Health Risks, Chronic Diseases, and Access to Care Among US Pacific Islanders

Bitton, Asaf; Zaslavsky, Alan M.; Ayanian, John Z.

doi:10.1007/s11606-009-1241-0

Cited by 38 publications

(38 citation statements)

References 11 publications

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“…In particular, the Asian/Pacific Islander category comprises a variety of subgroups that have significant health-related and demographic differences. Pacific Islanders are more likely than Asian Americans to be smokers, overweight, have lower income and education levels, and have higher chronic disease and mortality rates, despite no differences reported in access to care (33). It is also possible that some subgroups within the Asian/Pacific Islander population may share a common genetic ancestry and have increased susceptibility to PNTM disease.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Nontuberculous Mycobacterial Lung Disease in U.S. Medicare Beneficiaries

Adjemian

Olivier

Seitz

et al. 2012

Am J Respir Crit Care Med

594

466

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Rationale: Pulmonary nontuberculous mycobacteria (PNTM) are an important cause of morbidity among older adults in the United States, but national prevalence estimates are lacking. Objectives: To describe the prevalence and trends of PNTM disease among adults aged 65 years or older throughout the United States. Methods: A nationally representative 5% sample of Medicare Part B beneficiaries was analyzed from 1997 to 2007. Demographic and medical claims data were compiled and prevalence estimates for PNTM and selected comorbidities were calculated and trends over time evaluated. Logistic regression was used to identify demographic and geographic factors associated with PNTM. Measurements and Main Results: From 1997 to 2007, the annual prevalence significantly increased from 20 to 47 cases/100,000 persons, or 8.2% per year. The period prevalence was 112 cases/100,000 persons, although prevalence was twofold higher among Asians/Pacific Islanders than among whites (228 vs. 116 cases/100,000 persons). Western states had the highest period prevalence at 149 cases/ 100,000 persons, with Hawaii having the highest prevalence at 396 cases/100,000 persons, followed by southeastern states, which had a period prevalence of 131 cases/100,000 persons. PNTM cases had more comorbid conditions than noncases and were 40% more likely to die than noncases. Women were 1.4 times more likely to be a PNTM case than men. Relative to whites, Asians/Pacific Islanders were twice as likely to be a case, whereas blacks were half as likely. Conclusions: The prevalence of PNTM is increasing across all regions of the United States and among both men and women. Significant racial/ethnic and geographic differences suggest important geneenvironment interactions.Keywords: nontuberculous mycobacteria; pulmonary; epidemiology; prevalence; United States Nontuberculous mycobacteria (NTM) have been increasingly recognized as an important cause of morbidity in the United States. NTM are ubiquitous in the environment, frequently detected in soil and water samples as well as in biofilms that form in municipal water sources (1). Exposure is typically believed to originate from exposure to environmental sources (2). Although severe infection can affect the lymph nodes, skin, soft tissues, bones, and joints, the vast majority of disease is pulmonary (3). More than 140 NTM species have been identified, although approximately 80% of pulmonary NTM (PNTM) infections in the United States are associated with Mycobacterium avium complex, and prevalence varies by geographic region (4).Recent studies suggest that the prevalence of PNTM disease is increasing throughout the United States (4, 5), especially among older adults (4, 5). Women appear to bear a disproportionate burden of PNTM disease (4, 6), with several studies identifying physical correlates of risk for PNTM (7). Although the increased risk of PNTM among older adults is well established, disease prevalence estimates vary widely by geographic region. Characterizing PNTM disease distribution by region, sex, age,...

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Section: Discussionmentioning

confidence: 99%

Prevalence of Nontuberculous Mycobacterial Lung Disease in U.S. Medicare Beneficiaries

Adjemian

Olivier

Seitz

et al. 2012

Am J Respir Crit Care Med

594

466

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“…Studies of both local Samoan populations (16,17) and migrant Samoans living in New Zealand (30) show adequate amounts of vegetables being consumed. Conversely, for Samoans residing in Australia, poor vege- (41,42) . However, it is difficult to make a direct comparison to the present study, as fruit and vegetables were grouped together rather than separately, and the diet of Asians may be different from that of Pacific Islanders.…”

Section: Discussionmentioning

confidence: 99%

Dietary habits of Samoan adults in an urban Australian setting: a cross-sectional study

Perkins

Ware

Tautalasoo³

et al. 2015

Public Health Nutr.

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Objective: To describe key characteristics of the dietary habits of Samoans residing in Logan, Queensland and to compare these characteristics with comparable populations. Design: Dietary intake was measured using a self-administered structured questionnaire between December 2012 and March 2013. Demographic characteristics included age and sex. Questionnaire results were compared with data from samples of Brisbane residents of similar social and economic characteristics and Pacific Islanders in New Zealand. The association between demographic characteristics and diet was investigated. Setting: Logan, Queensland, Australia. Subjects: Samoans aged 16 years and older. Results: A total of 207 Samoans participated, ninety-six (46 %) of whom were male. Of the participants, seventy-nine (38 %) were aged 16-29 years, sixty-three (30 %) were aged 30-49 years and sixty-five (31 %) were aged ≥50 years. Younger adults were significantly more likely to eat hamburgers, pizza, cakes, savoury pastries, potato crisps, sweets and soft drinks (all variables P < 0·001). Among Samoans, 44·7 % consumed two or more pieces of fruit daily, compared with 43·8 % of comparable Brisbane residents (relative risk = 1·0; 95 % CI 0·8, 1·2). Three or more servings of vegetables each day were consumed by 9·2 % of Samoans compared with 36·6 % of comparable Brisbane residents (relative risk = 3·8; 95 % CI 2·5, 6·0). Conclusions: Samoans are consuming significantly fewer vegetables and more discretionary foods than other populations. Socio-economic factors, length of stay in Australia and cultural practices may impact upon Samoans' diets. Further comprehensive studies on Samoans' dietary habits in Australia are recommended. Keywords Migrant health Pacific IslandersDietary intake Acculturation Nutritional inequalitiesPartially as a consequence of the adoption of Westernstyle diets (1)(2)(3) , rates of chronic disease, particularly obesity and type 2 diabetes mellitus, have increased dramatically in recent years among migrant Polynesian communities. The increased risk of chronic disease is amplified by an apparent genetic predisposition to obesity, diabetes, heart disease and hypertension (4,5) . The present paper considers key dietary characteristics of a population who identify with Samoan ancestry and reside in Logan, which is part of the Greater Brisbane region of South East Queensland. Henceforth, this population will be referred to as Samoans. Samoans are more susceptible to poor levels of population health as a result of various determinants underpinning their attitudes, access and knowledge of health care, such as socio-cultural issues, low socio-economic status and low health literacy (6,7) . Consequently, Samoans suffer disproportionate rates of non-communicable diseases and avoidable hospital admissions (7)(8)(9) . Queensland has a large Polynesian population of approximately 40 000, 38 % of whom identify with Samoan ancestry (10,11) . Little has been done to address the poor state of health of Samoan people in Australia.Diet qualit...

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“…BMI has been identified as one of the significant risk factors of chronic health conditions such as diabetes among Asian American and Pacific Islanders (Bitton, Ayanian, & Zaslavsky, 2010). Current research also has indicated that the most common risk factor of type 2 diabetes is obesity (CDC, 2011b).…”

Section: Research Purpose and Rationalementioning

confidence: 99%

Body Mass Index, Demographic and Socioeconomic Risk, and Protective Factors of Type 2 Diabetes Among Six Groups of Foreign-Born Asian Americans

Tran¹,

Nguyen²,

Chan³

2014

Journal of Social Service Research

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Health Risks, Chronic Diseases, and Access to Care Among US Pacific Islanders

Cited by 38 publications

References 11 publications

Prevalence of Nontuberculous Mycobacterial Lung Disease in U.S. Medicare Beneficiaries

Prevalence of Nontuberculous Mycobacterial Lung Disease in U.S. Medicare Beneficiaries

Dietary habits of Samoan adults in an urban Australian setting: a cross-sectional study

Body Mass Index, Demographic and Socioeconomic Risk, and Protective Factors of Type 2 Diabetes Among Six Groups of Foreign-Born Asian Americans

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