scholarly journals Community-Engaged Research of Older Pacific Islander Adults: Results From the PIHS and the NHPI NHIS

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 845-845
Author(s):  
Sela Panapasa

Abstract Despite the well-established need to measure and address the growing issue of disparities among older minority populations, little is known about the prevalence and correlates of disability, morbidity, and mortality among older US Pacific Islander adults. This paper discusses culturally appropriate approaches for conducting evidence-based research on a representative probability sample of older Native Hawaiian and Pacific Islander adults interviewed as part of the Pacific Islander Health Study and Native Hawaiian and Pacific Islander National Health Interview Survey. Important strategies that increase response rates and respondent participation when engaging this multi-ethnic and culturally diverse special population in research are highlighted. The model describes successful methodologies that combine CBPR approaches of community engagement with more traditional survey design methods. The findings from this work emphasizes the importance of representative data on hard-to-survey populations to illustrate granular differences in health outcomes within underrepresented populations that are not reflected in national health surveys.

2017 ◽  
Vol 25 (2) ◽  
pp. 305-321 ◽  
Author(s):  
N. Kau’i Baumhofer ◽  
Sela V. Panapasa ◽  
E. Francis Cook ◽  
Christina A. Roberto ◽  
David R. Williams

2015 ◽  
Vol 25 (3) ◽  
pp. 279 ◽  
Author(s):  
Sela V. Panapasa, PhD ◽  
James W. McNally, PhD ◽  
Steven G. Heeringa, PhD ◽  
David R. Williams, PhD, MPH

<p><strong>Objective: </strong>To examine the impacts of long-standing obesity (BMIs ≥ 30.0 kg/m2) on health outcomes among Samoan and Tongan men (aged ≥ 18 years) in California using a life course perspective.</p><p><strong>Design: </strong>Cross-sectional analysis of 103 males from the Pacific Islander Health Study (PIHS), a probability sample modeled after the National Health Interview Survey (NHIS).</p><p><strong>Setting: </strong>Urban residential neighborhoods in San Mateo and Los Angeles counties using a multistage, cluster sample design.</p><p><strong>Main Outcome Measures: </strong>BMI, diabetes, hypertension, total cholesterol, smoking, drinking, arthritis, gout and migraines.</p><p><strong>Results: </strong>Bivariate analysis shows high rates of poor health outcomes distributed throughout the obese and non-obese sam­ple. Logistic analysis finds that being obese does not significantly increase observed negative health outcomes. After controlling for socio-demographic characteristics, the presence of obesity results in non-significant findings for hypertension (OR=1.02; CI: .21, 4.91), and high cholesterol (OR=.52; CI: .10, 2.73), while obesity significantly reduces the risk of diabetes by 60% (OR=.40; CI: .14, 1.17). When applying disease counts, obese men have a signifi­cantly lower risk of reporting multiple health conditions (OR=.72; CI: .52, 1.00).</p><p><strong>Conclusion: </strong>Overall, the health of Samoan and Tongan males in California is uniformly poor and obesity alone does not significant­ly increase risks of poor health outcomes. Using a life course perspective, the analysis offers new insights on the basic health of this understudied population. <em>Ethn Dis. </em>2015;25(3):279-286.</p>


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