Aluli Noa Emmett, Reyes Phillip W, Tsark JoAnn 'Umilani
Moloka'i General Hospital, Kaunakakai, HI, USA.
J Cardiometab Syndr. 2007 Fall;2(4):250-3. doi: 10.1111/j.1559-4564.2007.07560.x.
Although Hawaii boasts relatively low rates of death from heart disease and stroke, past data suggest that Native Hawaiians bear a disproportionate burden of mortality from cardiovascular disease (CVD). This study examined 2005-2006 data on CVD mortality and risk factors to see if disparities experienced historically by Native Hawaiians have continued, increased, or been reduced. Existing data were reviewed related to CVD and risk factors for Native Hawaiians in Hawaii and compared with statewide and US rates. These data show that Native Hawaiians are experiencing continuing and perhaps growing disparities in CVD mortality rates and risk factor prevalence. Nevertheless, increased support for enlightened social policy and community-directed problem solving can help reduce CVD health disparities experienced by Native Hawaiians. Future research should be directed at better delineation of the various components of cardiometabolic risk and culturally sensitive, and educationally appropriate approaches to CVD risk reduction.
尽管夏威夷因心脏病和中风导致的死亡率相对较低，但过去的数据表明，夏威夷原住民承受着不成比例的心血管疾病（CVD）死亡负担。本研究调查了2005 - 2006年心血管疾病死亡率和风险因素的数据，以了解夏威夷原住民过去经历的差异是否持续存在、增加或减少。回顾了与夏威夷原住民心血管疾病及其风险因素相关的现有数据，并与全州和美国的比率进行了比较。这些数据表明，夏威夷原住民在心血管疾病死亡率和风险因素患病率方面存在持续且可能在扩大的差异。然而，增加对开明社会政策的支持以及以社区为导向的问题解决方法有助于减少夏威夷原住民所经历的心血管疾病健康差异。未来的研究应致力于更好地界定心脏代谢风险的各个组成部分，以及采用对文化敏感且在教育上合适的方法来降低心血管疾病风险。
