Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health最新文献_第9页

Are There Gender Differences in the Psychological Effects of Ethnic Identity and Discrimination in Hawai'i? 夏威夷族群认同与歧视的心理效应是否存在性别差异?

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-11-01

Krysia N Mossakowski

{"title":"Are There Gender Differences in the Psychological Effects of Ethnic Identity and Discrimination in Hawai'i?","authors":"Krysia N Mossakowski","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study is to investigate whether there are gender differences in the psychological effects of ethnic identity and discrimination in Hawai'i. Using data from an anonymous survey of undergraduate students (N = 1,033) at a university in Hawai'i, regression results revealed that higher levels of ethnic identification were associated with significantly lower levels of depressive symptoms. This association was statistically significant (P < .001), adjusting for gender, age, socioeconomic status, racial/ethnic group, mixed racial/ethnic status, years living in Hawai'i, immigrant status, and discrimination. Interaction effects (b = 2.55; P < .05) further indicated that the inverse relationship between ethnic identity and symptoms of depression was stronger for men than women. Also, everyday discrimination was significantly more psychologically distressing for women (b = 0.19; P < .05) than men. Overall, these findings suggest that a strong ethnic identity, which encompasses ethnic pride and knowledge, involvement in ethnic practices, and a cultural commitment or feeling of belonging to one's ethnic group, significantly benefits mental health, and to a greater extent among men. Although the chronic stress of discrimination (not necessarily due to race/ethnicity) was linked with increased levels of distress among both men and women, it was significantly more intense among women. Future research is needed to uncover why the mental health consequences of everyday discrimination and a salient ethnic identity would be different for young men and women in this cultural context and whether this holds true in other locations in the United States.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"77 11","pages":"289-294"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218684/pdf/hjmph7711_0289.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36665710","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

Medical School Hotline: Student Reactions to Receiving Their Acceptance Letter to the John A. Burns School of Medicine. 医学院热线:学生收到约翰·a·伯恩斯医学院录取通知书的反应。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-11-01

Damon H Sakai, Satoru Izutsu

引用次数: 0

Insights in Public Health: Data Highlights from the Hawai'i Youth Risk Behavior Survey: Links Between Academic Achievement and Health Behaviors. 公共卫生洞察:来自夏威夷青少年危险行为调查的数据亮点:学业成绩与健康行为之间的联系。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-11-01

Rebekah Rodericks, Uyen Vu, Joshua Ryan Holmes, Jennifer Ryan, Tetine Sentell, Susan Saka

{"title":"Insights in Public Health: Data Highlights from the Hawai'i Youth Risk Behavior Survey: Links Between Academic Achievement and Health Behaviors.","authors":"Rebekah Rodericks, Uyen Vu, Joshua Ryan Holmes, Jennifer Ryan, Tetine Sentell, Susan Saka","doi":"","DOIUrl":"","url":null,"abstract":"The Youth Risk Behavior Survey is administered biennially in odd years to public middle and high school students in Hawai'i. Data highlights are presented from Hawaii's 2017 high school survey results to enhance understanding of the relationship between health and academic achievement. This article reviews a select set of health-risk behaviors and their association with academic grades for Hawai'i public school students. The findings demonstrate that students who self-reported engaging in health protective behaviors also reported higher academic grades in school, while those who engaged in health-risk behaviors were more likely to report lower grades in school. This discussion can provide useful background information and benchmarks for research, policy, and local initiatives. It also supports the need for continued collaboration and a synergistic approach between education and health partners in Hawai'i in order to improve the health and academic achievement of our youth.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"77 11","pages":"297-304"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218687/pdf/hjmph7711_0297.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36665712","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

Hawai'i Journal Watch: Highlights of recent research from the University of Hawai'i and the Hawai'i State Department of Health. 《夏威夷杂志观察》:夏威夷大学和夏威夷州卫生部最近的研究亮点。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-11-01

Karen Rowan

引用次数: 0

Physical Activity, Nutrition, and Obesity among Pacific Islander Youth and Young Adults in Southern California: An Exploratory Study. 南加州太平洋岛民青少年中的体育活动、营养和肥胖问题：一项探索性研究。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-10-01

Sora P Tanjasiri, Lenny D Wiersma, Karen L Moy, Archana McEligot

{"title":"Physical Activity, Nutrition, and Obesity among Pacific Islander Youth and Young Adults in Southern California: An Exploratory Study.","authors":"Sora P Tanjasiri, Lenny D Wiersma, Karen L Moy, Archana McEligot","doi":"","DOIUrl":"","url":null,"abstract":"This exploratory study aimed to assess obesity, physical activity, and nutrition among Pacific Islander youth and young adults in Southern California. A total of 129 Tongan, Samoan, and Marshallese participated in the study, including relatively similar proportions of males and females and age groups. We calculated Body Mass Index (BMI), dietary intake by a food frequency questionnaire (FFQ), and 7-day physical activity levels with accelerometers. Overall, 84% of Tongan, 76% of Samoan, and 24% of Marshallese participants were overweight or obese, with mean BMI of 31.2 and 34.3 kg/m2 (for Tongan males and females), 32.3 and 33.4 kg/m2 (Samoan males and females), and 25.3 and 22.1 kg/m2 (Marshallese males and females). We found moderate- and vigorous-intensity physical activity (MVPA) fell below current guidelines at 38 min/day, with over 87% engaging in light-intensity PA and large sedentary times. Daily percent of energy from saturated fat, fiber/1,000 kcal and dairy intake were higher in Tongans compared to Samoans and Marshallese. Despite promising outcomes from this study, high prevalence of overweight, low physical activity levels, and high caloric intake put Pacific Islander youth and young adults at risk for a variety of health concerns and future efforts should focus on further research as well as community-wide prevention and amelioration efforts.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"77 10","pages":"251-258"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176268/pdf/hjmph7710_0251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36587046","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

Adult Onset Henoch-Schonlein Purpura associated with a Metastatic Malignancy of Unknown Primary Origin. 成人发作的过敏性紫癜与原发不明的转移性恶性肿瘤相关。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-10-01

Therese Posas-Mendoza, Dayna Lucuab-Fegurgur, Jefferson Roberts

引用次数: 0

The Daniel K. Inouye College of Pharmacy Scripts: The Effects of Vancomycin Use and De-escalation in Patients Hospitalized with Pneumonia. Daniel K. Inouye药学院脚本:万古霉素在住院肺炎患者中的使用和降压作用。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-10-01

Aryn S You, Bryce T Fukunaga, Alexandra L Hanlon, Alicia J Lozano, Roy A Goo

{"title":"The Daniel K. Inouye College of Pharmacy Scripts: The Effects of Vancomycin Use and De-escalation in Patients Hospitalized with Pneumonia.","authors":"Aryn S You, Bryce T Fukunaga, Alexandra L Hanlon, Alicia J Lozano, Roy A Goo","doi":"","DOIUrl":"","url":null,"abstract":"Methicillin-resistant Staphylococcus aureus (MRSA) causes about 80,000 severe infections each year. Compared to Methicillin-susceptible Staphylococcus aureus (MSSA), MRSA is associated with higher mortality and increased hospital length of stay (LOS). Vancomycin hydrochloride, an antibiotic with activity against MRSA is often used as empiric therapy for pneumonia. However, current pneumonia treatment guidelines recommend against the routine use of MRSA coverage since MRSA prevalence rates are low. In this retrospective, observational study, 38.3% of the population received vancomycin while only 2.6% had evidence of a MRSA infection. Data was gathered manually from electronic medical records from four hospitals over a six-month period. To identify a well-balanced comparison and account for potential confounders, matching on the propensity scores was conducted. Prior to matching, those who received vancomycin had a significantly higher rate of mortality (14.3% vs 4.9%, P < .001) and higher LOS (9.6 days vs 7.2 days, P < .001). Those who were de-escalated from vancomycin had a significantly lower LOS (8.3 days vs 11.6 days, P = .001) with no difference in mortality. After performing a survival analysis on matching data, those who received vancomycin had a significantly higher LOS (9.2 days vs 7.5 days, P = .002) with no difference in mortality (P = .1737). Those who were de-escalated had a significantly lower LOS (8.3 days vs 11.3 days, P=.005) with no difference in mortality (P = .8624). This study demonstrates a low prevalence of MRSA with the potential overuse of vancomycin. This along with no difference in mortality and a lower LOS supports the recommendation to limit vancomycin use as clinically appropriate. If vancomycin is used, assessment for rapid de-escalation is needed.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"77 10","pages":"261-267"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176271/pdf/hjmph7710_0261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36587047","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

Medical School Hotline: The Department of Medical Technology at the John A. Burns School of Medicine, University of Hawai'i at Manoa. 医学院热线:夏威夷大学马诺阿分校约翰·a·伯恩斯医学院医疗技术系。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-10-01

Dick Y Teshima, Ray Yamaguchi, Satoru Izutsu

引用次数: 0

Assessing the Accuracy of Physician Self-disclosed PID Reporting: A Comparison of Data from a Physician Survey and Actual PID Case Reports from a State Surveillance System. 评估医师自我披露PID报告的准确性：来自医师调查的数据与来自国家监测系统的实际PID病例报告的比较。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-10-01

Misty Y Pacheco, Alan R Katz

{"title":"Assessing the Accuracy of Physician Self-disclosed PID Reporting: A Comparison of Data from a Physician Survey and Actual PID Case Reports from a State Surveillance System.","authors":"Misty Y Pacheco, Alan R Katz","doi":"","DOIUrl":"","url":null,"abstract":"Pelvic inflammatory disease is a state-mandated notifiable disease in Hawai'i. A survey assessing pelvic inflammatory disease (PID) reporting to the Hawai'i Department of Health (HDOH) PID surveillance system, was administered to physicians in Hawai'i in April 2012. To measure the accuracy of self-disclosed PID reporting, data from the survey were compared to HDOH PID surveillance system case reports. Concordance between the two data sources was assessed using Cohen's kappa statistic. We first linked data by physician name. An adjusted kappa was also calculated to minimize prevalence and bias effects. A second analysis linked data according to physician name or practice setting. In the name-based analysis, the HDOH PID surveillance database successfully matched only ten of 118 physicians (8.5%) who self-disclosed reporting a PID case. Only \"slight agreement\" (k= 0.09, 95% confidence interval [CI]: 0.02-0.16) was demonstrated between the two databases. The prevalence-adjusted, bias-adjusted kappa demonstrated \"moderate agreement\" (κ=0.53, 95% CI: 0.45-0.60). In the second (name or practice-based setting) analysis, 77 physicians with linkages were found in the HDOH surveillance database, reflecting \"moderate agreement\" (κ=0.52, 95% CI 0.43, 0.61). Our findings provide evidence that individual physicians are submerging their case reports into group practice/HMO aggregate reports and not reporting individually as legally mandated and hence are compromising PID surveillance quality.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"77 10","pages":"246-250"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176267/pdf/hjmph7710_0246.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153482","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

Insights in Public Health: An Island-Wide Community Food Assessment in Lana'i, Hawai'i: A High School Student-Centered Project. 公共卫生洞察:夏威夷拉那岛全岛社区食品评估:一个以高中生为中心的项目。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2018-09-01

Karen de Brum

{"title":"Insights in Public Health: An Island-Wide Community Food Assessment in Lana'i, Hawai'i: A High School Student-Centered Project.","authors":"Karen de Brum","doi":"","DOIUrl":"","url":null,"abstract":"Lana'i is a geographically isolated Hawaiian island of approximately 3,100 residents. During the 2017-2018 school year, 22 Lana'i High and Elementary School juniors and seniors engaged with community members, kupuna (elders, those who stand at the source), stakeholders, and expert consultants to conduct an island-wide Community Food Assessment (CFA). A CFA can provide a community comprehensive information about their food systems. Particular attention was given to indigenous, Native Hawaiian food culture and needs. Students collected 656 surveys from a population of about 2,200 adults. Students also completed 14 separate focus groups, interviewing a total of 43 adults in the Lana'i community. This high school student-driven project was the product of many years of engagement and preparation, generosity from community members and content experts, and fortunate circumstances. This paper (1) describes the history of the project, providing useful details around the process of building capacity, leveraging connections, and engaging high school students and community members around a critical health issue in this rural community; and (2) highlights key findings that will be useful for policy development and advocacy.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"77 9","pages":"233-237"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137575/pdf/hjmph7709_0233.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36496989","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