Skip to main content

Advertisement

SpringerLink
Log in

Diabetes Disparities and Promising Interventions to Address Diabetes in Native Hawaiian and Pacific Islander Populations

  • Economics and Policy in Diabetes (AA Baig and N Laiteerapong, Section Editors)
  • Published:
Current Diabetes Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The Native Hawaiian and Pacific Islander (NHPI) population is rapidly growing in the USA. NHPIs face significant health disparities and have a high prevalence of diabetes compared to the general US population.

Recent Findings

Recent culturally-adapted diabetes interventions have shown promise in addressing these disparities among NHPI communities. The interventions showed success by utilizing a community-based approach that honored NHPIs’ collectivist culture, addressed social determinants of health that influence disease control and prevention, and utilized NHPI community health workers (CHWs) and peer educators for key roles in implementation of the intervention.

Summary

To address health disparities in the NHPI community, much can be learned from existing, successful interventions. Promising interventions share several attributes. The interventions were: culturally adapted using a community-based participatory research approach; addressed specific social determinants of health (i.e., cost of healthy food, transportation, access to health care) that influence disease control and prevention; honored the collectivist culture of NHPI communities by integrating social networks and extended family members; and utilized NHPI community members, including peer educators and CHWs, for intervention implementation. Further investment to scale these interventions for regional and national implementation is needed to address the significant diabetes disparities that NHPIs face.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Grieco E. The Native Hawaiian and other Pacific Islander population: census 2000 brief. Washington, DC: United States Census Bureau; 2001.

    Google Scholar 

  2. United States Census Bureau. 2010 Census shows more than half of Native Hawaiians and other Pacific Islanders report multiple Races 2010.

  3. Hixson L, Hepler B, Kim M. The Native Hawaiian and other Pacific Islander population 2010. Washington, DC: United States Census Bureau; 2012.

    Google Scholar 

  4. Fischer S. A history of the Pacific Islands. 2nd ed. New York: Palgrave; 2002.

    Google Scholar 

  5. Asian Americans Advancing Justice. A community of contrasts: Asian Americans, Native Hawaiians and Pacific Islanders in the Midwest. Washington, DC: Asian American Center for Advancing Justice; 2012.

    Google Scholar 

  6. Asian Americans Advancing Justice. A community of contrasts: Native Hawaiians and Pacific Islanders in the United States. Washington, DC: Asian American Center for Advancing Justice; 2014.

    Google Scholar 

  7. Roehr B. Asians and Pacific Islanders in US need greater prominence in research. BMJ. 2010;340:c2495.

    Article  PubMed  Google Scholar 

  8. Working Group of the Applied Research Center, National Council of Asian Pacific Americans. Best practices: researching Asian Americans, Native Hawaiians and Pacific Islanders. New York: Applied Research Center; National Council of Asian Pacific Americans; 2013.

    Google Scholar 

  9. Ro M, Yee A. Out of the shadows: Asian Americans, Native Hawaiians, and Pacific Islanders. Am J Public Health. 2010;100(5):776–8.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Srinivasan S, Guillermo T. Toward improved health: disaggregating Asian American and Native Hawaiian Pacific Islander data. Am J Public Health. 2000;90(11):1731–4.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Nguyen A, Chawla N, Noone A, Srinivasan S. Disaggregated data and beyond: future queries in cancer control research. Cancer Epidemiol Biomark Prev. 2014;23(11):2266–72.

    Article  Google Scholar 

  12. Ahmad F, Weller C. Reading between the data the incomplete story of Asian Americans, Native Hawaiians, and Pacific Islanders. 2014.

  13. Mau M. Health and health care of Native Hawaiian & other Pacific Islander older adults. Stanford: Stanford School of Medicine; 2010. p. 1–38.

    Google Scholar 

  14. Moy KL, Sallis JF, David KJ. Health indicators of Native Hawaiian and Pacific Islanders in the United States. J Community Health. 2010;35(1):81–92.

    Article  PubMed  Google Scholar 

  15. Tung W. Diabetes among Native Hawaiians and Pacific Islanders. Home Health Care Manag Pract. 2012;24(6):309–11.

    Article  Google Scholar 

  16. Mau MK, Sinclair K, Saito EP, Baumhofer KN, Kaholokula JK. Cardiometabolic health disparities in native Hawaiians and other Pacific Islanders. Epidemiol Rev. 2009;31:113–29.

    Article  PubMed  Google Scholar 

  17. Okihiro M, Harrigan R. An overview of obesity and diabetes in the diverse populations of the Pacific. Ethn Dis. 2005;15(5):S5-71–80.

    Google Scholar 

  18. Buenconsejo-Lum L, Navasca D, Jeong Y, Wong E, Torris T. Cancer in the U.S. affiliated Pacific Islands 2007–2011. Honolulu: Pacific Regional Central Cancer Registry, Cancer Council of the Pacific Islands and John A. Burns School of Medicine; 2014.

    Google Scholar 

  19. US Department of Health and Human Services Office of Minority Health. Profile: Native Hawaiian and Pacific Islanders: health and human services Office of Minority Health website; 2015; updated Jan 15, 2015. Available from: http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=65. Accessed 14 Nov 2018.

  20. Centers for Disease Control and Prevention. Summary health statistics: National Health Interview Survey, 2014. 2014. Available from: https://www.cdc.gov/nchs/nhis/shs/tables.htm. Accessed 14 Nov 2018.

  21. Centers for Disease Control and Prevention. Summary health statistics: National Health Interview Survey, 2016. 2016. Available from: https://www.cdc.gov/nchs/nhis/shs/tables.htm. Accessed 14 Nov 2018.

  22. Galinsky A, Zelaya C, Barnes P, Simile C. Selected health conditions among Native Hawaiian and Pacific Islander adults: United States, 2014. NCHS data brief, no. 277. Hyattsville: National Center for Health Statistics; 2017.

    Google Scholar 

  23. Galinsky A, Zelaya C, Simile C, Barnes P. Health conditions and behaviors of Native Hawaiian and Pacific Islander persons in the United States, 2014. Hyattsville: National Center for Health Statistics; 2017. Contract No.: 2017–1424

    Google Scholar 

  24. Kirtland KA, Cho P, Geiss LS. Diabetes among Asians and Native Hawaiians or other Pacific Islanders--United States, 2011-2014. MMWR Morb Mortal Wkly Rep. 2015;64(45):1261–6.

    Article  PubMed  Google Scholar 

  25. McElfish P, Rowland B, Long C, Hudson J, Piel M, Buron B, et al. Diabetes and hypertension in Marshallese adults: results from faith-based health screenings. J Racial Ethn Health Disparities. 2017;4(6):1042–50.

    Article  PubMed  Google Scholar 

  26. Grandinetti A, Kaholokula JK, Theriault AG, Mor JM, Chang HK, Waslien C. Prevalence of diabetes and glucose intolerance in an ethnically diverse rural community of Hawaii. Ethn Dis. 2007;17(2):250–5.

    PubMed  Google Scholar 

  27. Narcisse MR, Felix H, Long CR, Hudson T, Payakachat N, Bursac Z, et al. Frequency and predictors of health services use by Native Hawaiians and Pacific Islanders: evidence from the U.S. National Health Interview Survey. BMC Health Serv Res. 2018;18(1):575.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Felix H, Rowland B, Long CR, Narcisse MR, Piel M, Goulden PA, et al. Diabetes self-care behaviors among Marshallese adults living in the United States. J Immigr Minor Health. 2017. https://doi.org/10.1007/s10903-017-0683-4.

    Article  Google Scholar 

  29. Felix H, Xiaocong L, Rowland B, Long C, Yeary K, McElfish P. Physical activity and diabetes-related health beliefs of Marshallese adults. Am J Health Behav. 2017;41(5):553–60.

    Article  PubMed  Google Scholar 

  30. Choi J. Contextual effects on health care access among immigrants: lessons from three ethnic communities in Hawaii. Soc Sci Med. 2009;69(8):1261–71.

    Article  PubMed  Google Scholar 

  31. Sentell TL, Ahn HJ, Miyamura J, Juarez DT. Cost burden of potentially preventable hospitalizations for cardiovascular disease and diabetes for Asian Americans, Pacific Islanders, and Whites in Hawai'i. J Health Care Poor Underserved. 2015;26(2 Suppl):63–82.

    Article  PubMed Central  PubMed  Google Scholar 

  32. McElfish P, Long C, Payakachat N, Felix H, Bursac Z, Rowland B, et al. Cost-related nonadherence to medication treatment plans: Native Hawaiian and Pacific Islander National Health Interview Survey, 2014. Med Care. 2018;56(4):341–9.

    PubMed  Google Scholar 

  33. McElfish P, Balli M, Hudson J, Long C, Hudson T, Wilmoth R, et al. Identifying and understanding barriers and facilitators to medication adherence among Marshallese adults in Arkansas. J Pharm Technol. 2018;34(5):204–15. https://doi.org/10.1177/8755122518786262.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Stewart D, DePue J, Rosen R, Bereolos N, Goldstein M, Tuitele J, et al. Medication-taking beliefs and diabetes in American Samoa: a qualitative inquiry. Transl Behav Med. 2013;3:30–8.

    Article  PubMed  Google Scholar 

  35. Kanaya AM, Adler N, Moffet HH, Liu J, Schillinger D, Adams A, et al. Heterogeneity of diabetes outcomes among Asians and pacific islanders in the US: the Diabetes Study of Northern California (DISTANCE). Diabetes Care. 2011;34(4):930–7.

    Article  PubMed Central  PubMed  Google Scholar 

  36. Mau MK, West MR, Shara NM, Efird JT, Alimineti K, Saito E, et al. Epidemiologic and clinical factors associated with chronic kidney disease among Asian Americans and Native Hawaiians. Ethn Health. 2007;12(2):111–27.

    Article  PubMed  Google Scholar 

  37. McElfish P, Moore R, Woodring D, Purvis R, Maskarinec G, Bing W, et al. Social ecology and diabetes self-management among Pacific Islanders in Arkansas. J Fam Med Dis Prev. 2016;2(1):026.

    Article  PubMed Central  PubMed  Google Scholar 

  38. Hallgren E, McElfish P, Rubon-Chutaro J. Barriers and opportunities: a community-based participatory research study of health beliefs related to diabetes in a US Marshallese community. Diabetes Educ. 2015;41(1):86–94.

    Article  PubMed  Google Scholar 

  39. McElfish P, Hallgren E, Yamada S. Effect of US health policies on health care access for Marshallese migrants. Am J Public Health. 2015;105(4):637–43.

    Article  PubMed Central  PubMed  Google Scholar 

  40. McElfish P. Health policies creating inequality for Marshallese migrants in Arkansas. J Ark Med Soc. 2016;112(13):259–62.

    PubMed Central  PubMed  Google Scholar 

  41. Duke MR. Neocolonialism and health care access among Marshall Islanders in the United States. Med Anthropol Q. 2017;31(3):422–39.

    Article  PubMed  Google Scholar 

  42. Choi J. Seeking health care: Marshallese migrants in Hawai'i. Ethn Health. 2008;13(1):73–92.

    Article  PubMed  Google Scholar 

  43. Juarez D, Davis J, Brady S, Chung R. Prevalence of heart disease and its risk factors related to age in Asians, Pacific Islanders, and Whites in Hawai'i. J Health Care Poor Underserved. 2012;23(3):1000–10.

    Article  PubMed Central  PubMed  Google Scholar 

  44. Juarez DT, Samoa RA, Chung RS, Seto TB. Disparities in health, obesity and access to care among an insured population of Asian and Pacific Islander Americans in Hawai'i. Hawaii Med J. 2010;69(2):42–6.

    PubMed Central  PubMed  Google Scholar 

  45. Zelaya C, Galinsky A, Simile C, Barnes P. Health care access and utilization among Native Hawaiian and Pacific Islander persons in the United States, 2014. Washington, DC; 2017. Contract No.: 41.

  46. Yamada S, Palafox N. On the biopsychosocial model: the example of political economic causes of diabetes in the Marshall Islands. Fam Med. 2001;33(9):702–4.

    CAS  PubMed  Google Scholar 

  47. Yamada S, Pobutsky A. Micronesian migrant health issues in Hawaii: part 1: background, home island data, and clinical evidence. Calif J Health Promot. 2009;7(2):16–31.

  48. Shek D, Yamada S. Health care for micronesians and constitutional rights. Hawaii Med J. 2011;70(11 Suppl 2):4–8.

    PubMed Central  PubMed  Google Scholar 

  49. 108th United States Congress. Compact of Free Association Amendments Act of 2003 Washington, D.C.: U.S. Government Printing Office; updated December 17, 2003. Available from: http://www.gpo.gov/fdsys/pkg/PLAW-108publ188/html/PLAW-108publ188.htm. Accessed 14 Nov 2018.

  50. Asian & Pacific Islander American Health Forum. Key facts on Medicaid restoration for COFA migrants. Washington, DC: Asian & Pacific Islander American Health Forum; 2014. Available from: http://www.apiahf.org/programs/nhpi-affairs/community-capacity-building/medicaid-restoration-compact-free-association-mi-0. Accessed 14 Nov 2018.

  51. United States Census Bureau. Selected population profile in the United States: 2015 American Community Survey 1-year estimates. Table S0201. Washington, DC: United States Census Bureau; 2015.

    Google Scholar 

  52. Matthews E, Li C, Martin B, Long C, Narcisse M, McElfish P. Native Hawaiian/Pacific Islanders socio-demographic and health correlates of sleep deficiency. Sleep. 2018;4(3):273–83. https://doi.org/10.1016/j.sleh.2018.01.004.

    Article  Google Scholar 

  53. Narcisse M, Long C, Felix H, Rowland B, Bursac Z, McElfish P. The mediating role of sleep quality and quantity in the link between food insecurity and obesity across race and ethnicity. Obesity. 2018;26(9):1509–18. https://doi.org/10.1002/oby.22266.

    Article  PubMed  Google Scholar 

  54. Seaton V, Narcisse M, Subica A, Long C, Matthews E, McElfish P. Sleep quality partially mediates the association between type 2 diabetes and psychological distress in native Hawaiian and Pacific Islander adults in the United States: analysis of the 2014 National Health Interview Survey. Asian Am J Psychol. Forthcoming 2019.

  55. Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord. 2004;28(Suppl 3):S2–9.

    Article  PubMed  Google Scholar 

  56. Barker H. Bravo for the Marshallese: regaining control in a post-nuclear, post-colonial world. Belmont: Cengage Learning; 2012.

    Google Scholar 

  57. Gittelsohn J, Haberle H, Vastine A, Dyckman W, Palafox N. Macro- and microlevel processes affect food choice and nutritional status in the Republic of the Marshall Islands. J Nutr. 2003;133(1):310S–3S.

    Article  PubMed  Google Scholar 

  58. Ahlgren I, Yamada S, Wong A. Rising oceans, climate change, food aid, and human rights in the marshall islands. Health Hum Rights. 2014;16(1).

  59. Pollock N. Health transitions, fast and nasty: exposure to nuclear radiation. Pacific Health Dialog. 2002;9(2):275–82.

    PubMed  Google Scholar 

  60. McGarvey ST. Epigenetics, and human biology and health responses to modernization in the Samoan archipelago. Coll Antropol. 2012;36(4):1169–73.

    PubMed Central  PubMed  Google Scholar 

  61. Merriman TR, Wilcox PL. Cardio-metabolic disease genetic risk factors among Māori and Pacific Island people in Aotearoa New Zealand: current state of knowledge and future directions. Ann Hum Biol. 2018;45(3):202–14.

    Article  PubMed  Google Scholar 

  62. Office for Equity and Diversity The University of Utah. Pacific Islander studies initiative. Available from: http://diversity.utah.edu/pacific-islander-studies-initiative/. Accessed 14 Nov 2018.

  63. Washington State University. Partnerships for native health. Available from: http://www.p4nh.org/. Accessed 14 Nov 2018.

  64. University of Hawaii at Manoa. John A. Burns School of Medicine Department of Native Hawaiian Health. Available from: https://jabsom.hawaii.edu/departments/dnhh/. Accessed 14 Nov 2018.

  65. University of Arkansas for Medical Sciences Northwest Regional Campus. The Center for Pacific Islander Health. Available from: https://northwestcampus.uams.edu/center/. Accessed 14 Nov 2018.

  66. Sinclair KA, Makahi EK, Shea-Solatorio C, Yoshimura SR, Townsend CK, Kaholokula JK. Outcomes from a diabetes self-management intervention for Native Hawaiians and Pacific People: partners in care. Ann Behav Med. 2013;45(1):24–32.

    Article  PubMed  Google Scholar 

  67. Townsend C, Zhang G, Dillard A, Yoshimura S, Hughes C, Palakiko D, et al. Social support groups in the maintenance of glycemic control after community-based intervention. J Diabetes Res. 2016;2016 (Article ID 7913258).

  68. Kaholokula JK, Kekauoha P, Dillard A, Yoshimura S, Palakiko DM, Hughes C, et al. The PILI 'Ohana project: a community-academic partnership to achieve metabolic health equity in Hawai'i. Hawaii J Med Public Health. 2014;73(12 Suppl 3):29–33.

    PubMed Central  PubMed  Google Scholar 

  69. Kaholokula JK, Wilson RE, Townsend CK, Zhang GX, Chen J, Yoshimura SR, et al. Translating the diabetes prevention program in Native Hawaiian and Pacific Islander communities: the PILI 'Ohana project. Transl Behav Med. 2014;4(2):149–59.

    Article  CAS  PubMed  Google Scholar 

  70. Townsend CK, Miyamoto RE, Antonio M, Zhang G, Paloma D, Basques D, et al. The PILI@work program: a translation of the diabetes prevention program to Native Hawaiian-serving worksites in Hawai'i. Transl Behav Med. 2016;6(2):190–201.

    Article  PubMed Central  PubMed  Google Scholar 

  71. McElfish PA, Long CR, Kaholokula JK, Aitaoto N, Bursac Z, Capelle L, et al. Design of a comparative effectiveness randomized controlled trial testing a faith-based Diabetes Prevention Program (WORD DPP) vs. a Pacific culturally adapted Diabetes Prevention Program (PILI DPP) for Marshallese in the United States. Medicine (Baltimore). 2018;97(19):e0677.

    Article  Google Scholar 

  72. Yeary KH, Aitaoto N, Sparks K, Ritok-Lakien M, Hudson JS, Goulden P, et al. Cultural adaptation of diabetes self-management education for Marshallese residing in the United States: lessons learned in curriculum development. Prog Community Health Partnersh. 2017;11(3):253–61.

    Article  PubMed Central  PubMed  Google Scholar 

  73. Yeary KHK, Long CR, Bursac Z, McElfish PA. Design of a randomized controlled comparative effectiveness trila testing a family model of diabetes self-management education (DSME) vs. standard DSME for Marshallese in the United States. Contemp Clin Trials Commun. 2017;6:97–104.

    Article  Google Scholar 

  74. McElfish PA, Goulden PA, Bursac Z, Hudson J, Purvis RS, Kim Yeary KH, et al. Engagement practices that join scientific methods with community wisdom: designing a patient-centered, randomized control trial with a Pacific Islander community. Nurs Inq. 2016.

  75. Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, et al. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ. 2018;44(1):35–50.

    Article  PubMed  Google Scholar 

  76. McElfish P, Bridges M, Hudson J, Purvis R, Bursac Z, Kohler P, et al. Family model of diabetes education with a Pacific Islander community. Diabetes Educ. 2015;41(6):706–15.

    Article  PubMed Central  PubMed  Google Scholar 

  77. Creamer J, Attridge M, Ramsden M, Cannings-John R, Hawthorne K. Culturally appropriate health education for type 2 diabetes in ethnic minority groups: an updated Cochrane review of randomized controlled trials. Diabet Med. 2016;33(2):169–83.

    Article  CAS  PubMed  Google Scholar 

  78. Hawthorne K, Robles Y, Cannings-John R, Edwards AGK. Culturally appropriate health education for type 2 diabetes in ethnic minority groups: a systematic and narrative review of randomized controlled trials. Diabet Med. 2010;27(6):613–23.

    Article  CAS  PubMed  Google Scholar 

  79. Ricci-Cabello I, Ruiz-Perez I, Rojas-Garcia A, Pastor G, Rodriguez-Barranco M, Goncalves DC. Characteristics and effectiveness of diabetes self-management educational programs targeted to racial/ethnic minority groups: a systematic review, meta-analysis and meta-regression. BMC Endocr Disord. 2014;14:60.

    Article  PubMed Central  PubMed  Google Scholar 

  80. Tabak RG, Sinclair KA, Baumann AA, Racette SB, Sebert Kuhlmann A, Johnson-Jennings MD, et al. A review of diabetes prevention program translations: use of cultural adaptation and implementation research. Transl Behav Med. 2015;5(4):401–14.

    Article  PubMed Central  PubMed  Google Scholar 

  81. Minkler M. Ethical challenges for the “outside” researcher in community-based participatory research. Health Educ Behav. 2004;31(6):684–97.

    Article  PubMed  Google Scholar 

  82. Minkler M, Wallerstein N, editors. Community-based participartory research for health: from process to outcomes. San Francisco: Jossey-Bass Publishers; 2008.

    Google Scholar 

  83. Wallerstein N. Power between evaluator and community: research relationships within New Mexico’s healthier communities. Soc Sci Med. 1999;49:39–53.

    Article  CAS  PubMed  Google Scholar 

  84. Wallerstein N, Duran B. Using community-based participatory research to address health disparities. Health Promot Pract. 2006;7(3):312–23.

    Article  PubMed  Google Scholar 

  85. • McElfish PA, Moore R, Laelan M, Ayers BL. Using CBPR to address health disparities with the Marshallese community in Arkansas. Ann Hum Biol. 2018;45(3):264–71. This article describes best practices for engaging Pacific Islanders in diabetes research.

    Article  PubMed  Google Scholar 

  86. Bond J, Soli F. The Samoans. In: McDermott J, Andrade N, editors. People and cultures of Hawaii: the evolution of culture and ethnicity. Honolulu: University of Hawaii Press; 2011. p. 32–57.

    Google Scholar 

  87. Mathews G, Izquierdo C. Introduction: anthropology, happiness, and well-being. In: Mathews G, Izquierdo C, editors. Pursuits of happiness: well-being in anthropological perspective. New York: Berghahn Books; 2009. p. 1–19.

    Google Scholar 

  88. Capstick S, Norris P, Sopoage F, Tobata W. Relationship between health and culture in Polynesia - a review. Soc Sci Med. 2009;68:1341–8.

    Article  PubMed  Google Scholar 

  89. McElfish P, Hallgren E, Henry L. Health beliefs of US Marshallese regarding type 2 diabetes. Am J Health Behav. 2016;40(2):248–57.

    Article  PubMed Central  PubMed  Google Scholar 

  90. Aitaoto N, Campo S, Snetselaar LG, Janz KF, Farris KB, Parker E, et al. Formative research to inform nutrition interventions in Chuuk and the US Pacific. J Acad Nutr Diet. 2015;115(6):947–53.

    Article  PubMed Central  PubMed  Google Scholar 

  91. Peyrot M, Burns KK, Davies M, Forbes A, Hermanns N, Holt R, et al. Diabetes attitudes wishes and needs 2 (DAWN2): a multinational, multi-stakeholder study of psychosocial issues in diabetes and person-centred diabetes care. Diabetes Res Clin Pract. 2013;99(2):174–84.

    Article  PubMed  Google Scholar 

  92. Kovacs Burns K, Nicolucci A, Holt RI, Willaing I, Hermanns N, Kalra S, et al. Diabetes attitudes, wishes and needs second study (DAWN2): cross-national benchmarking indicators for family members living with people with diabetes. Diabet Med. 2013;30(7):778–88.

    Article  CAS  PubMed  Google Scholar 

  93. Nicolucci A, Kovacs Burns K, Holt RI, Comaschi M, Hermanns N, Ishii H, et al. Diabetes attitudes, wishes and needs second study (DAWN2™): cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes. Diabet Med. 2013;30(7):767–77.

    Article  CAS  PubMed  Google Scholar 

  94. Holt RI, Nicolucci A, Kovacs Burns K, Escalante M, Forbes A, Hermanns N, et al. Diabetes attitudes, wishes and needs second study (DAWN2™): cross-national comparisons on barriers and resources for optimal care--healthcare professional perspective. Diabet Med. 2013;30(7):789–98.

    Article  CAS  PubMed  Google Scholar 

  95. Baig A, Benitez A, Quinn M, Burnet D. Family interventions to improve diabetes outcomes for adults. Ann N Y Acad Sci. 2015;1353:89–112.

    Article  PubMed Central  PubMed  Google Scholar 

  96. • Pamungkas RA, Chamroonsawasdi K, Vatanasomboon P. A systematic review: family support integrated with diabetes self-management among uncontrolled type II diabetes mellitus patients. Behav Sci (Basel). 2017;7(3). This systematic review highlights the importance of family in the management of type 2 diabetes.

    Article  PubMed Central  Google Scholar 

  97. Rintala TM, Jaatinen P, Paavilainen E, Astedt-Kurki P. Interrelation between adult persons with diabetes and their family: a systematic review of the literature. J Fam Nurs. 2013;19(1):3–28.

    Article  PubMed  Google Scholar 

  98. Mayberry LS, Rothman RL, Osborn CY. Family members' obstructive behaviors appear to be more harmful among adults with type 2 diabetes and limited health literacy. J Health Commun. 2014;19(Suppl 2):132–43.

    Article  PubMed Central  PubMed  Google Scholar 

  99. Bennich B, Roder M, Overgaard D, Egerod I, Munch L, Knop F, et al. Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review. Diebetol Metab Syndr. 2017;9:57–65.

    Article  Google Scholar 

  100. Norris S, Chowdhury F, Van Le K, Horsley T, Brownstein J, Zhang X, et al. Effectiveness of community health workers in the care of persons with diabetes. Diabet Med. 2006;23(5):544–56.

    Article  CAS  PubMed  Google Scholar 

  101. • Kaholokula JK, Ing CT, Look MA, Delafield R, Sinclair K. Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders. Ann Hum Biol. 2018;45(3):249–63. This article describes culturally responsive approaches to health promotion for Pacific Islanders.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Funding

The community engagement described in this article was supported in part by the Translational Research Institute at the University of Arkansas for Medical Sciences (1U54TR001629-01A1) funded through the National Center for Advancing Translational Sciences of the National Institutes of Health (NIH); and the Department of Native Hawaiian Health at the University of Hawaii with funding from the NIH National Institute on Minority Health and Health Disparities (5R24MD001660, 5U54MD007601, and 5P20MD000173). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Author information

Authors and Affiliations

  1. College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave, Fayetteville, AR, 72703, USA

    Pearl A. McElfish

  2. Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave, Fayetteville, AR, 72703, USA

    Rachel S. Purvis

  3. Department of Human Nutrition Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawaii at Manoa, 1955 East West Road Ag Sci 314 L, Honolulu, HI, 96822, USA

    Monica K. Esquivel

  4. College of Nursing, Washington State University, 1100 Olive Way, Suite 1200, Seattle, WA, 98101, USA

    Ka‘imi A. Sinclair

  5. Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawaii at Manoa, 677 Ala Moana Blvd, Suite 1016, Honolulu, HI, 96813, USA

    Claire Townsend & Joseph Keawe‘aimoku Kaholokula

  6. Yale School of Public Health, Yale University, 60 College St, New Haven, CT, 06510, USA

    Nicola L. Hawley

  7. College of Nursing, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave, Fayetteville, AR, 72703, USA

    Lauren K. Haggard-Duff

Authors
  1. Pearl A. McElfish
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rachel S. Purvis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Monica K. Esquivel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ka‘imi A. Sinclair
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Claire Townsend
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Nicola L. Hawley
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Lauren K. Haggard-Duff
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Joseph Keawe‘aimoku Kaholokula
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pearl A. McElfish.

Ethics declarations

Conflict of Interest

Pearl A. McElfish, Rachel S. Purvis, Monica K. Esquivel, Ka‘imi A. Sinclair, Claire Townsend Ing, Nicola L. Hawley, Lauren K. Haggard-Duff, and Joseph Keawe‘aimoku Kaholokula declare that they have no conflict of interest.

Human and Animal Rights

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

Informed Consent

Informed consent was obtained from all individual participants included in the studies described.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Economics and Policy in Diabetes

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

McElfish, P.A., Purvis, R.S., Esquivel, M.K. et al. Diabetes Disparities and Promising Interventions to Address Diabetes in Native Hawaiian and Pacific Islander Populations. Curr Diab Rep 19, 19 (2019). https://doi.org/10.1007/s11892-019-1138-1

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11892-019-1138-1

Keywords

Search

Navigation