Hawai''i journal of health & social welfare最新文献_第3页

Kaua'i Rural and Public Health Selective: A Family Medicine Residency First. 考艾岛农村和公共卫生选修课：家庭医学住院医师培训第一课。

Hawai''i journal of health & social welfare Pub Date : 2024-08-01 DOI: 10.62547/DLPS7224

Janet Berreman, Thomas Quattlebaum, Adriann Bruce

引用次数: 0

Midlife and Older Age Methamphetamine Poisoning Deaths in Hawai'i. 夏威夷中老年甲基苯丙胺中毒死亡案例。

Hawai''i journal of health & social welfare Pub Date : 2024-08-01 DOI: 10.62547/WWZL3153

Gursimran K Sidhu, Tiana M Fontanilla, Treena S Becker

{"title":"Midlife and Older Age Methamphetamine Poisoning Deaths in Hawai'i.","authors":"Gursimran K Sidhu, Tiana M Fontanilla, Treena S Becker","doi":"10.62547/WWZL3153","DOIUrl":"10.62547/WWZL3153","url":null,"abstract":"Unintentional and undetermined intent drug overdose fatality records from the State Unintentional Drug Overdose Reporting System (SUDORS) for Hawai'i from July 1, 2020, to December 31, 2021 revealed that 58.2% of decedents were aged 50-75. The main substance associated with cause of death for those aged 50-75 years was methamphetamine, followed by a combination of mixed drugs. Of those aged 50 and older, 25.5% died from cardiovascular or neurological complications which were likely to be associated with chronic, long-term methamphetamine use. Based on death investigator narrative reports, 76.5% of the older decedents had a history of substance abuse, suggesting possible long-term substance use starting at a young age. The trajectory of substance use over the life course is often influenced by life events and transitions, which can be stressors. Hawai'i kūpuna (older adults) should be screened for substance use and dependence to ensure that there is treatment if needed, for the entirety of this use trajectory.Also, barriers to kūpuna seeking treatment, such as stigma towards drug use should be addressed.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 8","pages":"225-229"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917605","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

Examining Diabetes Status by the Social Determinants of Health Among Adults in Hawai'i. 根据夏威夷成年人健康的社会决定因素检查糖尿病状况。

Hawai''i journal of health & social welfare Pub Date : 2024-08-01 DOI: 10.62547/GDHV1853

Chance Aguiar, Eric L Hurwitz, Yan Yan Wu, Ashley B Yamanaka

{"title":"Examining Diabetes Status by the Social Determinants of Health Among Adults in Hawai'i.","authors":"Chance Aguiar, Eric L Hurwitz, Yan Yan Wu, Ashley B Yamanaka","doi":"10.62547/GDHV1853","DOIUrl":"10.62547/GDHV1853","url":null,"abstract":"The social determinants of health (SDoH) influence health outcomes based on conditions from birth, growth, living, and age factors. Diabetes is a chronic condition, impacted by race, education, and income, which may lead to serious health consequences. In Hawai'i, approximately 11.2% of adults have been diagnosed with diabetes. The objective of this secondary cross-sectional study is to assess the relationship between the prevalence of diabetes and the social determinants of health among Hawai'i adults who participated in the Behavioral Risk Factor Surveillance System between 2018-2020. The prevalence of diabetes among adults was 11.0% (CI: 10.4-11.5%). Filipino, Japanese and Native Hawaiian adults had the highest prevalence of diabetes at 14.4% (CI: 12.7-16.2%), 14.2% (CI: 12.7-15.7%), and 13.2% (CI: 12.0-14.4%), respectively. Poverty level and education were significantly associated with diabetes status. Within employment categories, the adjusted odds ratio (AOR) for retired and unable to work adults were large at AOR: 1.51 (CI: 1.26-1.81) and AOR: 2.91 (CI: 2.28-3.72), respectively. SDoH can impact the development and management of diabetes. Understanding the role SDoH plays on diabetes status is crucial for promoting health equity, building community capacity, and improving diabetes management.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 8","pages":"216-224"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917603","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 Impact of the COVID-19 Pandemic on Older Adults Who Participate in Group Physical Exercise Program. COVID-19 大流行对参加集体体育锻炼计划的老年人的影响。

Hawai''i journal of health & social welfare Pub Date : 2024-07-01 DOI: 10.62547/MQXM6470

Michiyo Tomioka, Sarah Yuan, Johnny Yago, Claudette Medeiros

{"title":"The Impact of the COVID-19 Pandemic on Older Adults Who Participate in Group Physical Exercise Program.","authors":"Michiyo Tomioka, Sarah Yuan, Johnny Yago, Claudette Medeiros","doi":"10.62547/MQXM6470","DOIUrl":"10.62547/MQXM6470","url":null,"abstract":"The COVID pandemic exposed the vulnerability of older adults in myriad ways and social service organizations faced unprecedented challenges in safely providing support for older adults. Since 2007, Hawai'i Healthy Aging Partnership (HHAP) has offered Enhance®Fitness, an evidence-based program to reduce the risk of falls and promote health among older adults. Due to the pandemic, all the Enhance®Fitness sites had to close and stop offering the program. The HHAP started to provide alternative activities remotely in May 2020. To explore the pandemic's impact, the feasibility of online exercise programs, and the support needed among older adults to stay physically active, HHAP surveyed existing Enhance®Fitness participants and received 291 responses (59% response rate). The study used frequency distributions, comparison of means, and chi-square to analyze the survey data. Findings showed that the shutdown of the group exercise program during the pandemic led to a health status decline, a reduction in physical activities, and a shift from group to individual physical activities among older adult participants. Most respondents tried the remote exercise opportunities during the pandemic and would consider joining the remote programs in the future. However, about one-fourth of the respondents did not participate in remote exercise activities due to the lack of electronic devices, internet access, or interest in remote activity formats. To ensure equitable access to physical exercise programs for older adults in the post-pandemic era, it is critical to address the access challenges and resources needed for providing multiple programming options.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 7","pages":"180-186"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555558","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

Kū Like Kākou: Utilizing a Community-led Model of Collaboration to Respond to the COVID-19 Pandemic. Kū Like Kākou：利用社区主导的合作模式应对 COVID-19 大流行。

Hawai''i journal of health & social welfare Pub Date : 2024-07-01 DOI: 10.62547/RXSL5225

Sarah Momilani Marshall, N Ku'uleimomi Tolentino, J Ke'alohilani Worthington, Chantelle Eseta Matagi, Sharde K M Freitas, Kim Ku'ulei Birnie, Mary-Frances Oneha

{"title":"Kū Like Kākou: Utilizing a Community-led Model of Collaboration to Respond to the COVID-19 Pandemic.","authors":"Sarah Momilani Marshall, N Ku'uleimomi Tolentino, J Ke'alohilani Worthington, Chantelle Eseta Matagi, Sharde K M Freitas, Kim Ku'ulei Birnie, Mary-Frances Oneha","doi":"10.62547/RXSL5225","DOIUrl":"10.62547/RXSL5225","url":null,"abstract":"The outbreak of COVID-19 in 2020 brought significant challenges for Native Hawaiians (NH), Pacific Islanders (PI), and other communities of color worldwide. Rapidly increasing rates of infection and transmission of the virus in Native Hawaiian and Pacific Islander (NHPI) communities and incomplete or unavailable data signaled to Hawai'i's leaders that advocacy and action needed to take place to minimize the impact of COVID-19. The Native Hawaiian and Pacific Islander Response, Recovery, and Resilience team (NHPI 3R Team) emerged from an effort to lead and fill gaps in response to COVID-19. Through the swift, intentional, and collaborative work of the team and its partners, NHPI communities and the entities that serve them were better equipped to navigate the pandemic, improve health outcomes, and contribute to a reduction in the number of infections, a rise in vaccination uptake, and an increase in NH and PI representation on various levels of government agencies. As the world shifts its focus from COVID-19 to broader health topics, the NHPI 3R Team will continue to serve as a hub for the exchange of resources and a model of community-led work that can be used to tackle issues like COVID-19 and beyond.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 7","pages":"187-191"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555555","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

Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i. COVID-19 大流行对夏威夷儿科住院医学生教育的影响。

Hawai''i journal of health & social welfare Pub Date : 2024-07-01 DOI: 10.62547/FIMM9629

Alyssa S Fujiwara, Jennifer R Di Rocco, Travis K F Hong, Chieko Kimata, Kyra A Len

{"title":"Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i.","authors":"Alyssa S Fujiwara, Jennifer R Di Rocco, Travis K F Hong, Chieko Kimata, Kyra A Len","doi":"10.62547/FIMM9629","DOIUrl":"10.62547/FIMM9629","url":null,"abstract":"The COVID-19 pandemic has had many effects on medical student education, ranging from safety measures limiting patient exposure to changes in patient diagnoses encountered by medical students in their clerkship experience. This study aimed to identify the impact of the pandemic on the inpatient experiences of third- and fourth-year medical students by assessing patient volumes and diagnoses seen by students. Frequency and types of notes written by medical students on hospital-based pediatric rotations at Kapi'olani Medical Center for Women and Children as well as patient diagnoses and ages were compared between 2 time periods: pre-pandemic (July 2018-February 2020) and pandemic (May 2020-September 2021). On average, the number of patients seen by medical students was significantly reduced in the pandemic period from 112 patients/month to 88 patients/month (P=.041). The proportion of patients with bronchiolitis or pneumonia were also significantly reduced in the pandemic period (P<.001). Bronchiolitis was diagnosed in 1.3% of patients seen by medical students during the pandemic period, compared with 5.9% of patients pre-pandemic. Pneumonia was diagnosed in 1.0% of patients seen by medical students in the pandemic period compared with 4.6% pre-pandemic. There was no significant difference in patient age between the 2 groups (P=.092). During the first 18 months of the COVID-19 pandemic, medical students in this institution had a remarkably different inpatient experience from that of their predecessors. They saw fewer patients, and those patients had fewer common pediatric respiratory diseases. These decreases suggest these students may require supplemental education to compensate for these gaps in direct pediatric clinical experience.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 7","pages":"192-199"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555557","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

How COVID-19 Impacted Colonoscopy Utilization and Colorectal Cancer Detection in Hawai'i in 2020. COVID-19 如何影响 2020 年夏威夷的结肠镜检查使用率和结肠直肠癌检测率。

Hawai''i journal of health & social welfare Pub Date : 2024-07-01 DOI: 10.62547/TZCD4005

Ankur Jain, Shilpa Jain, Ian Pagano

{"title":"How COVID-19 Impacted Colonoscopy Utilization and Colorectal Cancer Detection in Hawai'i in 2020.","authors":"Ankur Jain, Shilpa Jain, Ian Pagano","doi":"10.62547/TZCD4005","DOIUrl":"10.62547/TZCD4005","url":null,"abstract":"The Coronavirus Disease of 2019 (COVID-19) pandemic had a profound impact on colorectal cancer (CRC) screening and diagnostic testing. During the initial months of the pandemic, there was a sharp decline in colonoscopies performed as many areas were on lockdown and elective procedures could not be performed. In later months, even when routine procedures started being scheduled again, some patients became fearful of contracting COVID during colonoscopy or lost their health insurance, leading to further delays in CRC diagnosis by colonoscopy. Previous studies have reported the dramatic decrease in colonoscopy rates and CRC detection at various institutions across the country, but no previous study has been performed to determine rates of colorectal screening by colonoscopy in Hawai'i where the demographics of CRC differ. The team investigated the pandemic's impact on colonoscopy services and colorectal neoplasia detection at several large outpatient endoscopy centers in Hawai'i and also classified new CRC cases by patient demographics of age, sex, and ethnicity. There were fewer colonoscopies performed in these endoscopy centers in 2020 than in 2019 and a disproportionate decrease in CRC cases diagnosed. Elderly males as well as Native Hawaiians/Pacific Islanders were most impacted by this decrease in CRC detection. It is possible there will be an increase in later stage presentation of CRC and eventual CRC related mortality among these patients.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 7","pages":"200-203"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555556","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

A Patient Interview-Based Needs Assessment and Evaluation of Experiences with Periviable Pregnancies. 以患者访谈为基础的需求评估和围产期妊娠经验评价。

Hawai''i journal of health & social welfare Pub Date : 2024-06-01 DOI: 10.62547/XATQ5707

Michelle A Nakatsuka, Keahi Peters, Ingrid Chern, Kandie George, Men Jean Lee, Kelly S Yamasato

{"title":"A Patient Interview-Based Needs Assessment and Evaluation of Experiences with Periviable Pregnancies.","authors":"Michelle A Nakatsuka, Keahi Peters, Ingrid Chern, Kandie George, Men Jean Lee, Kelly S Yamasato","doi":"10.62547/XATQ5707","DOIUrl":"10.62547/XATQ5707","url":null,"abstract":"Given the complex ethical and emotional nature of births during the periviable period for both health care providers and families, this investigation sought to identify strategies for improved counseling of pregnant patients facing preterm birth at the cusp of viability at a tertiary care center in Hawai'i. As part of a larger quality improvement project on periviability counseling, 10 patients were interviewed during either individual or small focus groups using a progression of hypothetical scenarios. Interviews were analyzed independently by 3 investigators to identify themes of patient experience and potential areas for improvement when counseling patients who are carrying periviable pregnancies. Several common themes emerged from the interviews. Patients expressed the desire for more information throughout the process delivered in a jargon-free manner with unified messaging from the medical teams, and emotional support. These findings add to a limited body of literature which addresses patient perceptions of interactions with health care providers in the face of uncertainty, particularly in a Pacific Islander population. The authors recommend increasing provider training and developing a more structured process to counsel pregnant women facing periviable pregnancy loss to improve the patient experience.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 6","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11161210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296847","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

Describing the Medical Needs of Hawai'i's Houseless Population During COVID at Free Student Run Outpatient Clinics (Hawai'i HOME Project). 描述夏威夷无房人口在 COVID 期间在学生开办的免费门诊诊所的医疗需求（夏威夷 HOME 项目）。

Hawai''i journal of health & social welfare Pub Date : 2024-06-01 DOI: 10.62547/ZSAJ9907

Brendan K Seto, Dylan S Singh, Jason C Seto, Hussein B Said, Nick B Liu, Jill Omori, Teresa Schiff-Elfalan

{"title":"Describing the Medical Needs of Hawai'i's Houseless Population During COVID at Free Student Run Outpatient Clinics (Hawai'i HOME Project).","authors":"Brendan K Seto, Dylan S Singh, Jason C Seto, Hussein B Said, Nick B Liu, Jill Omori, Teresa Schiff-Elfalan","doi":"10.62547/ZSAJ9907","DOIUrl":"10.62547/ZSAJ9907","url":null,"abstract":"Hawai'i experiences some of the highest rates of houselessness per capita in the country. COVID-19 has exacerbated these disparities and made it difficult for these individuals to seek medical care. Hawai'i's Houseless Outreach in Medical Education (HOME) clinic is the largest student run free clinic in the state, which provides medical services to this patient population. This article reports the demographics, medical needs, and services provided to patients of Hawai'i's HOME clinic during the era of COVID-19. From September 2020 to 2021, the HOME clinic saw 1198 unique visits with 526 distinct patients. The most common chief complaints included wound care (42.4%), pain (26.9%), and skin complaints (15.7%). A large portion of the population suffered from comorbidities including elevated blood pressure (66%), a formal reported history of hypertension (30.6%), diabetes (11.6%), and psychiatric concerns including schizophrenia (5.2%) and generalized anxiety (5.1%). Additionally, a large portion of patients (57.2%) were substance users including 17.8% of patients endorsing use of alcohol, 48.5% tobacco and 12.5% marijuana. The most common services provided were dispensation of medication (58.7%), wound cleaning/dressing changes (30.7%), and alcohol or other drug cessation counseling (25.2%). This study emphasizes that the houseless are a diverse population with complex, evolving medical needs and a high prevalence of chronic diseases and comorbidities.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 6","pages":"158-161"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11161211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296848","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

Public Health Communication to Build Equity: 10 Best Practice Pandemic Insights and Examples from Hawai'i. 建立公平的公共卫生传播：夏威夷大流行病的 10 个最佳实践启示和范例》（Public Health Communication to Build Equity: 10 Best Practice Pandemic Insights and Examples from Hawai'i.

Hawai''i journal of health & social welfare Pub Date : 2024-06-01 DOI: 10.62547/HHZJ2325

Tetine Sentell, Julia Finn, N Kuuleimomi Tolentino, Kim Ku'ulei Birnie, Michael M Phillips

引用次数: 0