scholarly journals Eyes on the pacific: Cancer issues of native Hawaiians and pacific Islanders in Hawai’i and the US-associated Pacific

2009 ◽  
Vol 24 (S2) ◽  
pp. S68-S69 ◽  
Author(s):  
Joann U. Tsark ◽  
Kathryn L. Braun
2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Gopal K. Singh ◽  
Sue C. Lin

We examined trends in adult obesity and overweight prevalence among major Asian/Pacific Islander (API) subgroups and the non-Hispanic whites from 1992 to 2011. Using 1992–2011 National Health Interview Surveys, obesity, overweight, and BMI differentials were analyzed by logistic, linear, and log-linear regression. Between 1992 and 2011, obesity prevalence doubled for the Chinese, the Asian Indians, the Japanese, and the Hawaiians/Pacific Islanders; and tripled for the Filipinos. Obesity prevalence among API adults tripled from 3.7% in 1992 to 13.3% in 2010, and overweight prevalence doubled from 23.2% to 43.1%. Immigrants in each API subgroup had lower prevalence than their US-born counterparts, with immigrants’ obesity and overweight risks increasing with increasing duration of residence. During 2006–2011, obesity prevalence ranged from 3.3% for Chinese immigrants to 22.3% for the US-born Filipinos and 41.1% for the Native Hawaiians/Pacific Islanders. The Asian Indians, the Filipinos, and the Hawaiians/Pacific Islanders had, respectively, 3.1, 3.8, and 10.9 times higher odds of obesity than those of the Chinese adults. Compared with Chinese immigrants, the adjusted odds of obesity were 3.5–4.6 times higher for the US-born Chinese and the foreign-born Filipinos, 9 times higher for the US-born Filipinos and whites, 3.8–5.5 times higher for the US-born and foreign-born Asian Indians, and 21.9 times higher for the Native Hawaiians. Substantial ethnic heterogeneity and rising prevalence underscore the need for increased monitoring of obesity and obesity-related risk factors among API subgroups.


2018 ◽  
Vol 17 (4) ◽  
pp. mr1 ◽  
Author(s):  
JoNita Q. Kerr ◽  
Donald J. Hess ◽  
Celia M. Smith ◽  
Michael G. Hadfield

Climate change is impacting the Pacific Islands first and most drastically, yet few native islanders are trained to recognize, analyze, or mitigate the impacts in these islands. To understand the reasons why low numbers of Native Hawaiians and Pacific Islanders enter colleges, enroll in science, technology, engineering, and mathematics (STEM) courses, or undertake life sciences/STEM careers, 25 representatives from colleges and schools in seven U.S.-affiliated states and countries across the Pacific participated in a 2-day workshop. Fourteen were indigenous peoples of their islands. Participants revealed that: 1) cultural barriers, including strong family obligations and traditional and/or religious restrictions, work against students leaving home or entering STEM careers; 2) geographic barriers confront isolated small island communities without secondary schools, requiring students to relocate to a distant island for high school; 3) in many areas, teachers are undertrained in STEM, school science facilities are lacking, and most island colleges lack STEM majors and modern labs; and 4) financial barriers arise, because many islanders must relocate from their home islands to attend high school and college, especially, the costs for moving to Guam, Hawai’i, or the U.S. mainland. Most solutions depend on financial input, but mechanisms to increase awareness of the value of STEM training are also important.


Author(s):  
Christopher R. Long ◽  
Marie-Rachelle Narcisse ◽  
Mary M. Bailey ◽  
Brett Rowland ◽  
Emily English ◽  
...  

2020 ◽  
Vol 52 (8) ◽  
pp. 788-795
Author(s):  
Christopher R. Long ◽  
Brett Rowland ◽  
Pearl A. McElfish ◽  
Britni L. Ayers ◽  
Marie-Rachelle Narcisse

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 4s-4s
Author(s):  
K. Cassel ◽  
H.-R. Lee ◽  
L. Somera ◽  
G. Badowski

Background: A priority of the National Cancer Institute (NCI) is to acquire, aggregate and integrate cancer control data that facilitates collaborations to address health disparities and communication inequalities. To better communicate cancer research to the public, the NCI developed the Health Information National Trends Survey (HINTS). However, as with most national health surveillance systems, HINTS nationally obtained data are not sufficient to address the behaviors of unique demographic and geographic subpopulations. US Pacific Islanders are one of the fastest growing population groups in the US, and cancer is the leading cause of death in this group. Limited knowledge about the cancer communication practices and risk behaviors of US Pacific Islanders drive the poor implementation of effective cancer prevention interventions. Aim: This study aims to document the prevalence and differences in the cancer relevant knowledge, attitudes, and information seeking practices of Pacific Islander populations residing in Hawaii. Specifically, we aim to expand HINTS assessment to native Hawaiians and recent migrant Marshallese and Chuukese populations in Hawaii. Methods: We conducted surveys with 352 native Hawaiians, 282 Chuukese, and 129 Marshallese residing in HI. We used Respondent Driven Sampling method (RDS) to recruit these geographically diffuse populations in HI. The survey included questions about basic knowledge, attitude and behavior about various cancers, detailed communication behaviors about health information, and cultural beliefs and practices. Results: Data show there are clear differences among the three ethnic groups across a variety of cancer-related attitudes, knowledge, behaviors and risk factors. For example, a larger proportion of Chuukese have BMIs that can be described as obese or morbidly obese compared with native Hawaiians. On the other hand, native Hawaiians are significantly more likely to smoke than Marshallese and Chuukese. These groups also differ significantly regarding the level of acculturation, religiosity, fatalism about cancer, and trust in medical professionals. Regarding communication, cell phone use was common with 75% of native Hawaiians, 80% of Marshallese and 88% of Chuukese having cell phones. This use of cellphone technology was in stark contrast to Internet use with only 45% of native Hawaiians, 49% of Marshallese and 27% of Chuukese reporting access to the Web. Conclusion: There is a need for cancer prevention programs for Pacific Islanders in Hawaii. An effective health program has to address their unique cultural beliefs and practices, and fit their unique communication ecology. This study provides new knowledge concerning the use of nonprobability based study sampling methods, and the role of culture in cancer-related communications in influencing cancer risk behaviors that may be generalizable to the growing number of migrant Pacific Islander populations living in the US.


2020 ◽  
Vol 76 (3) ◽  
pp. 340-349.e1 ◽  
Author(s):  
Jie Xiang ◽  
Hal Morgenstern ◽  
Yiting Li ◽  
Diane Steffick ◽  
Jennifer Bragg-Gresham ◽  
...  

2011 ◽  
Vol 9 (1-2) ◽  
pp. 58-69
Author(s):  
Marlene Kim

Asian Americans and Pacific Islanders (AAPIs) in the United States face problems of discrimination, the glass ceiling, and very high long-term unemployment rates. As a diverse population, although some Asian Americans are more successful than average, others, like those from Southeast Asia and Native Hawaiians and Pacific Islanders (NHPIs), work in low-paying jobs and suffer from high poverty rates, high unemployment rates, and low earnings. Collecting more detailed and additional data from employers, oversampling AAPIs in current data sets, making administrative data available to researchers, providing more resources for research on AAPIs, and enforcing nondiscrimination laws and affirmative action mandates would assist this population.


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