scholarly journals Estimates of Disability Among Ethnic Groups in Hawaii

2003 ◽  
Vol 1 (SI) ◽  
pp. 65-82 ◽  
Author(s):  
Ann M. Pobutsky ◽  
Robert Hirokawa ◽  
Florentina Reyes-Salvail
Keyword(s):  
Ethnic Groups ◽  
Surveillance System ◽  
Population Based ◽  
Native Hawaiians ◽  
Behavioral Risk ◽  
Behavioral Risk Factor ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
Current Prevalence ◽  
Us Census

Objective: To estimate and describe the current prevalence of disability among Hawaii’s population. Design, Setting, and Participants: Random-digit telephone survey of 6,000 adults aged 18 and older residing in Hawaii and participating in the Behavioral Risk Factor Surveillance System in 2002 and the 2000 US Census. Main Outcome Measures: Any disability, indicators of disability severity by ethnicity, age, and gender. Results: Filipinos and Native Hawaiians are experiencing higher age-specific levels of disability when compared with their Japanese and White counterparts. Within the working-aged population, Native Hawaiians experience a more severe level of disability than other ethnic groups. Within the elderly population, it appears that Filipinos experience a more severe level of disability. One third of Native Hawaiians attribute their disability to the effects of a stroke, one third of Filipinos attribute their disability to the effects of heart disease, and one fourth to one third of Whites and Japanese who attribute their disability to arthritis. Conclusions: We have described the current prevalence of disability among Hawaii’s population based on two established population-based surveillance systems: The US Census and the Behavioral Risk Factor Surveillance System. Preliminary findings suggest that Native Hawaiians and Filipinos may be experiencing more severe levels of disability. The data also suggests that disability among Native Hawaiians and Filipinos may be associated with stroke and heart disease. More information is needed about disability and health among ethnic groups in Hawaii and the Pacific region. Population aging in Hawaii, as well as the increase in non-communicable diseases will result in larger numbers of people with disabilities who will need health and other services.

Disparities of Subjective Cognitive Decline Among Native Hawaiians/Other Pacific Islanders, Asian Americans, and White Americans in Hawai‘i: Behavioral Risk Factor Surveillance System 2015 and 2017

2021 ◽  
pp. 101053952110209
Author(s):  
Uyanga Ganbat ◽  
Yan Yan Wu
Keyword(s):  
Cognitive Decline ◽  
Surveillance System ◽  
Pacific Islanders ◽  
Native Hawaiians ◽  
Subjective Cognitive Decline ◽  
Behavioral Risk ◽  
White Americans ◽  
Behavioral Risk Factor ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance

Existing research on subjective cognitive decline (SCD) among Native Hawaiians/Other Pacific Islanders (NHOPIs) is limited even though NHOPI adults have the highest prevalence of cardiovascular risk factors. In this study, we investigated SCD disparities among NHOPIs, Asian Americans, and White Americans and its contributing factors utilizing the 2015 and 2017 survey year data from the Behavioral Risk Factor Surveillance System (BRFSS) for Hawai‘i State in the United States. The SCD prevalence was 11.9%, 8.97%, and 7.86% among NHOPIs, Whites, and Asians, respectively. Adjusting for sociodemographic and health behavioral variables, the prevalence ratios (PRs) of SCD were 1.37 (95% confidence interval [CI] = 1.05-1.78) for NHOPI versus Asian and 1.15 (95% CI = 0.89-1.50) for NHOPI versus Whites. The associations were weakened after adjusting for health conditions. Depressive disorders, coronary heart disease or myocardial infarction, stroke, and diabetes were associated with cognitive decline in the multivariate-adjusted model. NHOPIs experienced more SCD-related functional difficulties than other races.

Population-based surveillance of medical tourism among US residents from 11 states and territories: Findings from the Behavioral Risk Factor Surveillance System

2021 ◽  
pp. 1-6
Author(s):  
Rhett J. Stoney ◽  
Phyllis E. Kozarsky ◽  
Allison T. Walker ◽  
Joanna L. Gaines
Keyword(s):  
Risk Factor ◽  
Surveillance System ◽  
Medical Tourism ◽  
Descriptive Analysis ◽  
The United States ◽  
Population Based ◽  
Behavioral Risk ◽  
Behavioral Risk Factor ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance

Abstract Objective: To describe medical tourism among a subset of US residents; identify possible indicators for medical tourism. Methods: The US Centers for Disease Control and Prevention collaborated with 11 states and territories to ask 6 questions about medical tourism, using the Behavioral Risk Factor Surveillance System. Data collected from January 1, 2016, through December 31, 2016, included whether respondents traveled internationally for preplanned care, travel reasons and destinations, procedures received, and occurrence and treatment of complications. A descriptive analysis of demographics, socioeconomic status and health access variables was performed, and a regression model with a log-link function and Poisson distribution was used to estimate prevalence ratios (PR) for medical tourism. Results: Of 93,492 respondents, 517 (0.55%) traveled internationally during the previous year for care. Mexico was the most common destination (41% of trips). Dentistry accounted for 55% of treatments. Complications from care received abroad were reported by 5% of medical tourists; 67% sought care upon returning to the United States. The prevalence of medical tourism was 1.32% (95% CI, 1.00–1.64). The prevalence of medical tourism was higher in Hispanics and non-whites (PR, 3.97; 95% CI, 2.48–6.32) and higher among those without current health insurance (PR, 2.70; 95% CI, 1.69–4.34). Conclusions: This is the largest collection of population-based surveillance data describing medical tourism among US residents from multiple states and territories. Understanding the demographic and socioeconomic factors associated with medical tourism can inform evidence-based recommendations for travelers and clinicians who may advise or care for these individuals before, during, or after travel.

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