15,664 results match your criteria hawaiian

Association of Screening and Brief Intervention With Substance Use in Massachusetts Middle and High Schools.

JAMA Netw Open 2022 Aug 1;5(8):e2226886. Epub 2022 Aug 1.

Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Importance: Screening and brief intervention (SBI) programs in schools have the potential to provide substance use prevention messages to large numbers of adolescents. This study evaluated the association between exposure to a school-based SBI program and reductions in substance use among youths after enactment of a law that required Massachusetts schools to provide SBI to all students.

Objective: To estimate the association between exposure to a school-based SBI program and changes in substance use among youths. Read More

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Ethnic differences in fast-food advertising exposure and body mass index among Asian American/Pacific Islander and White young adults.

Obes Res Clin Pract 2022 Aug 12. Epub 2022 Aug 12.

University of Hawai'i at Mānoa, University of Hawai'i Cancer Center, Population Sciences in the Pacific Program, Honolulu, HI, United States.

Background: Fast-food advertising (FFA) is a potential contributor to obesity. Few studies have examined the relationship between FFA exposure and body mass index (BMI) among young adults. Furthermore, these studies have rarely examined ethnic differences in the relationship between FFA exposure and BMI, specifically across Asian American/Pacific Islander (AAPI) subgroups. Read More

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Association Between Standardized Mortality Ratio and Utilization of Care in US Veterans With Drug-Resistant Epilepsy Compared With All US Veterans and the US General Population.

JAMA Neurol 2022 Aug 15. Epub 2022 Aug 15.

Epilepsy Centers of Excellence (ECoE), Veterans Health Administration, Durham, North Carolina.

Importance: Drug-resistant epilepsy (DRE) is thought to be associated with increased mortality, but larger population-based studies are lacking. Additionally, the benefit of effective management in DRE lacks evidence.

Objective: To examine the association of utilization of care with mortality in US veterans with DRE. Read More

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Applying an authentic partnership approach to facilitate optimal health of Aboriginal children.

Prim Health Care Res Dev 2022 Aug 15;23:e47. Epub 2022 Aug 15.

Course Coordinator Child and Adolescent Health Programs, Coordinator Community Mothers Program (WA)- School of Nursing, Midwifery and Paramedicine Curtin University, Perth, Western Australia, Australia.

The aim of this development paper is to inform the ongoing implementation of the partnership approach with Aboriginal families in Australia. As almost all Community Health Nurses employed by the Health Department of Western Australia, Country Health Service are non-Aboriginal, there are a number of factors that may, potentially, limit their capacity to work effectively with the primary caregivers of Aboriginal children.Historically, much that has been written about the health and development of Aboriginal people in Australia has been negative and derogatory with wide criticism for their non-participation with health services and healthy lifestyle activities. Read More

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Disparities in Survival and Comorbidity Burden Between Asian and Native Hawaiian and Other Pacific Islander Patients With Cancer.

JAMA Netw Open 2022 Aug 1;5(8):e2226327. Epub 2022 Aug 1.

Department of Radiation Oncology, Stanford University, Palo Alto, California.

Importance: Improper aggregation of Native Hawaiian and other Pacific Islander individuals with Asian individuals can mask Native Hawaiian and other Pacific Islander patient outcomes. A comprehensive assessment of cancer disparities comparing Asian with Native Hawaiian and other Pacific Islander populations is lacking.

Objective: To compare comorbidity burden and survival among East Asian, Native Hawaiian and other Pacific Islander, South Asian, and Southeast Asian individuals with non-Hispanic White individuals with cancer. Read More

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Built Environment Features and Cardiometabolic Mortality and Morbidity in Remote Indigenous Communities in the Northern Territory, Australia.

Int J Environ Res Public Health 2022 Aug 1;19(15). Epub 2022 Aug 1.

Health Research Institute, Faculty of Health, University of Canberra, Bruce, ACT 2601, Australia.

Indigenous Australians experience poorer health than non-Indigenous Australians, with cardiometabolic diseases (CMD) being the leading causes of morbidity and mortality. Built environmental (BE) features are known to shape cardiometabolic health in urban contexts, yet little research has assessed such relationships for remote-dwelling Indigenous Australians. This study assessed associations between BE features and CMD-related morbidity and mortality in a large sample of remote Indigenous Australian communities in the Northern Territory (NT). Read More

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A Socio-Cognitive Review of Healthy Eating Programs in Australian Indigenous Communities.

Int J Environ Res Public Health 2022 Jul 29;19(15). Epub 2022 Jul 29.

Department of Accounting and Finance, Griffith University, Gold Coast, QLD 4111, Australia.

Purpose: This paper aims to understand the challenges to healthy eating for Indigenous Australians using a Social Cognitive Theory lens. Understanding the environmental, cognitive, and behavioural barriers to healthy eating for Indigenous populations in Australia will help identify current gaps and highlight future actions needed in this area to close the gap for Indigenous Australians.

Study Design: Narrative review of interventions of healthy eating programs in Australian Indigenous communities sourced using a systematic search protocol to understand the environmental, cognitive, and behavioural barriers to healthy eating among Indigenous Australians and to identify gaps and future actions needed to address this from 2010-2020. Read More

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Potential Determinants of Cardio-Metabolic Risk among Aboriginal and Torres Strait Islander Children and Adolescents: A Systematic Review.

Int J Environ Res Public Health 2022 Jul 27;19(15). Epub 2022 Jul 27.

Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia.

Prevention initiatives during childhood and adolescence have great potential to address the health inequities experienced by Aboriginal and Torres Strait Islander (Indigenous) populations in Australia by targeting modifiable risk factors for cardio-metabolic diseases. We aimed to synthesize existing evidence about potential determinants of cardio-metabolic risk markers-obesity, elevated blood pressure, elevated blood glucose, abnormal lipids, or a clustering of these factors known as the metabolic syndrome (MetS)-for Indigenous children and adolescents. We systematically searched six databases for journal articles and three websites for relevant grey literature. Read More

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Native Hawaiian/Pacific Islander alcohol, tobacco and other drug use, mental health and treatment need in the United States during COVID-19.

Drug Alcohol Rev 2022 Aug 11. Epub 2022 Aug 11.

School of Medicine, Duke University, Durham, USA.

Introduction: Before COVID-19, Native Hawaiians/Pacific Islanders (NH/PI) endured a heavy burden of alcohol, tobacco and other drug (ATOD) use in prior US data. Responding to reports that many NH/PI communities experienced severe COVID-19 disparities that could exacerbate their ATOD burden, we partnered with NH/PI communities to assess the substance use patterns and treatment needs of diverse NH/PIs during COVID-19.

Methods: Collaborating with NH/PI community organisations across five states with large NH/PI populations, we conducted a large-scale investigation of NH/PI ATOD use, mental health and treatment need during COVID-19. Read More

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Trends in Collection of Disaggregated Asian American, Native Hawaiian, and Pacific Islander Data: Opportunities in Federal Health Surveys.

Am J Public Health 2022 Aug 11:e1-e7. Epub 2022 Aug 11.

Kevin H. Nguyen is with the Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI. Kaitlyn P. Lew is with the Center for Bioethics, Harvard Medical School, and the Center for Cancer Genetics and Prevention, Dana-Farber Cancer Institute, Boston, MA. Amal N. Trivedi is with the Department of Health Services, Policy, and Practice, Brown University School of Public Health, and Providence VA Medical Center, Providence, RI.

Collection of data for Asian American, Native Hawaiian, and Pacific Islander (AANHPI) persons that is disaggregated by ethnic subgroup may identify disparities that are not apparent in aggregated data. Using content analysis, we identified national population surveys administered by the US Department of Health and Human Services (HHS) and evaluated trends in the collection of disaggregated AANHPI data between 2011 and 2021. In 2011, 4 of 15 surveys (27%) collected disaggregated data for Asian American, 2 of 15 surveys (13%) collected data on Native Hawaiian, and 2 of 15 surveys (13%) collected disaggregated data for Pacific Islander people. Read More

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The burden of bacterial skin infection, scabies and atopic dermatitis among urban-living Indigenous children in high-income countries: a protocol for a systematic review.

Syst Rev 2022 08 9;11(1):159. Epub 2022 Aug 9.

University of Western Australia, Crawley, Western Australia, Australia.

Background: Bacterial skin infections and scabies disproportionately affect children in resource-poor countries as well as underprivileged children in high-income countries. Atopic dermatitis is a common childhood dermatosis that predisposes to bacterial skin infection. In Australia, at any one time, almost half of all Aboriginal and Torres Strait Islander children living remotely will have impetigo, and up to one-third will also have scabies. Read More

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Diabetes podiatry services for Māori in Aotearoa: a step in the right direction?

B Ihaka K Rome H Came

J Foot Ankle Res 2022 Aug 9;15(1):59. Epub 2022 Aug 9.

Faculty of Health & Environmental Sciences, School of Public Health, AUT, Auckland, 1142, New Zealand.

Māori with diabetes are at a 65% greater risk of amputation compared to non-Māori with diabetes. Despite evidence to support the role of podiatrists in reducing diabetes-related lower limb amputations; the effectiveness of diabetes podiatry services at the community and secondary level to achieve this for Māori is largely unknown. Diabetes podiatry services need to be reorientated and be culturally applicable to Indigenous communities. Read More

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Thyroid Cancer Incidence, Clinical Presentation, and Survival Among Native Hawaiian and Other Pacific Islanders.

Otolaryngol Head Neck Surg 2022 Aug 9:1945998221118538. Epub 2022 Aug 9.

Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Stanford University, Stanford, California, USA.

Objective: To assess the incidence, clinical presentation, and survival in Native Hawaiian and other Pacific Islander (NHPI) patients with well-differentiated thyroid cancer.

Study Design: This population-based incidence analysis and retrospective cohort study utilized data from the Surveillance, Epidemiology, and End Results database.

Setting: Incidence analysis included patients diagnosed between 1990 and 2014, while the cohort to study clinical presentation and survival comprised patients diagnosed between 2004 and 2015. Read More

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Sociodemographic factors associated with HPV awareness/knowledge and cervical cancer screening behaviors among caregivers in the U.S.

BMC Womens Health 2022 08 8;22(1):335. Epub 2022 Aug 8.

Division of Health Policy and Management, Department of Public Health Sciences, University of California, Davis, Davis, USA.

Background: Family caregivers may be at a higher risk for several chronic diseases, including cancer. Cervical cancer is one of the most common causes of cancer death among women. Despite family caregivers' vulnerability, the status of their HPV awareness, knowledge, and preventive health behaviors, including cervical cancer screening, has been understudied. Read More

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Disparities in Prehospital Non-Traumatic Pain Management.

Prehosp Emerg Care 2022 Aug 8:1-12. Epub 2022 Aug 8.

McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas.

Introduction: While prior research has identified racial disparities in prehospital analgesia for traumatic pain, little is known about non-traumatic pain. Using a national prehospital dataset, we sought to evaluate for racial and ethnic disparities in analgesia given by EMS for non-traumatic pain.

Methods: We analyzed the 2018 and 2019 data from the ESO Data Collaborative, a collection of de-identified prehospital electronic health records from nearly 1,300 participating EMS agencies in the US. Read More

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Translating and Evaluating a Physical Activity Program for Aboriginal Elders on Noongar Boodjar (Country) - A Longitudinal Study.

Front Public Health 2022 22;10:904158. Epub 2022 Jul 22.

School of Allied Health, WA Centre for Health and Ageing, The University of Western Australia, Perth, WA, Australia.

Objective: The primary aim of the study was to translate and evaluate the impact of a Physical Activity (PA) program on the physical function of older Aboriginal Elders on Noongar Boodjar (Country).

Methods: A longitudinal design framed within an Indigenous methodology. Two groups, one metropolitan and one regional, of Aboriginal Elders, aged ≥45 years, participated in the Ironbark PA program. Read More

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Islands Within Islands: Bacterial Phylogenetic Structure and Consortia in Hawaiian Lava Caves and Fumaroles.

Front Microbiol 2022 21;13:934708. Epub 2022 Jul 21.

National Aeronautics and Space Administration (NASA) Ames Research Center, Moffett Field, CA, United States.

Lava caves, tubes, and fumaroles in Hawai'i present a range of volcanic, oligotrophic environments from different lava flows and host unexpectedly high levels of bacterial diversity. These features provide an opportunity to study the ecological drivers that structure bacterial community diversity and assemblies in volcanic ecosystems and compare the older, more stable environments of lava tubes, to the more variable and extreme conditions of younger, geothermally active caves and fumaroles. Using 16S rRNA amplicon-based sequencing methods, we investigated the phylogenetic distinctness and diversity and identified microbial interactions and consortia through co-occurrence networks in 70 samples from lava tubes, geothermal lava caves, and fumaroles on the island of Hawai'i. Read More

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Food group, macronutrient intake and metabolic status in the US-Affiliated Pacific's Children's Healthy Living (CHL) Program.

J Nutr 2022 Aug 4. Epub 2022 Aug 4.

University of Hawaii Cancer Center.

Background: The Children's Healthy Living study provided dietary intake information for understudied Native Hawaiian and Other Pacific Islander (NHOPI) young children.

Objectives: To describe food group and macronutrient intakes of NHOPI children in the US-affiliated Pacific region (USAP), overall and by jurisdiction, income level, and metabolic status.

Methods: 2-8 year olds (n = 3520), were evaluated in a cross-sectional cluster sampled study using two days of dietary records completed by caregivers using provided tools, quantified by a specially developed food composition table and compared to US dietary recommendations. Read More

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Leave events among Aboriginal and Torres Strait Islander people: a systematic review.

BMC Public Health 2022 08 5;22(1):1488. Epub 2022 Aug 5.

The George Institute for Global Health, Newtown, Australia.

Background: Leave events are a public health concern resulting in poorer health outcomes. In Australia, leave events disproportionally impact Aboriginal and Torres Strait Islander people. A systematic review was conducted to explore the causes of leave events among Aboriginal and Torres Strait Islander people and strategies to reduce them. Read More

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Racial and Ethnic Differences in Medication Initiation Among Adults Newly Diagnosed with Type 2 Diabetes.

J Gen Intern Med 2022 Aug 4. Epub 2022 Aug 4.

Department of Medicine, The University of Chicago, Chicago, IL, USA.

Objective: Given persistent racial/ethnic differences in type 2 diabetes outcomes and the lasting benefits conferred by early glycemic control, we examined racial/ethnic differences in diabetes medication initiation during the year following diagnosis.

Methods: Among adults newly diagnosed with type 2 diabetes (2005-2016), we examined how glucose-lowering medication initiation differed by race/ethnicity during the year following diagnosis. We specified modified Poisson regression models to estimate the association between race/ethnicity and medication initiation in the entire cohort and within subpopulations defined by HbA1c, BMI, age at diagnosis, comorbidity, and neighborhood deprivation index (a census tract-level socioeconomic indicator). Read More

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Survival Benefit of Living-Donor Liver Transplant.

JAMA Surg 2022 Aug 3. Epub 2022 Aug 3.

Colorado Center for Transplantation Care, Research, and Education, University of Colorado Anschutz Medical Campus, Aurora.

Importance: Despite the acceptance of living-donor liver transplant (LDLT) as a lifesaving procedure for end-stage liver disease, it remains underused in the United States. Quantification of lifetime survival benefit and the Model for End-stage Liver Disease incorporating sodium levels (MELD-Na) score range at which benefit outweighs risk in LDLT is necessary to demonstrate its safety and effectiveness.

Objective: To assess the survival benefit, life-years saved, and the MELD-Na score at which that survival benefit was obtained for individuals who received an LDLT compared with that for individuals who remained on the wait list. Read More

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J Wildl Dis 2022 Aug 3. Epub 2022 Aug 3.

Department of Microbiology & Immunology, School of Veterinary Medicine, 602 Tower Rd., Ithaca, New York 14853, USA.

Only one virus, Avipox, has been documented previously in wild birds in Hawaii. Using immunohistochemistry and PCR, we found that two native threatened Hawaiian Geese (Branta sandvicensis), one with multicentric histiocytoma and the other with toxoplasmosis, and one Laysan Albatross (Phoebastria immutabilis) with avian pox were infected with reticuloendotheliosis virus (REV). The virus was isolated from one of the geese by cell culture. Read More

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High Levels of Cyclic Diguanylate Interfere with Beneficial Bacterial Colonization.

mBio 2022 Aug 2:e0167122. Epub 2022 Aug 2.

Department of Medical Microbiology and Immunology, University of Wisconsin-Madison, Madison, Wisconsin, USA.

During colonization of the Hawaiian bobtail squid (), Vibrio fischeri bacteria undergo a lifestyle transition from a planktonic motile state in the environment to a biofilm state in host mucus. Cyclic diguanylate (c-di-GMP) is a cytoplasmic signaling molecule that is important for regulating motility-biofilm transitions in many bacterial species. V. Read More

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Changes in Cancer Mortality by Race and Ethnicity Following the Implementation of the Affordable Care Act in California.

Front Oncol 2022 13;12:916167. Epub 2022 Jul 13.

Moores Cancer Center, University of California, San Diego, La Jolla, CA, United States.

Although Affordable Care Act (ACA) implementation has improved cancer outcomes, less is known about how much the improvement applies to different racial and ethnic populations. We examined changes in health insurance coverage and cancer-specific mortality rates by race/ethnicity pre- and post-ACA. We identified newly diagnosed breast (n = 117,738), colorectal (n = 38,334), and cervical cancer (n = 11,109) patients < 65 years in California 2007-2017. Read More

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Assessing health literacy of Aboriginal and Torres Strait Islander peoples presenting to general practice.

Aust J Gen Pract 2022 08;51(8):621-625

MBBS, MSc, MD, PhD, Senior Research Fellow, Rural Medical Education Australia, Qld; Senior Lecturer, School of Medicine and Dentistry, Griffith University, Qld.

Background: Health literacy is a social determinant of health, with lower levels linked to suboptimal health outcomes. There is a gap in the literature regarding the value of health literacy assessment among Aboriginal and Torres Strait Islander peoples and best methods with which to perform such assessments in general practice.

Objective: Literature was reviewed to determine what is known regarding health literacy of Aboriginal and Torres Strait Islander peoples, the availability of assessment tools and the implications for general practice. Read More

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Impact of transit time on the reproductive capacity of Euprymna scolopes as a laboratory animal.

Lab Anim Res 2022 Jul 30;38(1):25. Epub 2022 Jul 30.

Department of Biochemistry and Molecular Biology, The Pennsylvania State University, University Park, PA, USA.

Background: The Hawaiian bobtail squid Euprymna scolopes hosts various marine bacterial symbionts, and these symbioses have served as models for the animal-microbe relationships that are important for host health. Within a light organ, E. scolopes harbors populations of the bacterium Vibrio fischeri, which produce low levels of bioluminescence that the squid uses for camouflage. Read More

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Reproductive coercion and abuse among pregnancy counselling clients in Australia: trends and directions.

Reprod Health 2022 Jul 30;19(1):170. Epub 2022 Jul 30.

Department of General Practice, University of Melbourne, Melbourne, Australia.

Background: Reproductive coercion and abuse (RCA) interferes with a person's reproductive autonomy and can be classified into behaviours that are pregnancy promoting or pregnancy preventing (including coerced abortion). However, prevalence data are lacking, and little is known about whether particular forms of RCA are more or less common. The aims of our study were to explore how frequently people seeking pregnancy counselling reported RCA, the proportions reporting the different forms of RCA, and whether there were different trends based on a range of demographic factors. Read More

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Haploidentical bone marrow transplantation in patients with relapsed or refractory severe aplastic anaemia in the USA (BMT CTN 1502): a multicentre, single-arm, phase 2 trial.

Lancet Haematol 2022 Jul 27. Epub 2022 Jul 27.

Huntsman Cancer Institute, Salt Lake City, UT, USA.

Background: Relapsed severe aplastic anaemia is a marrow failure disorder with high morbidity and mortality. It is often treated with bone marrow transplantation at relapse post-immunosuppressive therapy, but under-represented minorities often cannot find a suitably matched donor. This study aimed to understand the 1-year overall survival in patients with relapsed or refractory severe aplastic anaemia after haploidentical bone marrow transplantation. Read More

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A Review of Race and Ethnicity in Hospice and Palliative Medicine Research: Representation Matters.

J Pain Symptom Manage 2022 Jul 26. Epub 2022 Jul 26.

Department of Medicine, Division of Geriatrics, Duke University School of Medicine, Durham, NC; Geriatrics Research Education and Clinical Center, Veteran Affairs Health System, Durham, NC.

Context: Despite documented racial and ethnic disparities in care, there is significant variability in representation, reporting, and analysis of race and ethnic groups in the hospice and palliative medicine (HPM) literature.

Objectives: To evaluate the race and ethnic diversity of study participants and the reporting of race and ethnicity data in HPM research.

Methods: Adult patient and/or caregiver-centered research conducted in the U. Read More

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Genetic background modulates the sensitivity of to the toxic effects of vehicular air pollution.

MicroPubl Biol 2022 21;2022. Epub 2022 Jul 21.

Biology Department, The University of the South, Sewanee, Tennessee, USA.

Vehicular air pollution is an environmental toxicant that can have several health consequences, such as decreased respiratory and cardiovascular function and an increased incidence of age-related dementia and neurodegenerative diseases such as Alzheimer's disease. has been previously shown to be a valuable animal model to study the effects of air pollution due to its tendency to respond to acute exposure to nano-sized particulate matter (nPM) produced by vehicular emissions. Specifically, nPM causes delayed development resulting in smaller animal size and induction of the SKN-1-mediated oxidative stress response. Read More

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