A5019220974- Cardiovascular Health and Risk Factors
- Racial and Ethnic Identity Research
- Diabetes Management and Education
- Health Policy Implementation Science
- Food Security and Health in Diverse Populations
- Nutritional Studies and Diet
- Smoking Behavior and Cessation
- Community Health and Development
- Migration, Health and Trauma
- Obesity, Physical Activity, Diet
- Health disparities and outcomes
- Cultural Competency in Health Care
- Public Health Policies and Education
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cardiac Health and Mental Health
- Indigenous Health, Education, and Rights
- Child and Adolescent Psychosocial and Emotional Development
- Behavioral and Psychological Studies
- Physical Activity and Health
- Health Promotion and Cardiovascular Prevention
- Global Public Health Policies and Epidemiology
- Research in Social Sciences
- Indigenous Studies and Ecology
- Health and Wellbeing Research
- Obesity and Health Practices
University of Hawaiʻi at Mānoa
2016-2025
University of Hawaii System
2006-2024
National Heart Lung and Blood Institute
2024
National Institutes of Health
2024
Johns Hopkins University
2024
University of Hawaii Cancer Center
2015-2023
Native Health
2021
University of Minnesota System
2021
Center for Surveillance, Epidemiology, and Laboratory Services
2021
University of Hawaii–West Oahu
2013
Objectives . A key challenge in evaluating the impact of community-based participatory research (CBPR) is identifying what mechanisms and pathways are critical for health equity outcomes. Our purpose to provide an empirical test CBPR conceptual model address this challenge. Methods three-stage quantitative survey was completed: (1) 294 US projects with federal funding were identified; (2) 200 principal investigators completed a questionnaire about project-level details; (3) 450 community or...
Background . Native Hawaiians (NH) and Other Pacific Islanders (OPI) bear an excess burden of diabetes health disparities. Translation empirically tested interventions such as the Diabetes Prevention Program Lifestyle Intervention (DPP-LI) offers potential for reversing these trends. Yet, little is known about how best to translate efficacious into public practice, particularly among racial/ethnic minority populations. Community-based participatory research (CBPR) approach that engages...
Native Hawaiians and Pacific Islanders (NHPI) bear an unequal burden of hypertension cardiovascular disease. Hula, the traditional dance Hawaii, has shown to be a culturally meaningful form moderate-vigorous physical activity for NHPI. A pilot study was done in Honolulu, test 12-week hula-based intervention, coupled with self-care education, on blood pressure management NHPI 2013. systolic (SBP) ≥140 mmHg were randomized intervention (n = 27) or wait-list control 28). Blood pressure,...
Culturally adapted interventions are needed to reduce diabetes-related morbidity and mortality among Native Hawaiian Pacific People. The purpose of this study is pilot test the effectiveness a culturally diabetes self-management intervention. Participants were randomly assigned in an unbalanced design Partners Care intervention (n = 48) or wait list control group 34). Assessments hemoglobin A1c, understanding self-management, performance self-care activities, distress measured at baseline 3...
Native Hawaiian and Pacific Islander populations have been disproportionately affected by COVID-19 (1-3). Hawaiian, Islander, Asian vary in language; cultural practices; social, economic, environmental experiences,† which can affect health outcomes (4).§ However, data from these are often aggregated analyses. Although aggregation is used as an approach to increase sample size statistical power when analyzing smaller population groups, it limit the understanding of disparities among diverse...
Despite the high rates of gestational diabetes mellitus (GDM) among certain Pacific Islander and Asian ethnic groups in U.S., little is known about risk for adverse perinatal outcomes these populations. We sought to examine differences outcome Pacific-Islander women with GDM.A retrospective review all referred largest outpatient GDM program state Hawai'i from 1995 2005 was conducted. Patients Native-Hawaiian/Pacific-Islander, Japanese, Chinese, Filipino, Caucasian ethnicity were included (n...
Native Hawaiians/Pacific Islanders experience a high prevalence of overweight/obesity. The Diabetes Prevention Program Lifestyle Intervention (DPP-LI) was translated into 3-month community-based intervention to benefit these populations. weight loss and other clinical behavioral outcomes the DPP-LI socio-demographic, behavioral, biological factors associated with were examined. A total 239 Hawaiian/Pacific Islander adults completed through four organizations (CBOs). Changes from pre-...
Abstract Background Native Hawaiians have higher hypertension (HTN) and cardiovascular disease (CVD) rates than non-Hispanic whites, calling for culturally responsive interventions to close this gap. Purpose We tested the effects of a 6-month behavioral intervention, cultural dance program based on hula (the customary Hawai'i), improving blood pressure (BP) CVD risk among with uncontrolled HTN. Methods In randomized controlled trial, we hula-based intervention 263 HTN (systolic ≥ 140 or 130...
Abstract Background Cardiovascular disease (CVD) remains the leading cause of death in US. CVD incidence is influenced by many demographic, clinical, cultural, and psychosocial factors, including race ethnicity. Despite recent research, there remain limitations on understanding health among Asians Pacific Islanders (APIs), particularly some subgroups multi-racial populations. Combining diverse API populations into one study group difficulties defining subpopulations multi-race individuals...
From 2014-2019, the University of Hawai'i (UH) at Manoa offered a National Institutes Health funded Minority International Research Training (MHIRT) Program for undergraduate research experiences in infectious diseases. The goal program was to immerse students conducting global diseases train new generation scientists combat future pandemics. MHIRT trained educationally underrepresented groups unique Hawai'i: Native Hawai'ians and other Pacific Islanders, Asian Americans, e.g., Filipinos...
Abstract Background The August 2023 wildfire in the town of Lāhainā on island Maui Hawaiʻi caused catastrophic damage, affecting thousands residents, and killing 102 people. Social media platforms, particularly TikTok, have become essential tools for crisis communication during disasters, providing real-time updates, mobilizing relief efforts, addressing misinformation. Understanding how disaster-related content is disseminated engaged with these platforms can inform strategies improving...
OBJECTIVE—To examine the association between acculturation modes (integrated, assimilated, traditional, and marginalized) type 2 diabetes prevalence in Native Hawaiians. RESEARCH DESIGN AND METHODS—Cross-sectional data were analyzed from 495 Hawaiians, including modes, status, triglycerides, fasting insulin, BMI, age, education level. Acculturation assessed using an eight-item cultural affiliation questionnaire. RESULTS—Native Hawaiians a traditional mode of more likely to have (27.9%) than...