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Dietetics Practice in the Unique, Culturally Diverse Pacific Island Region
Cynthia L Endrizal1,2,3,4,5,6, Marie Kainoa Fialkowski1,2,3,4,5,6, Jim Davis1,2,3,4,5,6
1Biomedical Sciences, Clinical Research, John A. Burns School of Medicine, University of Hawai'i at Manoa, Honolulu, HI (CLE).
Summary
Registered Dietitian Nutritionists in the Pacific Islands face unique challenges due to cultural diversity. There is a high demand for culturally relevant nutrition resources, especially for Asian and Pacific Islander populations managing chronic diseases like diabetes.
Area of Science:
- Public Health Nutrition
- Dietetics Practice
- Health Disparities in Isolated Regions
Background:
- The Pacific Island region has high rates of chronic disease, particularly among Pacific Islander populations.
- Cultural diversity in the region presents challenges for dietetics practice, including nutrition education and medical nutrition therapy.
- There is a recognized need to understand the specific needs and practices of Registered Dietitian Nutritionists (RDNs) in this unique setting.
Purpose of the Study:
- To describe the current dietetics practice in the Pacific Island region.
- To identify the populations served by RDNs and their specific resource needs.
- To assess the cultural relevance of nutrition resources for RDNs in the Pacific Islands.
Main Methods:
- An online survey was administered to members of the Hawai'i Affiliate of the Academy of Nutrition and Dietetics between 2013-2014.
- The survey collected data on RDN demographics, patient caseloads, populations served, and perceived needs for culturally relevant resources.
- 104 usable responses were obtained and analyzed.
Main Results:
- Most survey participants were female RDNs working in the Hawaiian Islands.
- A significant proportion of RDNs (one-third) managed high patient loads (>100 clients/month).
- The most prevalent populations served were of Asian and Pacific Islander descent, with the greatest need for culturally relevant resources focusing on weight control and diabetes management.
Conclusions:
- Dietetics practice in the Pacific Island region is distinct due to the high prevalence of Asian and Pacific Islander clients.
- Findings highlight an urgent need for the development of new, culturally tailored online nutrition resources.
- Accessible online resources can enhance dietetics practice and support healthcare practitioners serving diverse populations in the Pacific Islands.
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