美国夏威夷原住民、太平洋岛民和菲律宾居民慢性病干预研究的范围综述。

Q4 Medicine Hawai''i journal of health & social welfare Pub Date : 2023-10-01
Munirih R Taafaki, Deborah Taira, Kathryn L Braun
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引用次数: 0

摘要

夏威夷原住民(NH)、太平洋岛民(PI)和菲律宾人在美国经历了健康差异,需要对他们有效的干预措施。本文的目的是对旨在解决美国夏威夷原住民、太平洋岛民和菲律宾人口慢性病的干预措施进行综述,这些干预措施通过随机对照试验(RCT)进行了临床影响测试。文章是通过搜索4个数据库、引文追踪和同事来识别的。23篇文章报道了21种干预措施,涉及4种慢性疾病——癌症、肥胖、心血管疾病和糖尿病。所有项目都由咨询小组指导,所有干预措施都以理论为基础,并针对人群量身定制,由同一种族的人在熟悉的教堂、俱乐部或家庭环境中提供适合文化和语言的教育材料。大约一半通过集群RCT进行了测试。大多数干预措施都是成功的,证实了与社区合作制定和提供干预措施的价值。鉴于美国NH、PI和菲律宾人的数量不断增加,需要进行更多的调查研究,以制定和测试符合这些人群健康需求的文化定制和基础干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Scoping Review of Interventional Studies in Chronic Disease for Native Hawaiian, Pacific Islander, and Filipino Populations in the United States.

Native Hawaiians (NHs), Pacific Islanders (PIs), and Filipinos experience health disparities in the United States (US) and need interventions that work for them. The purpose of this paper is to present a review of interventions designed to address chronic disease in Native Hawaiian, Pacific Islander, and Filipino populations in the US that were tested for clinical impact through a randomized controlled trial (RCT). Articles were identified through a search of 4 databases, citation chasing, and colleagues. The 23 included articles reported on 21 interventions addressing 4 chronic conditions-cancer, obesity, cardiovascular disease, and diabetes. All projects were guided by advisory groups, and all interventions were theory-based and tailored to the population, with culturally- and language-appropriate educational materials delivered by same-race individuals in familiar church, club, or home settings. About half were tested through cluster RCT. The majority of the interventions were successful, confirming the value of developing and delivering interventions in partnership with community. Given the growing numbers of NHs, PIs, and Filipinos in the US, more investigational studies are needed to develop and test culturally tailored and grounded interventions that meet the health needs of these populations.

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