RESUMO
The purpose of this literature review is to explore the potential relationship between ethnicity and obesity, and obesity-related risks, with a particular emphasis on disparities between Asian and Pacific Islander populations. We conducted a comprehensive search of available medical literature related to the rise of obesity in the United States, factors contributing to obesity, evidence-based clinical guidelines, and obesity and related risks as they occur in Hawaii. In conducting this search, we sought to illuminate obesity rates in Asians and Pacific Islanders in connection with various factors, such as diet and lifestyle, acculturation, and body image, as they occur in diverse cultural contexts. We found that the rates of obesity and related risks were highest in Native Hawaiians and Samoans. Based upon our review of the literature, we conclude that further research is necessary to address the relationship between ethnicity and obesity risk factors in Asian and Pacific Islander populations.
Assuntos
Asiático/estatística & dados numéricos , Havaiano Nativo ou Outro Ilhéu do Pacífico/estatística & dados numéricos , Obesidade/etnologia , Imagem Corporal , Peso Corporal/etnologia , Complicações do Diabetes , Diabetes Mellitus/etnologia , Comportamento Alimentar/etnologia , Humanos , Estilo de Vida/etnologia , Obesidade/complicações , Obesidade/prevenção & controle , Fatores de Risco , Estados Unidos/epidemiologiaRESUMO
Significant health disparities exist between ethnic groups in the United States. The authors reviewed literature examining the epidemiology of health disparities in Hawaii's multiethnic population. One of the primary goals of the Healthy People 2010 initiative is to eliminate health disparities, specifically cancer, cardiovascular disease, diabetes, infant mortality, child and adult immunizations and HIV/AIDS. However, the research on ethnic health disparities is fragmented, especially in Asian/Pacific Islanders. Unclear definitions of ethnicity (i.e., self-report, mixed ethnicity, etc) and aggregated study populations (i.e., combining multiple ethnic groups into one category) obscure the true health status of ethnic minorities in Hawaii. This paper presents an overview of the state of the literature on Hawaii ethnic health disparities.
Assuntos
Etnicidade , Nível de Saúde , Programas Gente Saudável/organização & administração , Mortalidade/tendências , Síndrome da Imunodeficiência Adquirida/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Doenças Cardiovasculares/etnologia , Criança , Pré-Escolar , Feminino , Havaí/epidemiologia , Inquéritos Epidemiológicos , Humanos , Hipertensão/epidemiologia , Lactente , Mortalidade Infantil/tendências , Masculino , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Medição de Risco , Distribuição por SexoRESUMO
The CRC was developed in 1995 to make Hawaii a site of innovative, progressive research. Since then, the numbers of researchers and publications supported by the CRC have increased. In the next several years, the CRC will expand further into Hawaii's research community and apply for GCRC status, a strategy that will attract even more resources and investigators to JABSOM.
