Micronesian Migrant Health Issues in Hawaii

Yamada, Seiji; Pobutsky, Ann

doi:10.32398/cjhp.v7i2.2012

Cited by 35 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14 Within this context, the abundance of delayed presentations is suggestive of health literacy deficiencies as well as psychosocial barriers—denial of disease, aversion to medical system, etc. 15 Previous research in Asia and Micronesia has proven both the utility and cost-effectiveness of screening high-risk individuals for oral cancer. 16,17 Although the exact number needed to screen and subsequent cost-effectiveness were not calculated for the purposes of this study, given the higher rates of oral cavity disease, late presentations, and increased mortality, commonwealth-wide screening programs should be seriously considered.…”

Section: Discussionmentioning

confidence: 99%

Oral Cavity Cancer Outcomes in Remote, Betel Nut-Endemic Pacific Islands

Narayanan

Finegersh

Chang

et al. 2020

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Background: Oral cavity carcinomas individually are the fifth-leading cause of overall cancer mortality in the Northern Mariana Islands, which is likely a representative statistic for many other betel-nut-endemic Pacific islands. Factors associated with survival have been minimally evaluated in this region. The purpose of this study is to further characterize oral cavity carcinoma outcomes and associated prognostic factors in the United States commonwealth of the Northern Mariana Islands (CNMI). Methods: A single-institution retrospective review was undertaken for 81 patients diagnosed with head and neck cancers at the CNMI’s only regional hospital complex from 2005 to 2019. A subset of patients diagnosed with oral cavity carcinoma was further evaluated for survival outcomes. Cox proportional hazard regressions were performed to evaluate for variables associated with survival. Results: A majority of patients had cancer of the oral cavity (64/81, 79%). Fifty-five of these patients had sufficient data for review. The average age at the time of diagnosis was 48 and over half were diagnosed with stage IV disease (29/55, 53%). Five-year overall survival (OS) was 49.5% (95% CI, 33.3-63.7%). Factors associated with worse OS were lymph node metastases at presentation ( P = .031), higher overall stage (III or IV vs I or II, P = .016), and higher T-stage (III or IV vs I or II, P = .027). Those who used betel nut were diagnosed at a significantly younger age than those who did not (47.2 vs 55.4, P = .001). Conclusions: The head and neck cancer burden in the CNMI is dominated by betel nut related oral cavity disease that is characterized by delayed presentations in younger patients and decreased OS. Future studies are indicated to improve health literacy as well as to investigate the potential for screening programs.

show abstract

Section: Discussionmentioning

confidence: 99%

Oral Cavity Cancer Outcomes in Remote, Betel Nut-Endemic Pacific Islands

Narayanan

Finegersh

Chang

et al. 2020

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

show abstract

“…During the period of colonization, PI were forced to significantly change their traditional customs and ways of life as western countries exerted economic and political control over their island nations and resources (Hee et al, 2022; J. K. Kaholokula et al, 2009). This created adverse effects within the Pacific nations including illegal deposition of the Hawaiian monarchy, U.S. nuclear testing in the Marshall Islands, and infectious diseases that nearly decimated PI populations (J. K. Kaholokula et al, 2019;Yamada & Pobutsky, 2009). In the 1800s, relatively small groups of PI began emigrating to the United States.…”

Section: Pacific Islanders and The United Statesmentioning

confidence: 99%

“…Perceived racism among PI is associated with higher symptoms of depression, anger, anxiety, and stress and lower self-esteem and life satisfaction (Allen et al, 2017; Antonio et al, 2016). Likewise, colonial factors, military influences (e.g., nuclear testing) particularly among Native Hawaiians and Micronesians have shown to be linked to elevated psychological distress (Braun et al, 2015; Hee et al, 2022; Yamada & Pobutsky, 2009). Stigma associated with MH concerns is another risk factor which seems to influence MH utilization.…”

Section: Pacific Islanders and The United Statesmentioning

confidence: 99%

“…This created adverse effects within the Pacific nations including illegal deposition of the Hawaiian monarchy, U.S. nuclear testing in the Marshall Islands, and infectious diseases that nearly decimated PI populations (J. K. Kaholokula et al, 2019; Yamada & Pobutsky, 2009). In the 1800s, relatively small groups of PI began emigrating to the United States.…”

Section: Pacific Islanders and The United Statesmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions and barriers about mental health services among Pacific Islanders: An interpretative phenomenological analysis.

Cutrer-Párraga,

Allen,

Miller

et al. 2024

Journal of Counseling Psychology

View full text Add to dashboard Cite

Every year, millions of Americans do not receive needed mental health (MH) services. Although Pacific Islanders (PI) have a high need for MH services, this group has the lowest rate of MH care help seeking. This is especially concerning as the rate of suicide has been increasing within the PI community. This study explored how Pacific Islanders think about MH supports, including their attitudes toward and perceptions of barriers to receiving MH services. An interpretative phenomenological analysis focus group study was conducted with cross-generational Pacific Islanders residing in one western state. The findings include (a) PI perceptions that MH help seeking results in family burdensomeness, stigma, and shame; (b) negotiating PI social customs and beliefs related to MH help seeking, care, and support; and (c) PI mistrust of institutional resources. These themes seemed to interact with each other and create perpetuate barriers which prevent help-seeking behaviors. Clinical and research implications will be provided. Public Significance StatementThe findings of this study found that Pacific Islanders face a number of obstacles that may prevent them from both seeking and utilizing mental health care services. Additionally, this study highlights the need to address cultural, educational, and societal barriers to improve Pacific Islanders ease of access and willingness to engage in psychotherapy in their communities.

show abstract

“…First, Marshallese experience greater health disparities as compared to other populations, particularly in chronic conditions such as type 2 diabetes and cardiovascular disease. 17 Second, high numbers of Marshallese migrants are uninsured and have limited access to affordable health care. 14,[17][18][19] Third, the Northwest Arkansas Marshallese community is the largest population of Marshall Islanders in the continental United States with ∼12,000 Marshallese residents in the area.…”

Section: Background and Development Of The North Street Clinicmentioning

confidence: 99%

Developing an Interprofessional Student-Led Clinic to Address Health Disparities in a Pacific Islander Migrant Community

et al. 2017

View full text Add to dashboard Cite

Student-led free clinics (SLFC) have become a way to provide care to vulnerable, uninsured populations. SLFCs can offer the opportunity to integrate interprofessional education models emphasizing the roles of different health care disciplines with hands-on learning experiences for students. In 2013, the University of Arkansas for Medical Sciences Northwest established the North Street Clinic, an interprofessional SLFC, in an effort to address the health disparities of the local Marshallese community. This article describes the establishment of the clinic and highlights its core features, such as its unique patient population, interprofessional care teams, use of community health workers, chronic disease management, community partnerships, and use of technology. The North Street Clinic can serve as a model for other SLFCs seeking to integrate IPE into a free care model focused on meeting the chronic disease disparities of an underserved population.

show abstract

Micronesian Migrant Health Issues in Hawaii

Cited by 35 publications

References 19 publications

Oral Cavity Cancer Outcomes in Remote, Betel Nut-Endemic Pacific Islands

Oral Cavity Cancer Outcomes in Remote, Betel Nut-Endemic Pacific Islands

Perceptions and barriers about mental health services among Pacific Islanders: An interpretative phenomenological analysis.

Developing an Interprofessional Student-Led Clinic to Address Health Disparities in a Pacific Islander Migrant Community

Contact Info

Product

Resources

About