NHPIs face significant health disparities and have a high prevalence of diabetes compared to the general US population. Recent culturally-adapted diabetes interventions have shown promise in addressing these disparities among NHPI communities. To address health disparities in the NHPI community, much can be learned from existing, successful interventions. Promising interventions share several attributes. The interventions were: culturally adapted using a community-based participatory research approach; addressed specific social determinants of health i. Further investment to scale these interventions for regional and national implementation is needed to address the significant diabetes disparities that NHPIs face. People indigenous to the Pacific regions of Polynesia e. While NHPIs are an increasing population, they are underrepresented in health research [ 7 ].
DOH Publ. American Psychological Association Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. Because research funding is temporary, local staff were hired on 1-year contracts, as required by American Samoa government policy. Tuitele reviewed the text of the article to ensure its validity for the local cultural context.
Acquisition of data: Panapasa, McNally. Manuscript draft: Panapasa, McNally. Statistical expertise: Panapasa, McNally, Heeringa. Acquisition of funding: Panapasa. Administrative: Panapasa, McNally. Supervision: Panapasa, Williams. Urban residential neighborhoods in San Mateo and Los Angeles counties using a multistage, cluster sample design. BMI, diabetes, hypertension, total cholesterol, smoking, drinking, arthritis, gout and migraines. 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. 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.
Appendix S4. Population surveys of Type 2 diabetes mellitus and obesity conducted in Samoa over three decades have used varying methodologies and definitions. This study standardizes measures, and trends of Type 2 diabetes mellitus and obesity for — are projected to for adults aged 25—64 years. Poisson regression from strata was used to assess the effects of mean BMI changes on Type 2 diabetes mellitus period trends. Over —, Type 2 diabetes mellitus prevalence increased from 1. Obesity prevalence increased from Type 2 diabetes mellitus and obesity prevalences increased in all age groups. This is the first study to produce trends of Type 2 diabetes mellitus and obesity in Samoa based on standardized data from population surveys. Type 2 diabetes mellitus is equally prevalent in both sexes, and obesity is widespread. Type 2 diabetes mellitus prevalence in Samoa is likely to continue to increase in the near future. Prevalences of Type 2 diabetes mellitus and obesity have increased over 35 years —, and are projected to continue to increase in the near future.