The Health of Native Hawaiian and Other Pacific Islanders

Native Americans and Diabetes Since the arrival of Columbus in 1492, American Indians have been in a continuous struggle with diseases. It may not be small pox anymore, but illnesses are still haunting the native population. According to statistics, Native Americans have much higher rates of disease than the overall population. This includes a higher death rate from alcoholism, tuberculosis, and diabetes than any other racial or ethnic group. Recent studies by Indian health experts show that diabetes among Indian youth ages 15-19 has increased 54% since 1996 and 40% of Indian children are overweight. Even though diabetes rates vary considerably among the Native American population, deaths caused from diabetes are 230 percent greater

Medicine, to the modern day world, is a way of healing the sick and helping people experience life to their full potential. It is an ingredient of a culture that allows the culture to survive through decades and centuries at a time. But what if the medicine that we know as helpful is actually harmful? When a child cuts their knee the first thing an adult would do is check the scrape and then assess the damage. After assessing the damage, the adult would normally plan a course of treatment to ensure the child would not lose a limb in the near future. After treating the child with a mixture of antibacterial wipes, bandages and ice cream, what if the child is not better, but actually worse? That is what happens when you compare the medical practices of the Hmong to the medical practices of the Americans, both cultures believe that the others will cause more damage than good in respect to healing the soul and body.

        Among the different ethnic and socioeconomic groups, each is associated with health disadvantages. While some have more advantages than others, the most disadvantaged groups are among the Blacks and Native Americans. These two groups have the highest rates of several health disparities. The two groups, Blacks, and Native Americans have

The Navajo Indians Mind, body and spirit are the foundation of the Navajo community. The Navajo culture is known to be very primitive and reserved. This could cause some complications in the health care field. Their basic lifestyle may lead to several health complications, belief in prayer and evil spirits is prominent, they believe that the role of a physician is to be a partner in their healing, there are several nursing practices that need to be considered when caring for a Navajo patient, and as a nurse it is important to treat these people with respect even if their ways may seems unorthodox.

Native Americans have the highest rates of obesity and diabetes in the United States. According to the U.S. Department of Health and Human Services Native Americans are 60% more likely to be obese and are over twice as likely to have diabetes than the general population. These numbers are even higher for Southwest Native Americans. But their diet is very similar to the rest of modern society. So why do Native Americans suffer these conditions at higher rates than the general population? The answer may be found in new research that is beginning to point to a genetic cause for these conditions. In a study by Peggy Halpern, Ph.D. for the U.S. Department of Health and Human Services, she found that historically Native Americans of the

Public health workers from all spectrums can assist in proposed legislation and policies favoring the Latino community as well as increasing efforts for lifestyle changes leading to r4ducing risk factor such as obesity, hypertension and dietary choices. Public health programs will also look to create more strategies and interventions that promote, prolong and encourage a healthier lifestyle while living on a strained budget. In essence, acculturation and cultural lifestyle contributes to higher rates of diabetes among the Latino community.

HEALTHCARE CONSIDERATIONS FOR THE NATIVE AMERICAN CULTURE 1 Healthcare Considerations for the Native American Culture Christina Seif Mid-State Technical College HEALTHCARE CONSIDERATIONS FOR THE NATIVE AMERICAN CULTURE 2 Abstract The Native American culture is the original culture of the United States. Members of Native American tribes live throughout the country. “There are an estimated 4.9 million persons, in 565 federally recognized tribes who are classified as American Indian or Alaska Native (AI/AI), alone or in combination with one or more other designated racial classifications. This demographic group compromises 1.6% of the U.S. population” (Horowitz, 2012). Wisconsin is home to the Ho-Chunk (Winnebago), Ojibwa (Chippewa), and the Potawatomi tribes (“American”, 2014). It is important for nurses within this state, as well as any other state, to understand the Native American belief system in order to provide a quality healthcare experience. Nurses are the primary point of contact in the healthcare setting. Client advocacy is one of the nurse’s major roles. Therefore, the nurse should have the highest level of diversity understanding for the cultures within the local region.

This comprehensive assessment identifies how health disparities are intertwined with the socioeconomic condition the Native Hawaiians and other Pacific Peoples (NHPP) live in. Factors such as education, wages, affordable housing, and access to health care have a profound effect to on the lives of NHPP. Among these factors,

Native American Woman: Health Disparity Kevin Villa Ramirez California State University, Sacramento As with many races and ethnicities, Native Americans have had the front row seat in social injustices related to gender and race from the social institutions in the United States. Native Americans faced much discrimination along with other groups when it came to educational institutions and businesses. In education, many young children had lower math and writing skills leading to fewer high school diplomas (Sarche & Spicer, 2008). In labor, Native Americans had high unemployment rates and a lower labor force than the rest of the demographic population (U.S. Census Bureau, 2006). They also have problems with poverty since more than twenty-five percent of this group live below the poverty line (U.S. Census Bureau, 2006). Additionally, there are high rates of violent victimization and contributing factors such as childhood trauma that lead to overall high deaths. A major contributing factor to these deaths is alcoholism which exceeds the US rates by seven times (Sarche & Spicer, 2008). Many of these statistics indicate great injustice. Furthermore, according to the Indian Health Services, American Indians have lower health and life expectancy when compared to the rest of America (2015). These staggering statistics point out some prevalent inequalities in modern social institutions that exist with Native Americans.

A. Community Characteristics: Kalihi is the geographic area, but Census data exists for Honolulu, Hawaii. Hawaii is one of the most diverse states in the U.S., but current Census information does not filter minority groups such as Chuukese or Filipino. Rather the Census data categorizes various ethnic groups into such as Pacific Islander, Asian, and Native Hawaiian. The assumption is that the Hawaiian culture involves more collectivistic families than individualistic families. Collectivist families have more group cohesion and collectivistic cultures make decisions based on the betterment of the group. The statistic that proves the previous statement is there are 1,673 households out of the total 8,383 with 7 or more people living in one household (Census Bureau, 2010). The languages spoken in Honolulu include Tagalog, English, Hawaiian, and Pidgin, which is a blend of Hawaiian and slang words.

Health Promotion Among Diverse Populations Healthcare is an ever changing entity with an ever changing population of clients. In current day 2016, the United Sates has become a melting pot of many different cultural backgrounds, which has led to changes within the system to accommodate the patient base. Unfortunately, not all changes have been able to effectively reach any and all persons from every background. We still see language and cultural barriers that have direct correlation to the inability to seek healthcare and or the ability to change cultural perspectives to ensure healthy lifestyles. Within this paper, the health of American Indian and Alaskan Native populations will be discussed along with the barriers to care and the

Asian American population is on the rise in the United States. This is do to the high birth rate that they are experiencing. In 2005 according to the Census bureau 12,868,845 was list under the category of Asian/ Pacific Islander This accounted for.4.4% of The US population. The migration of Asians into the United States can be divided into two distinct periods. The first group around the 1800’s with the Chinese being first. Later, The second group came around 1965 with them having a higher Socioeconomic status. The changes in immigrant laws kept most from coming into this country. These new Asian immigrants was more diverse in the nationality and culture. Asian american are known for the Model Minority Myth. Asian american has endured social,

The societal factors that may have contributed to the health of Native Americans today are the discrimination, isolation, and poor quality of life that they experienced not only in the past but still experience today. Although we might not hear about the discrimination or poor living conditions Native Americans experience

Lifestyle Complications Responding to the high risk of hypertension among the Hispanics requires certain changes in lifestyle to keep them safe. The lifestyle changes have been confirmed to reduce the chances of developing complications related to hypertension but Hispanics are faced with a number of hurdles which makes it hard for them to fully utilize these changes. Some of the major reasons making it hard for Hispanics to adopt lifestyle changes are; lack of suitable transport services to enable them access health care, language barriers when communicating with others and lack of the required health insurance coverage. Due to these factors, early diagnosis of the condition is not possible in this population and most of them will end up suffering the later consequences which are in most cases severe ("Hispanics and Heart Disease, Stroke", 2016).

The biggest thing I've noted, not only about the Hmong, but also concerning other ethnicities and cultures is that there is a lack of substantial research focused on specific health concerns, and treatment on seemingly anyone that isn't a straight white male. Many factors can of course contribute to this for instance in the Hmong's case, and in the Lee's case, the clash between cultures and health practices can often make it hard for research to be done if an illness is only found and treated by Western medicine as a last stop and only once it has progressed.I was surprised to learn in the article "Health Issues for the Hmong Population in the US" that the "Hmong populations present signs and symptoms of cancer at an earlier age than the general