Spearfishing, a culturally relevant practice in many locations globally, may foster physical activity and enhance well-being by promoting social cohesion, food security, nature connectedness, but is understudied public health promotion surveillance. This study measured the population-level prevalence of lifetime spearfishing engagement Hawaiʻi identified associated factors for promotion. The Hawaiian Islands present an ideal setting such activities due to its central Pacific location diverse...

Gout disproportionately affects older Pacific Islander and Black populations relative to White populations. However, the ethnic-specific determinants remain understudied within these groups, as well other ethnicities. We examined gout incidence associations with behavioral factors, including diet, alcohol, smoking, a large multiethnic population of adults from Multiethnic Cohort Study, which linked prospective cohort data Medicare claims between 1999-2016.Using samples (n = 12,370), Native...

Media coverage of traffic crashes involving people walking and bicycling tends to frame as isolated events rather than a public health problem that disproportionately affects vulnerable populations. This study assessed framing in local media pedestrians bicyclists Hawai'i. We systematically searched the websites all major news sources (newspapers television stations) identify articles about Hawai'i pedestrians/bicyclists were published 2019. Using content analysis, we extracted information...

This study investigated the association of lifestyle factors and polygenic risk scores (PGS), their interaction, on type 2 diabetes mellitus (T2D). We examined data from U.S. Health Retirement Study, a prospective longitudinal cohort adults aged 50 years older, containing nationally representative samples Black White Americans with precalculated PGS for T2D (N = 14 001). Predicted prevalence incidence were calculated logistic regression models. differences in by percentiles interaction...

The coronavirus disease 2019 (COVID-19) pandemic has resulted in rapid and drastic changes to daily lives, posing a threat residents' mental health well-being. Filipinos are disproportionately impacted by COVID-19 have one of the highest prevalence Hawai'i. been associated with rise concerns, yet little is known about impact on Using publicly available polling data from SMS Community Pulse Survey, this study sought describe distress experienced Filipino residents during pandemic. Data were...

Abstract Leveraging national data from 33 states in the U.S. for adults 18 and over (N = 347,060), 2020-2022 Behavioral Risk Factor Surveillance System (BRFSS), we investigated association between current self-reported physical mental health outcomes substance use, focusing on alcohol, nicotine, cannabis, all combinations of poly-substance use. Specifically, conducted multiple weighted linear regression analyses using poor last 30 days to examine seven mutually exclusive combinations:...

Abstract Gene-obesogenic environment interactions influence body mass index (BMI) across the life-course; however, limited research examines how these may differ by race and sex. Utilizing mixed-effects models, we examined interaction effects of polygenic risk score (PGS) generated from 97 single nucleotide polymorphisms, environmental factors, including age physical activity, on measured longitudinal BMI Health Retirement Study (HRS). HRS is a population representative survey study older...

ABSTRACT Objective This real-world evaluation considers an algorithm designed to detect patients with potentially undiagnosed hypertension, receiving routine care, in a large health system Hawaiʻi. It quantifies identified as summarizes the individual, clinical, and factors associated examines if COVID-19 pandemic impacted detection. Methods We analyzed electronic records (EHR) of treated across 6 clinics from 2018-2021. calculated total hypertension compared flagged for those diagnosed full...

Background This real‐world evaluation considers an algorithm designed to detect patients with potentially undiagnosed hypertension, receiving routine care, in a large health system Hawaiʻi. It quantifies identified as hypertension; summarizes the individual, clinical, and factors associated examines if COVID‐19 pandemic affected detection. Methods Results We analyzed electronic records of treated across 6 clinics from 2018 2021. calculated total hypertension compared flagged for those...

Abstract Given an aging demographic that reports higher substance use patterns than preceding generations, as well variability in cannabis legality at the state level, and abuse is area of concern for older adults experiencing chronic disabilities. Examining trends polysubstance three most used substances (nicotine, alcohol, cannabis) allows possible insight into exhibited by adults, particularly those with Using national data across 25 states from 2020-2021 BRFSS, we investigated recent...

Abstract Gout, a common rheumatic disease in older adults, disproportionately affects Pacific Islander and Black populations, relative to Whites; however, the ethnic-specific incidence determinants remain severely understudied within these groups. We examined gout effects of behavioral factors, including diet, physical activity, smoking, on incident large multiethnic population adults from Multiethnic Cohort Study linked approximately 20 years Medicare claims. Using samples (N=15,660),...

Abstract Type 2 diabetes (T2D) is a complex chronic disorder influenced by genetic and environmental factors. Studies that use combined polygenetic score (PGS), calculated based on the number of risk alleles an individual may have, are rarely applied to representative national sample. We used data from Health Retirement Study (HRS), nationally study older U.S. adults 50-years or examine impact PGS behavioral factors (education, poverty ratio, BMI, smoking status, alcohol consumption physical...

Abstract Background Genetics plays an important role in the development of type-2 diabetes (T2D). Polygenic risk scores (PRS) are increasingly used to quantify genetic T2D epidemiological studies. These scores, when integrated into analyses modifiable lifestyle factors, may improve understanding etiology, as strength association with and some or demographic factors vary according predisposition. Methods We examined PRS-lifestyle factor interactions on data from United States Health...