Titre : Hawaïen autochtone ou autre insulaire du Pacifique

Hawaïen autochtone ou autre insulaire du Pacifique : Questions médicales fréquentes

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sont-elles courantes ?", "url": "https://questionsmedicales.fr/mesh/D044468?page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Hawaïen autochtone ou autre insulaire du Pacifique", "description": "Quels sont les principaux facteurs de risque ?\nComment l'environnement influence-t-il la santé ?\nY a-t-il des facteurs génétiques à considérer ?\nQuel impact a le mode de vie sur la santé ?\nComment les inégalités sociales affectent-elles la santé ?", "url": "https://questionsmedicales.fr/mesh/D044468?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une maladie chez les Hawaïens autochtones ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'historique médical, les symptômes et des tests spécifiques." } }, { "@type": "Question", "name": "Quels tests sont recommandés pour les insulaires du Pacifique ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests sanguins, d'imagerie et des évaluations génétiques peuvent être nécessaires." } }, { "@type": "Question", "name": "Y a-t-il des particularités dans le diagnostic ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des facteurs culturels et environnementaux peuvent influencer le diagnostic." } }, { "@type": "Question", "name": "Comment évaluer les risques de maladies spécifiques ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Une évaluation des antécédents familiaux et des facteurs environnementaux est cruciale." } }, { "@type": "Question", "name": "Les maladies génétiques sont-elles plus fréquentes ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Certaines maladies génétiques peuvent être plus fréquentes dans ces populations." } }, { "@type": "Question", "name": "Quels symptômes sont courants chez les Hawaïens autochtones ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes varient, mais incluent souvent des problèmes respiratoires et métaboliques." } }, { "@type": "Question", "name": "Comment les symptômes diffèrent-ils selon les îles ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes peuvent varier en fonction des différences environnementales et génétiques." } }, { "@type": "Question", "name": "Y a-t-il des symptômes spécifiques aux maladies tropicales ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des symptômes comme la fièvre, les éruptions cutanées et la fatigue sont fréquents." } }, { "@type": "Question", "name": "Les symptômes psychologiques sont-ils fréquents ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des symptômes de stress et d'anxiété peuvent être plus présents dans ces populations." } }, { "@type": "Question", "name": "Comment les symptômes sont-ils perçus culturellement ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "La perception des symptômes peut être influencée par des croyances culturelles et traditionnelles." } }, { "@type": "Question", "name": "Quelles sont les stratégies de prévention pour ces populations ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Des programmes de sensibilisation et d'éducation sur la santé sont essentiels." } }, { "@type": "Question", "name": "Comment promouvoir un mode de vie sain ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Encourager l'activité physique, une alimentation équilibrée et des examens réguliers." } }, { "@type": "Question", "name": "Y a-t-il des campagnes de vaccination spécifiques ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des campagnes ciblées pour des maladies comme l'hépatite B sont mises en place." } }, { "@type": "Question", "name": "Comment réduire les risques de maladies chroniques ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Promouvoir des dépistages réguliers et des interventions précoces est crucial." } }, { "@type": "Question", "name": "Quel rôle joue l'éducation communautaire ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "L'éducation communautaire aide à sensibiliser et à mobiliser les ressources locales." } }, { "@type": "Question", "name": "Quels traitements sont adaptés aux Hawaïens autochtones ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements doivent être personnalisés, tenant compte des spécificités culturelles et médicales." } }, { "@type": "Question", "name": "Y a-t-il des remèdes traditionnels utilisés ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des remèdes à base de plantes et des pratiques traditionnelles sont souvent utilisés." } }, { "@type": "Question", "name": "Comment intégrer la médecine moderne et traditionnelle ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Une approche intégrative peut améliorer l'adhésion au traitement et le bien-être global." } }, { "@type": "Question", "name": "Quels médicaments sont couramment prescrits ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les médicaments pour les maladies chroniques comme le diabète et l'hypertension sont fréquents." } }, { "@type": "Question", "name": "Comment les traitements varient-ils selon l'île ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements peuvent varier en fonction de l'accès aux soins et des ressources disponibles." } }, { "@type": "Question", "name": "Quelles complications sont fréquentes chez ces populations ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des maladies cardiovasculaires et des troubles métaboliques." } }, { "@type": "Question", "name": "Comment les complications sont-elles gérées ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "La gestion implique un suivi régulier et des ajustements de traitement appropriés." } }, { "@type": "Question", "name": "Y a-t-il des complications spécifiques aux maladies tropicales ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des complications comme la dengue et le chikungunya peuvent survenir." } }, { "@type": "Question", "name": "Comment prévenir les complications liées au diabète ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Un contrôle glycémique rigoureux et des soins des pieds sont essentiels." } }, { "@type": "Question", "name": "Les complications psychologiques sont-elles courantes ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des complications comme la dépression peuvent être fréquentes dans ces populations." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'obésité, le tabagisme et l'accès limité aux soins de santé." } }, { "@type": "Question", "name": "Comment l'environnement influence-t-il la santé ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Des facteurs environnementaux comme la pollution et l'accès à l'eau potable jouent un rôle." } }, { "@type": "Question", "name": "Y a-t-il des facteurs génétiques à considérer ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des prédispositions génétiques à certaines maladies sont observées dans ces populations." } }, { "@type": "Question", "name": "Quel impact a le mode de vie sur la santé ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sédentaire et une mauvaise alimentation augmentent les risques de maladies." } }, { "@type": "Question", "name": "Comment les inégalités sociales affectent-elles la santé ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les inégalités d'accès aux soins et à l'éducation aggravent les problèmes de santé." } } ] } ] }

Sources (10000 au total)

Fixed 6° distal femoral cut consistently achieves neutral alignment for Asians, Caucasians, and Native Hawaiian/Pacific Islanders.

Restoration of a neutral mechanical axis (MA) is important to the success of total knee arthroplasty (TKA). While known differences are present between Asians and Caucasians regarding native knee alig... Preoperative and postoperative MA was measured from 835 Asian, 447 Caucasian, and 163 NHPI hip-to-ankle radiographs. All patients underwent TKA in which a standard distal femoral cut of 6° valgus was ... Preoperative deformity ranged from 38° varus to 29° valgus. The proportion of Asian and NHPI presenting with varus alignment prior to surgery was significantly greater than Caucasian patients in both ... NHPI appear to have similar preoperative deformities to Asians with both groups having significantly more varus alignment than Caucasians. Despite a wide range of preoperative deformity, application o...

Tuberculosis Among Native Hawaiian and Other Pacific Islander Persons: United States and U.S.-Affiliated Pacific Islands, 2010-2019.

In recent years, tuberculosis (TB) incidence in the United States has declined overall but remained high among Native Hawaiian and Other Pacific Islander (NH/PI) persons. Few studies have examined the... We used data from the National Tuberculosis Surveillance System to characterize TB cases reported among NH/PI persons born in the 50 U.S. states (defined to include District of Columbia) and the USAPI... During 2010-2019, 4359 TB cases were reported among NH/PI patients born in the U.S. states (... TB incidence among NH/PI persons is high, particularly among persons born in the USAPI, emphasizing the need to enhance TB prevention strategies in these communities. Interventions should be tailored ...

"Community 101 for researchers": an online training program to build capacity for ethical community-engaged research with Native Hawaiians and Pacific Islanders.

To address the history of unethical research and community distrust in research among Native Hawaiian and Pacific Islander communities, we developed the "Community 101 for Researchers" training progra...

Work and self-rated memory among native Hawaiian and other Pacific Islander older adults.

Engagement in work has an important association with cognitive health in later life, yet little is known about this association among Native Hawaiian and other Pacific Islander (NHPI) older adults. Th... Using data from the 2014 Native Hawaiian and Pacific Islander National Health Interview Survey (NHPI NHIS), the research question was explored among those who were aged 50+.... Engagement in work, certain occupation types (e.g., clerical or professional occupations compared to blue-collar jobs), and the current/most recent job that is also the longest job held were associate... The study's results suggest that work characteristics and opportunities to engage in work are important considerations in preventing memory problems in later life. As the NHPI population experiences c...

Gut microbial indicators of metabolic health underlie age-related differences in obesity and diabetes risk among Native Hawaiians and Pacific Islanders.

Native Hawaiians and Pacific Islanders (NHPIs) suffer from higher prevalence of and mortality to type 2 diabetes mellitus (T2DM) than any other major race/ethnic group in Hawaii. Health inequities in ...

Sociocultural influences on dietary behavior and meal timing among Native Hawaiian and Pacific Islander women at risk of endometrial cancer: a qualitative investigation.

Determine sociocultural influences on dietary behavior, body image, weight loss, and perceptions of the cultural appropriateness of a meal-timing intervention design and menu among Native Hawaiian and... Six 90-min videoconference focus groups among NHPI women (n = 35) recruited by a community champion in Utah. Eligible women were aged ≥ 18 years at risk of endometrial cancer (i.e., BMI ≥ 25 kg/m... Overarching themes included economic factors, cultural influences, meal choice and timing, and perceptions of health. Subthemes included affordability, waste avoidance, inundated schedules, and cultur... Dietary interventions targeting metabolic health among NHPI women should consider the multitude of sociocultural and economic factors that influence food choices and meal timing in this population, in...

Colon Cancer Disparities in Stage at Presentation and Time to Surgery for Asian Americans, Native Hawaiians, and Pacific Islanders: A Study with Disaggregated Ethnic Groups.

Vast differences in barriers to care exist among Asian American, Native Hawaiian, and Pacific Islander (AANHPI) groups and may manifest as disparities in stage at presentation and access to treatment.... We assessed all patients in the National Cancer Database (NCDB) with stage 0-IV colon cancer from 2004 to 2016 who identified as white, Chinese, Japanese, Filipino, Native Hawaiian, Korean, Vietnamese... Among 694,876 patients, Japanese [AOR 1.08 (95% CI 1.01-1.15), p < 0.05], Filipino [AOR 1.17 (95% CI 1.09-1.25), p < 0.001], Korean [AOR 1.09 (95% CI 1.01-1.18), p < 0.05], Laotian [AOR 1.51 (95% CI 1... Our findings reveal key disparities in stage at presentation and time to surgery by race/ethnicity among AANHPI subgroups. Heterogeneity upon disaggregation underscores the importance of examining and...

Racial Bias Beliefs Related to COVID-19 Among Asian Americans, Native Hawaiians, and Pacific Islanders: Findings From the COVID-19 Effects on the Mental and Physical Health of Asian Americans and Pacific Islanders Survey Study (COMPASS).

During the COVID-19 pandemic, there have been increased reports of racial biases against Asian American and Native Hawaiian and Pacific Islander individuals. However, the extent to which different Asi... This study used data from the COVID-19 Effects on the Mental and Physical Health of Asian Americans and Pacific Islanders Survey Study (COMPASS), a nationwide, multilingual survey, to empirically exam... COMPASS participants were Asian American and Native Hawaiian and Pacific Islander adults who were able to speak English, Chinese (Cantonese or Mandarin), Korean, Samoan, or Vietnamese and who resided ... A total of 5068 participants completed the survey (mean age 45.4, SD 16.4 years; range 18-97 years). Overall, 73.97% (3749/5068) agreed or strongly agreed with ≥1 COVID-19-related racial bias belief i... Many COMPASS participants reported racial bias beliefs because of the COVID-19 pandemic. Relevant sociodemographic contexts and pre-existing and COVID-19-specific factors across individual, community,...

Acculturating to multiculturalism: a new dimension of dietary acculturation among Asian American, Native Hawaiian, and Pacific Islander women in the San Francisco Bay Area, USA.

Dietary acculturation is the process by which diet and dietary practises from the environment of origin are retained or changed and/or those prevalent in a new environment are adopted. Despite rapid p... Data were from a 2013-2014 population-based case-control study in the San Francisco Bay Area, U.S. Survey items were adapted from dietary acculturation scales developed for AANHPI populations. Validat... Three dietary patterns were identified: "Asian," "Western," and a distinct "Multicultural" factor. Respondents reporting a high-Asian diet tended to also report smaller social networks, higher levels ... The finding of a distinct "Multicultural" factor beyond the typical "Asian" and "Western" factors may reflect the multidirectional relationships between culture, diet, and dietary behavior, in which o...