Furubayashi Jill K, Look Mele A
John A. Burns School of Medicine, University of Hawaii, Honolulu 96813, USA.
Pac Health Dialog. 2005 Sep;12(2):103-10.
There is significant disparity between the prevalence of diabetes in Native Hawaiians and Pacific People (includes Pacific Islanders and Filipinos) in comparison with other ethnic groups in Hawaii. In this article, prevalence, risk factors, complications and intervention studies are reviewed. Native Hawaiians and Pacific People have significantly higher prevalence rates of diabetes in comparison to other ethnic groups in Hawaii. They also have higher prevalence rates for the risk factors and complications associated with diabetes, such as obesity and end stage renal disease, respectively. Although the reasons for these disparities are complex and not clearly understood, literature suggests that genetics, acculturation, lifestyle, and cultural beliefs may be related. There is also a lack of specific research on diabetes in Native Hawaiians and Pacific people. Future research needs to include the collection of more comprehensive data on age, ethnic group and socioeconomic status.
与夏威夷其他种族群体相比，夏威夷原住民和太平洋岛民（包括太平洋岛民和菲律宾人）的糖尿病患病率存在显著差异。本文对患病率、危险因素、并发症及干预研究进行了综述。与夏威夷其他种族群体相比，夏威夷原住民和太平洋岛民的糖尿病患病率显著更高。他们患糖尿病相关危险因素和并发症的患病率也更高，如肥胖和终末期肾病。尽管这些差异的原因很复杂且尚未完全明确，但文献表明遗传、文化适应、生活方式和文化信仰可能与之相关。此外，针对夏威夷原住民和太平洋岛民糖尿病的具体研究也较为缺乏。未来的研究需要收集关于年龄、种族和社会经济地位更全面的数据。
