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At least 19 recordsLinked to original sources
PubMed1995

Picture imperfect: hidden problems among Asian Pacific islander elderly.

Asian Pacific Islander (API) elderly represent the fastest growing group of ethnic elderly in the United States, yet their social and health needs remain little understood in the field of ethnogerontology. Existing literature generally portrays API elderly as in equal or better health compared to whites. However, aggregate API data cloud the bimodal distribution in socioeconomic and health status. We review existing literature on API elderly, and examine selected national data to illustrate the effects of a bimodal distribution on our understanding of API elderly socioeconomic and health status. Implications for research and policy are discussed.

Activities of Daily Living↗
PubMed2000

AIDS among Asians and Pacific Islanders in the United States.

OBJECTIVE: To characterize Asians and Pacific Islanders in the United States with reported acquired immunodeficiency syndrome (AIDS). METHODS: AIDS surveillance data reported through June 1998 were analyzed. Characteristics of cumulative case patients, rates of AIDS incidence in 1996 through 1997, and trends from 1982 through 1996 were analyzed. RESULTS: Through December 1998, 4,928 Asian and Pacific Islander adults and 46 Asian and Pacific Islander children with AIDS were reported in the United States. Of the total cases, 89% were in men, and 79% of those were in men who have sex with men (MSM). Five states, which account for 63% of the Asian and Pacific Islander population in the United States, reported 78% of the cases: California (45%), Hawaii (12%), New York (15%), Texas (3%), and Washington (3%). Of the 92% of Asian and Pacific Islander patients with country of birth information, 59% were foreign-born, a percentage that corresponds to the distribution in the general population. The overall incidence rate per 100,000 for 1996 through 1997 was 12.8 (21.3 for men; 3.3 for women). The highest rate was in the Northeast (15.9), followed by the West (13.8), South (10.6), and Midwest (5.7). Tuberculosis, reported for 6% of Asians and Pacific Islanders, was higher among foreign-born than among U.S.-born Asians and Pacific Islanders (8% and 4%, respectively). Between 1982 and 1996, AIDS incidence among MSM increased and peaked in 1994. Among heterosexual contacts and injection drug users, incidence has increased but remained low. CONCLUSIONS: The AIDS epidemic among Asians and Pacific Islanders in the United States has primarily affected MSM and is concentrated in a few states where most Asians and Pacific Islanders reside. Prevention activities should include consideration of cultural diversity and an understanding of cultural norms regarding sexuality. Additional information on risk behaviors and seroprevalence among Asian and Pacific Islander MSM is needed to better guide prevention planning.

Acquired Immunodeficiency Syndrome↗
PubMed2000

Increased nitric oxide production in the respiratory tract in asymptomatic pacific islanders: an association with skin prick reactivity to house dust mite.

BACKGROUND: Exhaled nitric oxide (NO) is increased in asthma and may also be increased in subclinical airway inflammation. The relationship between atopy and subclinical airway inflammation in the pathogenesis of asthma remains unclear. We have evaluated the relationship between exhaled NO levels and skin prick test reactivity to 8 common allergens in 64 asymptomatic adult Pacific Islanders. Pacific Islanders were studied as a racial group with major morbidity from asthma. OBJECTIVE: Our purpose was to determine whether asymptomatic subjects with skin prick test reactivity to common allergens have elevated NO levels. METHODS: All subjects underwent full lung function testing and skin prick testing. Exhaled and nasal NO levels were measured by chemiluminescence (Logan LR2000 analyzer) with use of the single-breath and breath-holding techniques, respectively. RESULTS: House dust mite (HDM) reactivity was seen in 38 of 64 (56%). Exhaled NO levels (median 8.9 ppb, range 2.9-47.3 ppb) and nasal NO levels (527.5 +/- 181.5 ppb) lay above the normal European range in 30% and 25% of subjects, respectively. HDM reactivity was associated with higher exhaled NO levels (P <. 0005) and higher nasal NO levels (P =.01). In HDM-sensitive subjects the wheal size for HDM correlated with exhaled NO levels (r = 0.35, P =.04) and nasal NO levels (r = 0.40, P =.01). On multivariate analysis, exhaled NO levels were independently and positively related to the severity of HDM reactivity (P =.01) and nasal NO levels (P <.02), equation R(2) = 0.27. CONCLUSION: NO levels are elevated in a significant proportion of asymptomatic Pacific Islanders and are associated with HDM sensitivity. This may denote subclinical airway inflammation in this population and suggests that exposure to HDM in atopic individuals might play an important role in the early pathogenesis of asthma.

Adolescent↗
PubMed1992

Incidence of cancer among Pacific Island people in New Zealand.

AIM: to describe the epidemiology of new cancer registrations among Pacific Island people in New Zealand with a view to identifying important cancers for preventive activities. METHODS: new cancer cases registered with the New Zealand Cancer Registry of the Health Statistical Services for the decade 1979-88 were analysed. Cancer cases among Pacific Island people were compared with cancer cases among Maori and the remainder of the New Zealand population (other). RESULTS: while the number of cases reported among Pacific Island people was relatively small (1884), age standardised rates for cancer of all sites were much higher than age standardised rates for Maori and other populations. The age standardised rate (per 100,000 person years) for cancer of all sites among males in all age groups was 400 for Pacific Island, 308.8 for Maori and 295.3 for others. The age standardised rate for cancer of all sites among women in all age groups was 373.3 for Pacific Island women, 324.2 for Maori and 313.4 for other women. Liver cancer was more common among Pacific Island men than could be explained by temporary migration from the Pacific Islands for treatment. The age standardised rate for liver cancer was 28.2 for Pacific Island men, 11.4 for Maori and 1.9 for other men. Cancer of the cervix was the leading site among Pacific Island women as in Maori women, compared with breast cancer among women in the rest of the population. The age standardised rate for cervical cancer was 61.8 for Pacific Island, 69.0 for Maori and 59.3 for other women. CONCLUSION: in the decade 1979-88 there was an excess number of new registrations for some cancers described among Pacific Island people compared with Maori and other ethnic groups. Temporary migration from the Pacific Islands for treatment may explain some of the excess cases.

Adolescent↗
PubMed1998

Dietary intakes of middle-aged European, Maori and Pacific Islands people living in New Zealand.

AIM: To compare dietary intakes of Maori, Pacific Islands and European men and women in New Zealand. METHODS: A food frequency questionnaire was used to calculate nutrient intakes of 5523 New Zealand workers aged 40 years and over (3997 men, 1524 women) from a cross-sectional survey carried out between 1988 to 1990. RESULTS: Compared with European men and women, Maori women and Pacific Islands men and women consumed larger amounts of total energy per day. Age-adjusted nutrients expressed as percentage contribution to total energy intakes showed that Maori and Pacific Islands men and women consumed less carbohydrate, fibre and calcium, and more protein, fat, saturated fat and cholesterol than European men and women, respectively. These results were consistent with fewer servings of cereal and cheese per month, and more servings of red meats, fish and eggs in Maori and Pacific Islands participants compared with Europeans, after adjusting for age and total energy intakes. Pacific Islands men and women also consumed more servings of chicken, fewer cups of milk and fewer servings of fruit per month compared to Europeans. Maori men and women consumed more slices of bread and fewer servings of vegetables per month compared to European men and women. CONCLUSIONS: There were striking differences in dietary habits, food selections and cooking practices between European, Maori and Pacific Islands participants. Dietary intakes of Maori workers were closer to those of Europeans than those of Pacific Islands participants. Ethnic differences were due to larger portion sizes and increased frequency of most foods in Maori and Pacific Islands participants.

Adult↗
PubMed1998

The sexual practices of Asian and Pacific Islander high school students.

PURPOSE: To describe the sexual behaviors, beliefs, and attitudes of Asian and Pacific Islander California high school students and to compare them to other racial/ethnic groups. METHODS: Data were collected from an anonymous self-administered survey of 2026 ninth to 12th graders in a Los Angeles County school district; 186 of the respondents described themselves as Asian and Pacific Islander. The survey was conducted in April 1992. RESULTS: A higher percentage of Asian and Pacific Islander adolescents (73%) compared with African-American (28%, p < .001), Latino (43%, p < .001), white (50%, p < .001), and other (48%, p < .001) adolescents had never had vaginal intercourse. Asian and Pacific Islander adolescents were less likely than other adolescents to report having engaged in heterosexual genital sexual activities during the prior year, including masturbation of or by a partner, fellatio with ejaculation, cunnilingus, and anal intercourse. Few students in any group reported homosexual genital sexual activities. Asians and Pacific Islanders who had had vaginal intercourse were more likely than most other groups to have used a condom at first vaginal intercourse, but Asians and Pacific Islanders had not used condoms more consistently over the prior year. Asians and Pacific Islanders were more likely to expect parental disapproval if they had vaginal intercourse and less likely to think that their peers had had vaginal intercourse. CONCLUSIONS: Asian and Pacific Islander high school students in one California school district appear to be at lower sexual risk than other racial/ethnic groups. However, a large minority are engaging in activities that can transmit disease and lead to unwanted pregnancy. Therefore, current efforts to develop culturally sensitive clinical and community-based approaches to sexual risk prevention should include Asians and Pacific Islanders.

Adolescent↗
PubMed1989

Societies in transition: mortality patterns in Pacific Island populations.

The 22 Pacific Island countries and territories are in a state of demographic and epidemiological transition. Mortality data for the period around 1980 were collected from various sources and are presented in this comparative study. Because death registration in many Pacific countries is deficient some data have been adjusted for underenumeration; and some mortality estimates have been calculated by indirect means, using data from censuses or surveys. Cause of death information is affected by diagnostic inaccuracy and often tabulated in broad categories only; in some Pacific countries cause of death data are only available on hospital deaths. The less developed Melanesian malarious countries and the less developed dispersed atoll nations manifest higher mortality, and higher proportional mortality from infectious disease compared with other states. The more developed US-associated states, two New Zealand-associated states, and New Caledonian Europeans all have reasonably low mortality, and relatively high proportional mortality from cardiovascular disease (CVD). Females have longer life expectancy at birth than males in all countries except Vanuatu and the Solomon Islands. The phosphate-rich island of Nauru presents an atypical picture with considerable adult male mortality from diseases associated with modernization.

Adolescent↗
PubMed1996

Birthweight outcomes among Asian American and Pacific Islander subgroups in the United States.

BACKGROUND: Information on birth outcome among the Asian and Pacific Islander populations in the US is limited. This report examines the risks of moderately low (MLBW) and very low birthweight (VLBW) among six Asian subgroups (Chinese, Japanese, Fillipinos, Asian Indians, Koreans, Vietnamese) and three Pacific Islander subgroups (Hawaiians, Guamanians, Samoans) as compared with non-Hispanic whites. METHODS: Data from the 1992 US Natality File were used to calculate the percentage of MLBW and VLBW births among each Asian American and Pacific Islander subgroup. Logistic regression was used to calculate odds ratios (OR) after adjustment for maternal characteristics. RESULTS: VLBW OR ranged from 0.75 among Chinese to 1.59 among Asian Indians. MLBW OR ranged from 0.89 among Samoans to 2.12 among Asian Indians. Adjusted OR increased for most Asian American groups (e.g. VLBW OR = 1.89 for Asian Indians) and decreased among Pacific Islander subgroups, indicating relatively favourable risk characteristics for Asian Americans and unfavourable characteristics for Pacific Islanders. Risk of VLBW was not necessarily related to risk of MLBW. For instance, the VLBW OR among Japanese was 1.07, compared to an MLBW OR of 1.47. CONCLUSIONS: Marked heterogeneity in birthweight outcome was observed between Asian American and Pacific Islander subgroups. This heterogeneity was not related to traditional demographic risk factors. Additionally, risks of VLBW and MLBW were not always related. These findings suggests that the Asian American and Pacific Islander populations should not be aggregated into a single category, and that traditional measures of risk and birth outcome may not be valid for those groups.

Adolescent↗
PubMed1988

The epidemiology of AIDS in Asian and Pacific Islander populations in San Francisco.

To evaluate the epidemiology of HIV infection in Asian and Pacific Islander populations in San Francisco, we compared cases of AIDS reported in Asians and Pacific Islanders with those reported in other racial and ethnic groups. The incidence of AIDS in Asians and Pacific Islanders was significantly lower than in Whites, Blacks, Latinos and American Indians and Alaska natives. AIDS cases among Asians and Pacific Islanders have increased 177% since 1985 compared with 54% in other racial and ethnic groups, with the greatest increase in homosexual and bisexual men and transfusion recipients. Among Asian and Pacific Islander ethnic groups, the incidence of AIDS was 168 cases per 100,000 in Polynesians, 141 per 100,000 in Japanese, 92 per 100,000 in 100 Filipinos, 72 per 100,000 in southeast Asians, and 21 per 100,000 in Chinese. We conclude that AIDS cases are disproportionately increasing in Asians and Pacific Islanders in San Francisco.

Acquired Immunodeficiency Syndrome↗
PubMed1995

Health status of Asians and Pacific Islanders.

The elder Asian or Pacific-Island American presents a dynamic, interactive paradigm of forces beyond medical practice that includes religious, societal, and historical factors of delivering health care. The cultural characteristics of family and function, perception of time and healing, and the anthropologic factors of health beliefs on health behaviors can add to understanding our medical patients. Some important trends of environmental factors on expression of genetic predisposition to certain illnesses, such as diabetes and gout, can be used in health prevention. The significance of diet on certain cancers can be better understood using nativity factors. Many of the mental illnesses borne by immigrants can be recognized and treated. Significant clinical research directions imply an ability of American medicine to target at-risk Asians and Pacific Islanders for specific prevention and early diagnoses. The base knowledge of differential physiologic changes for aging and disease due to genetic predisposition and the correlates of social, cultural, and behavioral factors of diseases can then be improved.

Aged↗
PubMed1997

Associations between body morphology and microalbuminuria in healthy middle-aged European, Maori and Pacific Island New Zealanders.

OBJECTIVE: To examine the relationship between albuminuria and measures of body morphology. DESIGN: Cross-sectional study of European, Maori and Pacific Island workers aged 40 y and over. SUBJECTS: 3960 non-diabetic, non-hypertensive, non-lipidaemic, non-proteinuric middle-aged men and women. MEASUREMENTS: Height, weight, waist, hip, fasting and 2 h glucose, systolic and diastolic blood pressure, urinary creatinine and urinary albumin measurements. RESULTS: After adjusting for age and gender, the relative risks (95% confidence interval) of microalbuminuria were 4.87-fold (3.10-7.64) higher in Maori, and 4.96-fold (3.40-7.24) higher in Pacific Islanders compared to European New Zealanders. In contrast, age and gender adjusted relative risks (95% confidence interval) for high albumin:creatinine ratios were 6.38 (4.27, 9.53) in Maori and 5.14 (3.54, 7.48) in Pacific Islanders compared to European workers. Workers with microalbuminuria had higher urinary creatinine concentrations than those with urinary albumin in the normal range. Age and gender adjusted partial correlation coefficients between urinary albumin concentrations and the inverse of urinary creatinine concentrations were highest in European and Maori workers. Apart from Pacific islanders, urinary creatinine concentrations accounted for over 20% of the variation in urinary albumin concentrations in healthy individuals. Other independent predictors of urinary albumin concentrations were waist measurements, short stature and body mass index in Europeans and Pacific Islanders, and systolic blood pressure levels and gender in Europeans. After adjusting for age, gender, waist, height, 2 h glucose, urinary creatinine, systolic blood pressure and body mass index Maori and Pacific Islanders still had significantly higher urinary albumin concentrations than Europeans. CONCLUSION: Urinary creatinine concentrations were significantly associated with urinary albumin concentrations in all ethnic groups, and, with the exception of Pacific Islanders, accounted for a large proportion of the variation in urinary albumin concentrations in healthy individuals. Urinary albumin concentrations were associated with measures of obesity and short stature in Europeans and Pacific Islanders, and systolic blood pressure levels and gender in Europeans. However, measures of body morphology did not completely explain the higher urinary albumin concentrations in Maori or Pacific Islanders.

Adult↗
PubMed1997

Climate Convention Implementation: An Opportunity for the Pacific Island Nations to Move Toward Sustainable Energy Systems

/ The impacts of global warming are among the more serious environmental threats for the Pacific Island countries. These nations justifiably argue that developed countries should give immediate priority to the implementation of climate change mitigation policies because of the severe nature of potential greenhouse impacts for the Pacific Islands. Another immediate priority acknowledged by these nations is the need for development of adaptation policies that plan for adjustment or adaptation, where possible, to the foreshadowed impacts of climate change. This article does not focus on adaptation or mitigation policy directly but on an allied opportunity that exists for the Pacific Islands via the auspices of the Climate Convention, because the existing very costly energy systems used in the Pacific Island region are fossil-fuel dependent. It is argued here that efforts can be made towards the development of energy systems that are ecologically sustainable because Pacific Island nations are eligible to receive assistance to introduce renewable energy technology and pursue energy conservation via implementation mechanisms of the Climate Convention and, in particular, through transfer of technology and via joint implementation. It is contended that assistance in the form of finance, technology, and human resource development from developed countries and international organizations would provide sustainable benefits in improving the local Pacific Island environments. It is also emphasized that mitigation of greenhouse gas emissions is not the responsibility of the Pacific Islands as they contribute very little on a per capita global scale and a tiny proportion of total global greenhouse gas emissions.KEY WORDS: Pacific Islands; Climate change; Renewable energy; Framework Convention on Climate Change.

Journal Article↗
PubMed1996

Views of Pacific Islands people with noninsulin dependent diabetes: a Wellington survey.

AIMS: The aims of the study were: (1) to ascertain the views of Pacific Islands people with diabetes on diabetes services they are receiving, and (2) to identify their perceptions on their health and diabetes related problems. METHODS: A random sample survey of Wellington and Kenepuru diabetes clinics and the Wellington Pacific Islands community was undertaken using person to person interviews by seven trained Pacific Islands interviewers. The Tokelau Migrant Study questionnaire of Dr Ian Prior formed the basis for the questions used in this study. RESULTS: The sample size was 120. Response rate 82.2%. Samoans were the main ethnic group at 62% and women the dominant gender at 75%. Mean age was 46%. Eighty eight percent presented with symptoms at diagnosis and 64% had diabetes of 5 years standing or more. Seventy eight percent were on diet and/or tablets and 73% reported having complications of which visual impairment was the most common. Twenty four percent were not happy with the current service. Fifty nine percent knew little or nothing about diabetes and 78% expressed a desire to know more. Good control was reported by 59%, and 66% reported they followed a diet. Forty five percent admitted having an overweight problem and 57% reported losing weight since diabetes diagnosed. Forty five percent knew how to test their blood sugar and 26% tested at home. Eighty nine percent favoured a specific service for Pacific Islands people with education being the major emphasis. More than a third preferred service to be near home and run by Pacific Islands health professionals. CONCLUSION: The majority of Pacific Islands people developed symptoms before going to see a doctor. It indicated that the majority have suffered from diabetes for a long time before seeking medical care for the first time. Most indicated being happy with the services they are receiving from their family doctors but if given a choice they would prefer a service specifically for themselves. Diabetes education as well as a treatment clinic were services most favoured with the preference close to home and to be delivered by Pacific Islands health professionals.

Adult↗
PubMed1996

Body mass index and cardiovascular risk factors in Pacific Island Polynesians and Europeans in New Zealand.

OBJECTIVES: To examine relationships between body mass index (BMI) and cardiovascular risk factors in 279 Europeans and 231 Polynesian Pacific Islanders in New Zealand. METHODS: Participants were recruited from Seventh-Day Adventist church meetings or camps, and were surveyed by self-administered questionnaire. Blood pressure, weight and height were measured. Fasting blood samples were analysed for lipids, glucose and fructosamine. RESULTS: Age-adjusted BMI was higher in Pacific Islanders than in Europeans: 32.8(0.3) versus 25.6(0.3); means(SE); p = 0.0001). In Europeans, BMI was positively associated with systolic and diastolic blood pressures, triglycerides, total cholesterol, LDL cholesterol and fasting blood glucose, and negatively associated with HDL cholesterol. In Pacific Islanders, BMI was associated only with systolic and diastolic blood pressures, and with HDL cholesterol. These associations were stronger in Europeans than in Pacific Islanders. CONCLUSIONS: In this group of Pacific Islanders, the association between BMI and cardiovascular risk factors was weaker than in Europeans. This suggests that either BMI is a poor measure of adiposity in Pacific Islanders, or that adiposity may be less strongly linked to cardiovascular disease in Pacific Islanders.

Adult↗
PubMedDate not supplied

A portrait of Asians and Pacific Islanders in the United States.

Asians and Pacific Islanders (API) have an increasingly visible presence in the United States. This diverse population--encompassing persons with ancestry from East and Southeast Asia, the Indian subcontinent, and the Pacific islands--has grown at a faster rate than any other major racial or ethnic group. In 1996 Asian Americans numbered approximately 9.7 million (up from 3.8 million in 1980), nearly 4 percent of the U.S. population. The Census Bureau projects that this population group will reach 34.4 million by 2050, representing roughly 9 percent of all Americans. While immigration has fueled much of this growth, Asians' young age structure also will help boost their numbers in the next century. Fifty-six percent of Asian Americans live in three states--California, New York and Hawaii. Asian Americans comprise very small proportions of the populations of most other states. About 77 percent of the 2.8 million API households in 1996 were families, compared with 69 percent of white households. Roughly one in six Asian American households has five or more persons, compared with one in 12 white households. Educationally, Asians tend to be high achievers--42 percent of all API adults have at least a bachelor's degree, compared with 26 percent of while adults. Two-thirds of Asian Americans participated in the civilian labor force in 1996. Among employed Asians, one-third held managerial and professional jobs. Both proportions were roughly the same as for whites. Although the median income for API households was 9 percent higher than for white households in 1995, this difference is largely due to Asian households having more workers contributing to the household income. Despite these apparent measures of success, the poverty rates for Asian American families and individuals are nearly twice as high as those for whites.

Adult↗
PubMed1995

The incidence of hyperemesis gravidarum is increased among Pacific Islanders living in Wellington.

AIMS: To compare the incidence of hyperemesis gravidarum among Pacific Islanders living in Wellington with nonPacific Islanders and to investigate some properties of the disorder. METHODS: Data were collected on all first time admissions to Wellington Women's Hospital for hyperemesis gravidarum over a 5-year period. Women were classified as having severe hyperemesis gravidarum if abnormalities of serum electrolytes and liver function tests results were present and as less severe if these abnormalities were absent. Almost all women had ketonuria. Mantel-Haenszel odds ratios, chi 2 analysis and Fisher's 2-tailed exact test were used for statistical analysis. RESULTS: The proportion of hyperemesis gravidarum patients who were Pacific Islanders was significantly increased when compared to their proportion in a control group (p < 0.01). The difference remained significant when the hyperemesis patients were divided into less and more severe. Abnormal thyroid function test results were more common among Pacific Island patients than among nonPacific Island patients. This difference was significant (p < 0.01) only in the less severe group. CONCLUSION: The incidence of hyperemesis gravidarum is significantly increased among Pacific Island women (especially Samoans) living in Wellington and is often associated with abnormalities of thyroid function test results.

Female↗
PubMed1995

Variation and quality of self-report health data. Asians and Pacific Islanders compared with other ethnic groups.

Variation in the sociodemographic, system, and disease characteristics of Asians and Pacific Islanders compared with other ethnic groups and the quality of standard self-report measures of health and functioning by ethnic groups were examined. Secondary analysis of self-report data from the Medical Outcomes Study, an observational study of adult outpatients who received care in either prepaid or fee-for-service plans, was used to compare 527 Asians and Pacific Islanders to patients in other ethnic groups (16,989 whites, 2,533 African Americans, 1,009 Latinos, and 446 others). These patients all completed a screening questionnaire after visits with a Medical Outcomes Study clinician. Asians and Pacific Islanders were similar to African Americans and Latinos on most sociodemographic and system characteristics, disease status, and risk factors. Ethnicity was a significant predictor of differences in self-reported health. As a group, Asians and Pacific Islanders had better health or health of equal status compared with whites, but were less satisfied and perceived less sharing in the doctor-patient relationship compared with other ethnic groups. However, results suggest that data from standard functioning measures for Asians should be interpreted with caution and that more work is needed to understand better the social and cultural influences on the health of Asians and Pacific Islanders.

Adolescent↗
PubMed2000

Cancer research studies in Native Hawaiians and Pacific Islanders.

PURPOSE: To review and assess published findings from relevant cancer research studies in Native Hawaiians and other Pacific Islanders and to develop strategies for designing and implementing successful cancer research studies in the future. METHODS: Data were collected primarily from MEDLINE and BIOSIS Preview searches of the English literature during a 30-year period for published reports of cancer surveillance studies and epidemiological and clinical cancer studies in the Native Hawaiian and Pacific Islander populations. The cancer burden was critically assessed in the retrieved citations for each of the indigenous groups from Hawai'i, American Samoa, Guam, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Republic of Palau, and the Republic of the Marshall Islands. RESULTS: A review of the published literature revealed a lack of systematic data collection on cancer incidence and mortality in Pacific Islanders. Wide variations were found regarding the status of cancer research among ethnic groups. It is estimated that Native Hawaiians represent 0.1% of subjects accrued to cancer prevention trials, and that Pacific Islanders represent 0.5% of subjects in a large cancer screening trial. CONCLUSION: The paucity of cancer data and clinical cancer research supports the need for increased attention to these indigenous populations to improve the quality of cancer care in Native Hawaiian and Pacific Island communities.

Ethnicity↗