The Samoan islands have among the world's highest rates of obesity and Type II Diabetes Mellitus. Since the 1970s, the living and health standards for Samoans has steadily declined. Now 1 in 3 residents in American Samoa suffers from diabetes. Likewise, the average Samoan's weight also has a positive correlation to the onset of obesity-related pathophysiologies. Most epidemiologists attribute the rise in obesity to the availability of unhealthy imported foods, like spam. Like other areas of the world, Samoans have also developed a taste for fast food. Coupled with inactivity from sedentary lifestyle, the Samoan Islands are ground zero for worsening health outcomes.
To combat obesity, many youth and activists have taken to raising awareness regarding the hazards of conspicuous consumption and obesity-related diseases like diabetes, hypertension, sleep apnea, heart disease, and strokes. Additionally, there have been movements to transition back to agricultural dependence and subsistence. The traditional Samoan diet consisted of taro, breadfruit, coconut, seafood and other healthy alternatives. Although these initiatives are empowering, it is important to note the causes and origins of obesity in the Samoan islands. Historically, the US has played a crucial in disrupting traditional and cultural norms within the Pacific realm. To better understand the modern-day phenomena and obsession with high-calorie and inexpensive foods, we can use Spam to better illustrate this instance of cultural hegemony.
Shortly after America acquired territories in the Pacific Realm, many American corporations saw business opportunities in novel markets abroad. Among the first foods to make it to the Samoan Islands were containers of Spam. Despite having little to no nutritional value, Spam was able to supplement calories during times of agricultural hardship. As American imports increased in volume, so did the consumption of Spam and other American goods. Effectively, America was able to export its consumer culture abroad. Now Spam is widely regarded as a staple for many Samoans since it is an easy way to obtain surplus calories at a cost-effective price. Like the urban poor of America, the need to make their money stretch trumps healthier, often more expensive alternatives. Unfortunately, this level of consumption is a direct contributor to the pervasiveness of obesity.
For many Samoans, food is seen as an opportunity to bond between families and communities, hence its incorporation as social behavior. Obesity can also be attributed to the importation of vegetable oils, fatty cutlets of meat (usually waste products from other consuming nations) and other types of processed foods. The influx and rapid changes were able to penetrate quickly because of the geographical constraints and small population.
Nowadays, Samoans and the Samoan government are more conscientious regarding the ramifications of obesity-related illnesses. Consequently, the government has enacted initiatives to promote local agricultural production of endemic vegetables and fruits, and to encourage more people purchase and consume them. Although governmental interventions are within their initial stages of development, this deficit is filled by passionate youth and ethnic leaders who continuously advocate for a more sustainable lifestyle.