A5017184899- Food Security and Health in Diverse Populations
- Obesity, Physical Activity, Diet
- Obesity and Health Practices
- Child and Adolescent Health
- School Health and Nursing Education
- Misinformation and Its Impacts
- Birth, Development, and Health
- Ethics in Clinical Research
- Community Health and Development
- Public Health Policies and Education
- Childhood Cancer Survivors' Quality of Life
- Migration, Health and Trauma
- Health disparities and outcomes
- Respiratory viral infections research
- Vaccine Coverage and Hesitancy
- Child and Adolescent Psychosocial and Emotional Development
- Emergency and Acute Care Studies
- Health Policy Implementation Science
- Innovative Human-Technology Interaction
- Global Health and Surgery
- T-cell and Retrovirus Studies
- SARS-CoV-2 and COVID-19 Research
- Environmental Education and Sustainability
- Forensic Entomology and Diptera Studies
- Animal Disease Management and Epidemiology
Waianae Coast Comprehensive Health Center
2019-2024
University of Hawaiʻi at Mānoa
2005-2024
California State University, Northridge
2024
University of Hawaii System
2022-2023
Alaska Native Tribal Health Consortium
2021
Southcentral Foundation
2021
Indo-American Center
2021
Northwestern University
2021
University of Chicago
2021
Kaiser Permanente Center for Health Research
2021
Native Hawaiians and other Pacific Islanders (NHPIs) were disproportionately impacted by COVID-19 remain significantly under-vaccinated against SARS-CoV-2. To understand vaccine hesitancy, we surveyed 1124 adults residing in a region with one of the lowest vaccination rates Hawaii during our testing program. Probit regression analysis revealed that race/ethnicity was not directly associated probability uptake. Instead, higher degree trust official sources information increased 20.68%,...
Vaccine hesitancy remains a significant barrier to achieving herd immunity and preventing the further spread of COVID-19. Understanding contributors vaccine how they change over time may improve COVID-19 mitigation strategies public health policies. To date, no mechanism explains trust in consumption different sources information affect uptake. A total 1594 adults enrolled our testing program completed standardized surveys on demographics, vaccination status, use, reliance, information, from...
Native Hawaiians and other Pacific Islanders (NHPIs) across the country have experienced significant disparities because of COVID-19 pandemic. The Alliance Against used a community-based participatory approach involving academic community partners to expand sustainable testing capacity mitigate severe consequences among NHPI communities in Hawaii. We describe this one-year study, some results, how data are being inform next steps for communities. Clinical Trials.gov identifier: NCT04766333....
The first case of an adult, parasitic nematode entering open lesion is reported. A female dracunculoid, Philometra sp., invaded a puncture wound in fisherman's hand while he was filleting infected carangid fish, Caranx melampygus, Hawaii. This accidental infection represents previously unrecognized risk handling uncooked, fish.
Obesity, the most common chronic disease of childhood, is prevalent among economically disadvantaged children. The Chronic Care and Obesity Models are comprehensive health care strategies to improve outcomes by linking primary best practices community-based programs. Pediatric providers community centers well positioned design implement coordinated synergistic programs address childhood disparities. This article describes a project based on Model initiated at rural center in Hawaii obesity...
Produce prescriptions that provide vouchers to individuals purchase fresh FVs at a specified retail outlet have the potential positively impact food security status, diet, and chronic disease risk. However, maximizing program participation is vital ensuring success. This research describes motivators, barriers, support for in child produce prescription among population of Native Hawaiian Other Pacific Islanders, who are underrepresented this field research. qualitative grounded theory study...
We provide guidance for conducting clinical trials with Indigenous children in the United States. drew on extant literature and our experience to describe 3 best practices ethical effective conduct of children. Case examples pediatric research conducted American Indian, Alaska Native, Native Hawaiian communities are provided illustrate these practices. Ethical require early sustained community engagement, building capacity research, supporting oversight ownership research. Effective...
In April 2021, the US government made substantial investments in students' safe return to school by providing resources for school-based coronavirus disease 2019 (COVID-19) mitigation strategies, including COVID-19 diagnostic testing. However, testing uptake and access among vulnerable children with medical complexities remained unclear.
The Brief COPE (Coping Orientation to Problems Experienced) Inventory is a standardized and widely used scale that enables researchers measure coping responses of persons in relation stressors. psychometric properties this scale, however, have not been assessed for communities Hawai'i. This study investigated the diverse women from rural community on island O'ahu was conducted federally qualified health center (FQHC) with 161 who were childbearing age between ages 18 38 years. Contrary...
Objectives: To explore impacts of varied stool sample collection strategies on clinical trial recruitment and enrollment in a community-based trial. Methods: Data participant from an ongoing randomized control has been examined for this research. We data the Keiki Produce Prescription (KPRx) trial, which is testing effect 6 month produce prescription program diet, household, gut microbiome health outcomes 100 parent-child dyads. Participant began September 2022. Waianae Coast Comprehensive...
The cost burdens of potentially preventable emergency department visits for pediatric asthma were estimated Asian Americans, Pacific Islanders, and Whites using Hawai'i statewide 2015-2016 data. burden the 3234 over study period was $1.9 million. Native Hawaiians had largest proportion (36.5%) all accounted highest costs two years at $709,698. After adjusting other factors, pediatric-asthma-related differed significantly by age, insurance provider, island residency. Reducing would not only...
Childhood obesity has increased significantly in the United States. Racial subgroups are often grouped into categories research, limiting our understanding of disparities. This study describes prevalence among youth diverse racial and ethnic backgrounds receiving care at community health centers (CHCs). cross-sectional elevated body mass index (BMI) (≥85th percentile) (≥95th aged 9 to 19 years CHCs 2014. Multilevel logistic regression estimated BMI by age, race/ethnicity, sex. Among 64 925...