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The effect of acculturation on drinking attitudes among Japanese in Japan and Japanese Americans in Hawaii and California.

Data from a joint Japan-U.S. collaborative study were examined to determine the relationship of acculturation to drinking attitudes among Japanese in Japan and Japanese Americans in Hawaii and California. Drinking attitudes (i.e., self-reported acceptable or appropriate levels of drinking) among ethnic groups differed significantly for the nine situations studied: (1) at a bar with friends, (2) at a party at someone else's house, (3) as a parent, spending time with small children, (4) during working hours, (5) visiting in-laws, (6) with friends at home, (7) with friends after work, (8) with people at sports events and (9) before driving a car. Factor analysis was used to determine the differences in drinking attitudes among these ethnic groups. Japanese and Japanese Americans differentiated drinking situations into different categories. The major difference between the two groups was that the Japanese associated spending time with small children with a situation appropriate for drinking, such as being with friends at home, whereas Japanese Americans associated spending time with small children with a situation inappropriate for drinking, such as before driving.

Acculturation↗

Descriptive epidemiology of oral clefts in a multiethnic population, Hawaii, 1986-2000.

OBJECTIVE: To describe the relationship between oral clefts and demographic and clinical factors in Hawaii. METHODS: Data were obtained from a birth defects registry and included all infants and fetuses with oral clefts delivered during 1986 through 2000. Subjects were categorized as total, isolated, and nonisolated cleft lip with or without cleft palate (CL+/-P) or cleft palate without cleft lip (CP). RESULTS: There were 352 total subjects of CL+/-P and 192 total subjects of CP with corresponding rates per 10,000 live births of 12.5 for CL+/-P and 6.8 for CP. Total, isolated, and nonisolated CL+/-P rates demonstrated no clear pattern by maternal age. The total and nonisolated CP rates tended to be higher among older maternal age groups. The total CL+/-P rate was higher among Far East Asians, Pacific Islanders, and Filipinos than among whites. The total CP rate was higher among Far East Asians and Pacific Islanders than among whites, whereas the rate for Filipinos was lower than for whites. The total CL+/-P rate was substantially lower among females (rate ratio 0.62, 95% confidence interval [CI] = 0.49 to 0.77) and the total CP rate substantially higher among females (rate ratio 1.52, 95% CI = 1.13 to 2.06). Both CL+/-P and CP were more common with lower birth weight and gestational age among the total, isolated, and nonisolated groups. CONCLUSIONS: Oral cleft risk was associated with maternal race/ethnicity, sex, birth weight, and gestational age. Although some of the observed associations were consistent with the literature, others were not.

Asian People↗

Methyl eugenol and cue-lure traps for suppression of male oriental fruit flies and melon flies (Diptera: Tephritidae) in Hawaii: effects of lure mixtures and weathering.

Methyl eugenol (4-allyl-1,2-dimethoxybenzene-carboxylate) and cue-lure [4-(p-acetoxyphenyl)-2-butanone] are highly attractive kairomone lures to oriental fruit fly, Bactrocera dorsalis (Hendel), and melon fly, B. cucurbitae (Coquillett), respectively. Plastic bucket traps were evaluated as dispensers for methyl eugenol and cue-lure for suppression of the 2 fruit flies in Hawaii. Methyl eugenol and cue-lure mixtures were compared with pure methyl eugenol or cue-lure over 4 seasons. B. dorsalis captures differed significantly with treatment and season. B. dorsalis captures with 100% methyl-eugenol were significantly greater than all other treatments (25, 50, and 75%). B. cucurbitae captures also differed significantly with treatment but not with season. Captures with 100, 75, and 50% cue-lure were not significantly different. Bucket traps baited with cue-lure (+ malathion) and weathered under Hawaiian climatic conditions were attractive to B. cucurbitae up to 8 wk. Two methyl eugenol dispensers (canec disks and Min-U-Gel) were compared with bucket traps. Dispensers (methyl eugenol + malathion) were weathered for 2-16 wk under Hawaiian climatic conditions and bioassayed during summer and winter. Initially, captures of B. dorsalis were not significantly different for the 3 dispensers. Bucket traps and canec disks were most resistant to weather, remaining attractive to B. dorsalis flies up to 16 wk. Min-U-Gel was least resistant, losing attractiveness to B. dorsalis flies within 2 wk. On the basis of performance, bucket traps and canec disks were equally long-lived up to 14 wk; thereafter, bucket traps were slightly more attractive during winter. Canec disks were cheapest, but on the basis of possible environmental concerns, bucket traps may be the best all-around choice for areawide suppression of fruit flies.

Animals↗

Effect of mango weevil (Coleoptera: Curculionidae) damage on mango seed viability in Hawaii.

The mango weevil, Cryptorhynchus (= Sternochetus) mangiferae (F.), is a federally quarantined pest that prevents shipment of mangos from Hawaii into the continental United States. Although this monophagous weevil allegedly causes reduced seed germination, damage to the fruit pulp, and premature fruit drop in mangos, there are few studies examining these potential sources of crop loss. We conducted studies to assess the effect of mango weevil infestation on seed viability while making observations on the frequency of pulp feeding. Naturally infested seeds from mature fruit were planted in pots and scored for successful germination. Germination rates for infested seeds were equal to those of uninfested control seeds in a polyembryonic cultivar ('Common'), whereas germination was significantly reduced for infested seeds of a monoembryonic cultivar ('Haden') compared with uninfested control seeds but germination of infested seeds was still > 70%. To assess seed tolerance of damage, seeds were artificially damaged by cutting away 25, 50, or 75% of the cotyledon before planting and scored for germination. None of the damage treatments was significantly different from the undamaged controls, indicating that mango seeds can withstand substantial damage and still germinate successfully. Over the 2-yr period we conducted experiments, only four of 3,602 mango fruits (0.11%) showed evidence of direct feeding damage to the pulp. Results suggest that C. mangiferae is a less serious pest of mangos than previously thought.

Animals↗

Hot water immersion to ensure quarantine security for Cryptophlebia spp. (Lepidoptera: Tortricidae) in lychee and longan exported from Hawaii.

We determined whether immersion in 49 degrees C water for 20 min, a quarantine treatment developed for disinfestation of fruit flies in lychee, Litchi chinensis Sonn., and longan, Dimocarpus longan (Lourd.) Steud., exported from Hawaii, would also disinfest fruit of two species of Cryptophlebia. The pattern of tolerance to heat in Cryptophlebia illepida (Butler) was generally eggs < neonates < early instars = late instars < pupae. No C. illepida survived immersion for 16 or 20 min. Late fourth and fifth instars were determined to be the most tolerant stage that occurs in harvested fruit. Late instars of Cryptophlebia ombrodelta (Lower) were more tolerant of hot-water immersion than those of C. illepida, but no C. ombrodelta late instars survived immersion for 16 or 20 min. The hot water immersion quarantine treatment for fruit flies should effectively disinfest lychees and longans of any Cryptophlebia.

Animals↗

Population dynamics and within-plant distribution of the mite Calacarus flagelliseta (Acari: Eriophyidae) on papaya in Hawaii.

An important element in developing a management strategy for a new pest is the study of its seasonal dynamics and within-plant distribution. Here, we studied the mite Calacarus flagelliseta Fletchmann, De Moraes & Barbosa on papaya, Papaya carica L. (Caricaceae), in Hawaii to quantify 1) patterns of seasonal abundance, 2) its distribution across different vertical strata of the papaya canopy, and 3) shifts in its use of the upper versus the lower surfaces of papaya leaves. Nondestructive sampling conducted in two papaya plantings revealed that 1) populations of C. flagelliseta peak during the summer; 2) mites are most abundant in the middle and lower strata of the plant canopy, and least abundant on the youngest leaves found in the upper canopy; and 3) mites are found more predominantly on the upper leaf surfaces when overall population density peaks, suggesting that individuals move from the lower to the upper leaf surfaces when food resources on the lower leaf surface have been exploited by conspecifics. These results have significant implications for the development of sampling plans for C. flagelliseta in papaya.

Animals↗

Probabilistic risk assessment for snails, slugs, and endangered honeycreepers in diphacinone rodenticide baited areas on Hawaii, USA.

Three probabilistic models were developed for characterizing the risk of mortality and subacute coagulopathy to Poouli, an endangered nontarget avian species, in broadcast diphacinone-baited areas on Hawaii, USA. For single-day exposure, the risk of Poouli mortality approaches 0. For 5-d exposure, the mean probability of mortality increased to 3% for adult and 8% for juvenile Poouli populations. For Poouli that consume snails containing diphacinone residues for 14 d, the model predicted increased levels of coagulopathy for 0.42 and 11% of adult and juvenile Poouli populations, respectively. Worst-case deterministic risk characterizations predicted acceptable levels of risk for nonthreatened or endangered species such as northern bobwhite quail and mallards. Also, no acute toxicity was noted for snails and slugs that feed on diphacinone baits.

Animals↗

Seasonal patterns of skin melanoma incidence in Hawaii.

We analyzed the seasonal pattern of diagnosis of malignant melanoma of the skin among Caucasians in Hawaii during 1960-1978. For all cases combined, a significant sine-wave pattern with a summertime peak was found. This pattern was most pronounced for melanoma of head and neck and lower extremities and for persons age 50 and over. These findings support the hypothesis that solar ultraviolet radiation may be a short-term promoter of some malignant melanomas of the skin.

Adolescent↗

Characteristics of joggers among Japanese men in Hawaii.

In a population-based cohort of Japanese American men in Hawaii, the 450 joggers differed from 6,171 nonjoggers in being younger, taller, heavier, and more obese; in having larger vital capacity, higher socioeconomic status, and a higher prevalence of certain electrocardiographic abnormalities; and in being more health conscious as demonstrated by less smoking and a higher frequency of special diets. Blood pressure, serum total cholesterol, hematocrit and high density lipoprotein cholesterol (HDL-C) did not differ significantly between the two groups. Multiple regression analysis showed HDL-C to be inversely related to obesity and cigarettes, and directly related to alcohol consumption but to have no relationship to jogging or age. Temporal analyses suggested that initiation of jogging was followed by a reduction in heart rate, but there was no significant change in other measured parameters. Coronary heart disease (CHD) prevalence was increased in joggers, perhaps because the diagnosis of CHD predisposes to this activity. We conclude that jogging has probably had little impact on the health of this cohort.

Aged↗

The Hawaii Chlamydia Network Project: a successful program incorporating close intra-agency cooperation.

The Hawaii State Department of Health's Chlamydia Network Project screened 272 asymptomatic females for chlamydia; 20 (7.4 per cent) were found to be positive. When interviewed, 75 per cent (15/20) of the cases gave information such that their sexual partner(s) could be located. Ninety per cent (14/16) of the locatable partners were brought to examination within seven days. Keys to success were the training of family planning clinic staff in STD (sexually transmitted disease) control methods, and close intra-agency cooperation.

Adult↗

Diabetes in Hawaii: estimating prevalence from insurance claims data.

OBJECTIVES: The purpose of this study was to determine the prevalence of diabetes mellitus in Hawaii from insurance claims data. METHODS: Information from two major health plans covering approximately 66% of the state's population was used to estimate prevalence rates by sex, age group, and geographic area. Weighted multiple linear regression was applied to identify predictors of diabetes prevalence. RESULTS: The statewide diabetes prevalence was estimated at 43.8 per 1000 persons. The ethnic composition of the population and rural residence partially explained the geographic variation in diabetes prevalence. CONCLUSIONS: Insurance claims data may be a useful tool for population-based diabetes surveillance.

Adult↗

A cross-cultural health study of Japanese and Caucasian elders in Hawaii.

A study of 1098 Japanese and 873 Caucasians sixty years of age and over from Hawaii State Department of Health data files revealed that better health was predicted not only by younger age, higher family income, and maintenance of work role, but also by Japanese ethnicity. Standardized partial regression coefficients showed ethnic membership per se to be as important as any of the demographic variables. Canonical correlation yielded the best correlation of the independent variables with a health index made up of number of chronic conditions, number of bed days and number of restricted days, with each of equal weight. Findings suggest the importance of ethno-cultural supports in health maintenance of the elderly, and have theoretical relevance for the role of culture in health.

Aged↗

Teaching literacy and mathematics skills to adult psychiatric inpatients: an evaluation of the adult literacy program at Hawaii State Hospital.

The Adult Literacy Program at Hawaii State Hospital utilized techniques drawn from the Morningside Model of Generative Instruction. In a study involving psychiatric inpatients, participants were taught reading, mathematics, or both over a 6- to 8-month time span. Using the Woodcock-Johnson Psychoeducational Battery-Revised, it was determined that nearly half of the participants demonstrated academic gains during the study period. Further, a behavioral observation system indicated that participants were on-task 80% of the observation time and staff engaged in positive interactions nearly 20% of the observation time. This study is the first of its kind to document any efficacy for academic instruction with a psychiatric inpatient population.

Adult↗

First collection of Anopheles (Anopheles) punctipennis (Say) on Oahu, Hawaii: implications for the potential introduction of West Nile virus.

A single adult female of Anopheles (Anopheles) punctipennis (Say) was collected in a New Jersey light trap in the port area of Honolulu, Oahu, HI, on December 8, 2003. This is the 1st record of a wild-collected, intact Anopheles mosquito, and the 1st detection of An. punctipennis in the Hawaiian Islands. Extensive larval surveillance and additional light trapping in the area of the collection site indicate that populations of this species have not become established on Oahu. The distribution of An. punctipennis largely coincides with the distribution of West Nile virus (WNV) in North America. Although An. punctipennis is not an important vector of WNV, Culex quinquefasciatus and Cx. tarsalis are important vectors of WNV and occur in areas of North America with active WNV transmission. Culex quinquefasciatus is established in Hawaii, and Cx. tarsalis has been detected on multiple occasions by quarantine. Increased quarantine inspections, disinsection of airline cargo holds, enhanced vector surveillance, and the development of sanitary corridors around airports and port facilities are necessary to reduce the introduction of vectors and pathogens.

Animals↗

Thalassemia heterozygotes in Hawaii: ethnic attitudes toward screening and prenatal diagnosis.

The attitudes toward screening and prenatal diagnosis for the hemoglobinopathies Hb E and alpha-thalassemia, prevalent in Southeast Asia, it were studied in Southeast Asians living in Hawaii. Since May 1985, one Laotian and two Filipino Outreach Workers were trained to make home visits to educate and recruit prospective subjects for a federally-funded thalassemia screening project. Volunteers over age 18 were interviewed to assess their comprehension about thalassemia and their attitudes toward screening, family planning, and prenatal diagnosis using structured questionnaires to measure subjective responses. Prenatal diagnosis was explained to all subjects using simple brochures in Laotian and in three Filipino dialects. Culturally oriented genetic counceling was offered to all heterozygotes, emphasizing that their status was common and benign. By July 1987, 597 adult participants had been interviewed; 262 were male, 335 female (65 pregnant); 250 were Laotian, 221 Filipino, 90 Chinese, and 36 of other races. Among female interviewees, 268 said they would want prenatal diagnosis and 196 said they would abort an affected fetus. Most interviewees, especially those who were pregnant, were in favor of: 1) public education about screening, 2) having relatives tested, and 3) prenatal diagnosis when indicated. These attitudes seemed to be influenced by Western culture and religious constraints. Comprehension of genetic concepts correlated closely with education. Ten pregnancies occurred in 16 couples where both partners were heterozygous for a thalassemia (thal) (at least two non-referred couples had homozygous alpha-thal-1 fetuses during this time). Five had amniocentesis for risk of alpha-thal homozygosity, two for risk of beta-thal homozygosity, two miscarried, and one was referred too late for fetal testing. After amniocentesis, one couple declined termination for a fetus with Hb E/beta-thal, and was sceptical of the results when their infant seemed normal at birth; one couple kept a homozygous beta-thal fetus, possibly modified by alpha-gene deletions.

Abortion, Eugenic↗

Relationship of temperature and humidity to conception rate of Holstein cows in Hawaii.

Weather data and breeding records for a Holstein herd of 1300 cows in Hawaii were evaluated to determine effects of climate on reproductive performance. The dairy is in a coastal climate near latitude 21 degrees N. Average maximum temperature, relative humidity, and resulting temperature-humidity index for the warmest month of the year were 31 C, 44%, and 79. Average minimum temperature and attending values for the same period were 20 C, 96%, and 68. From late April to November, conception rates were correlated negatively with the average temperature-humidity index of each day of the estrous cycle beginning 11 days prior to breeding. Slopes of regression lines differed, suggesting varying sensitivity of conception rate to heat stress on different days of the cycle. The temperature-humidity index of the 2nd day prior to breeding was most closely correlated with conception rate. Conception rates declined from 66% to 35% as the index increased from 68 to 78. Only the temperature-humdity index of the 2nd day prior to breeding had a significant partial correlation coefficient when the index of the 2nd and 1st day prior to breeding, the day of breeding, and the day following breeding were each evaluated with the index of the others held constant.

Animals↗

Methicillin-resistant Staphylococcus aureus, Hawaii, 2000-2002.

The emergence of methicillin-resistant Staphylococcus aureus (MRSA) has generated considerable concern among medical and public health professionals. We used a statewide, population-based antimicrobial resistance surveillance system to examine epidemiologic trends for MRSA from outpatients and inpatients in Hawaii. Pediatric and adult patient populations were compared to assess characteristics of MRSA isolates specific for each group. From 2000 to 2002, 8,206 (26%) of 31,482 total S. aureus isolates were MRSA. During this period, the proportion of MRSA isolates increased in both outpatient and inpatient clinical settings (p<0.01). When stratified by age, annual trends showed a significant increase in the proportion of MRSA in adult patients (from 24% to 30%, p<0.01) but not in pediatric patients (from 25% to 27%, p>0.05). Although MRSA isolates from adults demonstrated high resistance to most non-beta-lactams, most MRSA isolates from pediatric outpatients remained susceptible to most non-beta-lactams.

Adolescent↗

Biologic properties of dengue viruses following serial passage in primary dog kidney cells: studies at the University of Hawaii.

Serial passage at low dilution of seven different wild-type dengue (DEN) viruses into primary dog kidney (PDK) cell cultures placed selective pressure that resulted in the following changes from parental phenotype: smaller plaques in LLC-MK2 cells, absent plaque formation in green monkey kidney cells, lack of a cytopathic effect in LLC-MK2 cells, shut-off of virus replication at high temperatures (temperature sensitivity), reduced virulence for rhesus monkeys manifested by reduced or absent viremia and/or absence of a secondary-type antibody response following homotypic challenge, and progressive increase in the mean day of death following intracerebral inoculation of sucking mice. Two DEN-1 strains showed most of these changes by the 15th PDK passage. Only one of two DEN-2 strains studied was carried to the 50th PDK passage at the University of Hawaii. For the latter strain, both the temperature of viral replicative shutoff and mouse neurovirulence were reduced. Three DEN-4 strains showed similar late-passage biologic marker changes. The observations made, although not exhaustive, provide laboratory correlates for virus strains that have shown reduced virulence but retained immunogenicity in humans. Candidate human vaccines have been prepared from five of the studied strains: DEN-1 (16007) at PDK 13, DEN-2 (16681 and S-16803) at PDK 50 or above, and DEN-4 (1036 and 341750) at PDK 48 and 20, respectively.

Animals↗