Hawai''i journal of health & social welfare最新文献

Availability of Locally Produced Foods in the Children's Healthy Living Center's Food Cost Survey for the United States Affiliated Region. 美国附属地区儿童健康生活中心食品成本调查中当地生产食品的可用性。

Hawai''i journal of health & social welfare Pub Date : 2025-02-01 DOI: 10.62547/XKGV4981

Jean Butel, Ashley Yamanaka, Leslie Shallcross, Travis Fleming, Patricia Coleman, Tanisha Aflague, Rachel Novotny

{"title":"Availability of Locally Produced Foods in the Children's Healthy Living Center's Food Cost Survey for the United States Affiliated Region.","authors":"Jean Butel, Ashley Yamanaka, Leslie Shallcross, Travis Fleming, Patricia Coleman, Tanisha Aflague, Rachel Novotny","doi":"10.62547/XKGV4981","DOIUrl":"https://doi.org/10.62547/XKGV4981","url":null,"abstract":"The Children's Healthy Living Center of Excellence (CHL Center) conducted a food cost survey (CHL FCS) in the United States Affiliated Pacific Region (USAPR) that was modified from the United States Department of Agriculture Community Food Security Assessment Toolkit (CFSAT). The CFSAT is based on the 1999 United States Department of Agriculture (USDA) Thrifty Food Plan (TFP). The TFP estimates the cost of consuming a healthy, cost-conscious diet at home and is based on food cost, nutrients in food, nutrition guidance and What We Eat in America (WWEIA). The USAPR is not included in the WWEIA survey. The CFSAT's 87 food items were included in the CHL FCS. The purpose of this study is to describe the availability of the food items in stores within the USAPR and what items were locally produced. In March 2021, food cost data were collected from 92 stores in the jurisdictions of Alaska, American Samoa, Commonwealth of the Northern Mariana Islands, Guam, and Hawai'i. Most CHL FCS food items were available in at least 1 store in each jurisdiction with a range from 0 to 14 items missing from all stores. The presence of local food items was limited across jurisdictions, ranging from 8 to 27 items. Geographic isolation and small populations affect the availability of food items. Inclusion of the region's cultural and dietary practices in national nutritional guidance is crucial in preserving local food cultures, and the production and consumption of local foods.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 2","pages":"38-44"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Meeting Hawai'i's Mental Health Needs: The Psychiatric Mental Health Nurse Practitioner Program. 满足夏威夷的心理健康需求：精神科心理健康执业护士计划。

Hawai''i journal of health & social welfare Pub Date : 2025-02-01 DOI: 10.62547/HYAL5204

Courtnee Nunokawa, Christine Loui, Lorrie Wong, Joanne R Loos

引用次数: 0

Severe Tooth Loss and Cardiovascular Disease Among Older Adults in Hawai'i: A Cross-Sectional Study of Behavioral Risk Factor Surveillance System Data from 2012 to 2020. 夏威夷老年人严重牙齿脱落和心血管疾病：2012年至2020年行为风险因素监测系统数据的横断面研究

Hawai''i journal of health & social welfare Pub Date : 2025-02-01 DOI: 10.62547/SAMO1400

Wei Zhang, Yan Yan Wu, Fran Woodworth, Deborah Mattheus

{"title":"Severe Tooth Loss and Cardiovascular Disease Among Older Adults in Hawai'i: A Cross-Sectional Study of Behavioral Risk Factor Surveillance System Data from 2012 to 2020.","authors":"Wei Zhang, Yan Yan Wu, Fran Woodworth, Deborah Mattheus","doi":"10.62547/SAMO1400","DOIUrl":"https://doi.org/10.62547/SAMO1400","url":null,"abstract":"Despite mounting evidence of the link between oral health and systemic health, there are limited studies on individual- and community-level race/ethnic and socioeconomic correlates of tooth loss and cardiovascular disease (CVD), particularly with regard to Asian and Indigenous populations. This cross-sectional study examined the association between severe tooth loss and CVD and the individual- and community-level sociodemographic correlates of CVD in Hawai'i, where Native Hawaiian and Asian populations are predominant, utilizing 5 waves of even year data from the Hawai'i Behavioral Risk Factor Surveillance System collected between 2012 and 2020. Weighted Poisson regression was used to estimate the unadjusted and adjusted prevalence of CVD. Independent variables included demographic variables (age, sex, race and ethnicity), socioeconomic status indicators (education, annual household income, health insurance), and health-related variables (BMI, smoking status, diabetes). A significant association was revealed between severe tooth loss and CVD, which persisted (but was attenuated) with adjustment for sociodemographic and health variables. There were also disparities in CVD prevalence by race and ethnicity (Native Hawaiians had a higher prevalence than White respondents, even after adjustment) and community. The tooth loss-CVD linkage, and racial/ethnic disparities in the prevalence of CVD, point to the importance of a holistic, multi-level approach to public health and collaboration between medical and dental health professionals.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 2","pages":"27-37"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Creating a Sustainable Native Hawaiian Pacific Islander Community Health Worker Workforce to Address Health Inequity in Hawai'i. 创建一个可持续的夏威夷土著太平洋岛民社区卫生工作者队伍，以解决夏威夷的卫生不平等问题。

Hawai''i journal of health & social welfare Pub Date : 2025-01-01 DOI: 10.62547/ZMJI5576

Chantelle Matagi, Ke'alohilani Worthington Antonio, Sarah Momilani Marshall, Donna Marie Palakiko

引用次数: 0

Resilience in Medical Education: Examining the Effects of the COVID-19 Pandemic on Pre-clerkship Curriculum Outcomes and Learner Perceptions at the University of Hawai'i John A. Burns School of Medicine. 医学教育的弹性：研究COVID-19大流行对夏威夷大学约翰·a·伯恩斯医学院职前课程成果和学习者认知的影响

Hawai''i journal of health & social welfare Pub Date : 2025-01-01 DOI: 10.62547/IJCZ9506

Kyra A Len, Chieko Kimata, Sheri F T Fong

{"title":"Resilience in Medical Education: Examining the Effects of the COVID-19 Pandemic on Pre-clerkship Curriculum Outcomes and Learner Perceptions at the University of Hawai'i John A. Burns School of Medicine.","authors":"Kyra A Len, Chieko Kimata, Sheri F T Fong","doi":"10.62547/IJCZ9506","DOIUrl":"10.62547/IJCZ9506","url":null,"abstract":"The transition to virtual learning formats during the COVID-19 pandemic necessitated substantial curricular adjustments to the University of Hawai'i John A. Burns School of Medicine. This study compares student satisfaction and academic performance between the pre-pandemic (up through March 25, 2020) and pandemic (after March 25, 2020) periods. Standard end of course surveys for first year (M1) and second year (M2) courses and exam scores were compared between the pre-pandemic and pandemic groups. The median exam scores for problem-based learning generally increased for M1 and M2 courses during the pandemic, whereas Anatomy scores showed variability with some declining and some remaining stable or inclining. End-course evaluations indicated a significant decrease in student-perceived effectiveness for PBL, Lecture and Anatomy during the initial pandemic period. However, survey ratings for the learning environment improved in later courses, suggesting adaptation over time. Notably, Anatomy exam scores and course ratings improved significantly later in the pandemic which may be attributed to the development of virtual resources and early introduction of in-person sessions. This study provides insight into the dynamic effects of the pandemic on medical education, enhancing understanding of student experiences and academic outcomes during this challenging time. This study underlines adaptations in the curriculum that were effective, highlighting the resilience of the curriculum and students in maintaining quality education during the pandemic.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 1","pages":"4-9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Baseline Estimates for Companion Animals Living in Households in Hawai'i: Associated Socio-Demographic, and Select Health Variables, as Measured by a Household Survey. 夏威夷家庭中伴侣动物的基线估计：通过家庭调查测量的相关社会人口统计学和选择健康变量。

Hawai''i journal of health & social welfare Pub Date : 2025-01-01 DOI: 10.62547/QGYR3306

Kathleen Kromer Baker

{"title":"Baseline Estimates for Companion Animals Living in Households in Hawai'i: Associated Socio-Demographic, and Select Health Variables, as Measured by a Household Survey.","authors":"Kathleen Kromer Baker","doi":"10.62547/QGYR3306","DOIUrl":"10.62547/QGYR3306","url":null,"abstract":"Information on companion animals in Hawai'i is lacking. The Hawai'i Department of Health's Hawai'i Health Survey, collected data on adults and households by telephone interview. National estimates of companion animals range from 50-67%. However, the estimate from Hawai'i was lower with 39% of households in Hawai'i having a companion animal that spends part or all of the day indoors, including 29.5% of households with dogs and 14.7% with cats. There may be multiple reasons the count is lower for Hawai'i and possible factors are identified. There were significant differences in companion animals by ethnicity with Whites having the highest percentage of cats (25.8%) and Japanese the highest percentage of dogs (33.8%). Differences were observed between Asian ethnicities and Native Hawaiians. Specifically, individuals of Japanese ethnicity were more likely to have dogs, while Native Hawaiians were more likely to have cats compared to other Asian and Other Pacific Island ethnicities. Furthermore, companion animals were associated with counties other than Honolulu, lower poverty, ownership of a car or home, women, education, and middle-aged adults. Thus, many households in Hawai'i may not have the resources for a companion animal. Adults who rated their general health excellent had the highest association with having a cat(s). Asthma was higher for women living with dogs than women without cats or dogs. Asthma was lowest for men with cats compared to other groups for men and women. This study contributes to the understanding of complex interrelationships of humans, animals, and their environment which is gaining momentum under the umbrella of \"One Health\" by supporting increased collaboration and new data sources.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 1","pages":"10-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accuracy of Dermatologist Listings in Hawai'i's Medicaid (Med-QUEST) Physician Directories. 夏威夷医疗补助（Med-QUEST）医师目录中皮肤科医生列表的准确性。

Hawai''i journal of health & social welfare Pub Date : 2024-12-01 DOI: 10.62547/UVII6313

Amity Tran, Hannah Mettias, Lauren Nakamine, Tiffany Ng, Devashri Prabhudesai, John J Chen, Lee E Buenconsejo-Lum

{"title":"Accuracy of Dermatologist Listings in Hawai'i's Medicaid (Med-QUEST) Physician Directories.","authors":"Amity Tran, Hannah Mettias, Lauren Nakamine, Tiffany Ng, Devashri Prabhudesai, John J Chen, Lee E Buenconsejo-Lum","doi":"10.62547/UVII6313","DOIUrl":"https://doi.org/10.62547/UVII6313","url":null,"abstract":"Since 2017, Hawai'i has had a statute requiring health plans to update their provider directories at least monthly. However, the results of this study suggest that despite this regulation, errors in physician directories may be an ongoing problem. Using publicly available online Medicaid physician directories from Med-QUEST, Hawaii Medical Service Association (HMSA), AlohaCare, 'Ohana Health Plan, and United Healthcare, 473 unique listings for dermatologists were reviewed and 411 (86.9%) of these listings contained at least 1 inaccuracy. Using the deficiency scoring methodology designed by the Centers for Medicare & Medicaid Services (CMS), it was found that the proportions of deficient listings were significantly different among the directories (P<.001). Med-QUEST had the highest weighted final deficiency score of 92.9% and HMSA had the lowest weighted final score of 49.2%. In between were United Healthcare (71.0%), 'Ohana Health Plan (69.7%), and AlohaCare (65.7%). It is unknown whether these results are an improvement from the implementation of the statute. Nevertheless, this issue can cause additional barriers for Medicaid patients who already experience narrower networks and longer wait times for dermatologists. Furthermore, it would also be worth investigating if this issue is also prevalent in listings for other specialties.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 12","pages":"316-321"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Educator Externship: A Cross-Sector Collaboration to Support Health Academy Educators Prepare Aspiring Nursing Students. 教育实习：跨部门合作，支持卫生学院教育工作者准备有抱负的护理学生。

Hawai''i journal of health & social welfare Pub Date : 2024-12-01 DOI: 10.62547/YLNE6348

Katherine Finn Davis, Lorrie Wong, William Siegman

引用次数: 0

The Impact of a Commensality Intervention on Physician Burnout. 共生干预对医师职业倦怠的影响。

Hawai''i journal of health & social welfare Pub Date : 2024-12-01 DOI: 10.62547/NCHU6884

Jason C Seto, Jennifer Beals, Todd B Seto, Holly Olson, Kuo-Chiang Lian, Malia Ramirez, Susan Steinemann

{"title":"The Impact of a Commensality Intervention on Physician Burnout.","authors":"Jason C Seto, Jennifer Beals, Todd B Seto, Holly Olson, Kuo-Chiang Lian, Malia Ramirez, Susan Steinemann","doi":"10.62547/NCHU6884","DOIUrl":"https://doi.org/10.62547/NCHU6884","url":null,"abstract":"Commensality, the act of eating together, when organized around facilitated discussion is an evidence-based intervention that can promote engagement and reduce physician burnout. The purpose of this pilot study is to evaluate the feasibility, acceptance, and impact of a commensality intervention for physicians. The Commensality Intervention was based on a Mayo Clinic model that consisted of 6, 2-hour dinner meetings at local restaurants over 6 months with facilitated discussion. Seven physicians participated, with controls matched by specialty and career stage. All completed the Maslach Burnout Inventory and Areas of Worklife Survey (MBI/AWS) at baseline, 6 months, and 12 months. Results were analyzed using Mann-Whitney tests for comparison of intervention group members to controls. At baseline, 4 of 7 in the intervention group and 3 of 7 controls met criteria for burnout. At 6 months, MBI improved in all dimensions: emotional exhaustion (EE) 24.3 to 17.2; depersonalization (DP) 7.1 to 5.1; personal accomplishment (PA) 40.0 to 43.3. Improvement in EE was significantly greater for intervention group members vs. controls (P=.015). Similarly, every AWS dimension (except reward) improved in the intervention group, with significant improvements in Workload (P=.012), Control (P=.027), and Community (P=.039). At 12 months, improvements in EE (21.6), DP (5.3) and PA (42.7) persisted but were attenuated, with none of the MBI/AWS changes from baseline statistically significant. Findings suggest significant improvements in physician burnout following the intervention, with attenuation at 12-months. Results will be used to support the broader implementation of commensality within the group practice.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 12","pages":"322-326"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alcohol-Induced & Drug-Induced Deaths in Hawai'i During the COVID-19 Pandemic. COVID-19 大流行期间夏威夷因酒精和毒品导致的死亡。

Hawai''i journal of health & social welfare Pub Date : 2024-11-01 DOI: 10.62547/IYGW7064

Nash A K Witten, Clark Caballero

引用次数: 0