L., Ying, Y. W., & Lee, P. A. (2000). The meaning of "Being chinese" And "Being american" - variation among chinese american young adults. Journal of Cross-cultural Psychology, 31(3), 302-332.

Ward, S. E. (1993). The common sense model: An organizing framework for knowledge development in nursing. Sch Inq Nurs Pract, 7(2), 79-90; discussion 91-74.

Zborowski, M. (1952). Cultural components in responses to pain. Indianapolis, Indiana: Bobbs-Merrill, College Division.