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Pacific Islanders--migration and health.

J Fitzpatrick-Nietschmann

    The Western Journal of Medicine
    |December 1, 1983
    PubMed
    Summary

    Pacific Islanders, including Native Hawaiians, face high rates of chronic diseases like cardiovascular disease, diabetes, and hypertension due to westernization and lifestyle changes. Access to adequate medical treatment remains a challenge for these communities.

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    Area of Science:

    • Public Health
    • Health Disparities
    • Epidemiology

    Background:

    • Pacific Islanders, encompassing Native Hawaiians and peoples from American Samoa, Guam, and the Trust Territories, are recipients of US subsidized health care.
    • Despite biological and cultural diversity, westernization and migration have led to similar disease patterns among these groups.
    • Pacific Islanders exhibit high prevalence of chronic diseases associated with western lifestyles.

    Purpose of the Study:

    • To examine the health challenges faced by Pacific Islanders within the US healthcare system.
    • To highlight the impact of westernization and lifestyle changes on disease patterns in these populations.
    • To underscore the difficulties these communities encounter in accessing adequate medical treatment.

    Main Methods:

    • This study is a review of existing literature and health data concerning Pacific Islander populations.
    • Analysis focuses on disease patterns, lifestyle changes, and healthcare access.
    • The research synthesizes information on cultural, historical, and socio-economic factors influencing health outcomes.

    Main Results:

    • Pacific Islanders demonstrate elevated rates of cardiovascular disease, diabetes mellitus, and hypertension.
    • Obesity is a significant health concern, linked to dietary shifts and reduced physical activity.
    • Cultural and linguistic differences contribute to marginalization within the US social structure, impeding healthcare access.

    Conclusions:

    • Westernization and associated lifestyle changes have resulted in a high burden of chronic diseases among Pacific Islanders.
    • Socio-cultural factors and marginalization exacerbate difficulties in obtaining adequate healthcare for these populations.
    • Addressing the complex health needs of Pacific Islanders requires culturally sensitive and accessible healthcare solutions.

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