Duncan Katrina L, Lassetter Jane H, VanServellen Gwen, Brown Lora Beth, Clark Lauren, Morgan Sharla, Curtis Samantha, Alleger Brooke, Coleman Jaclyn, Muffler Arielle, Miyamoto Shemnon, Mounga Va, Goodwill Roger, Cummings Jonathan, Hanohano Barbara
Brigham Young University, Provo, UT, USA.
Brigham Young University, Provo, UT, USA
J Transcult Nurs. 2015 Jan;26(1):31-8. doi: 10.1177/1043659614523998. Epub 2014 Mar 13.
Native Hawaiian and other Pacific Islanders (NHOPIs) have the highest prevalence of overweight and obesity in the world. We identified the proportion of our NHOPI sample in each body mass index (BMI) category and explored relationships between BMI and demographic characteristics.
DESIGN/METHOD: Our descriptive correlational study included 364 NHOPI caregiver adults in Utah (n = 155) and Hawaii (n = 209). We gathered demographic information with a questionnaire. Height and weight were measured for BMI calculations.
According to the Centers for Disease Control and Prevention's BMI categories, 84.3% of our sample was overweight or obese. Participants in Utah had significantly higher BMIs than participants in Hawaii. Educational attainment was inversely related with BMI; however, age, gender, and income were not significantly related with BMI.
NHOPIs on the U.S. mainland may be at greater risk for obesity than those in Hawaii; food price differences between locations may help explain this. NHOPIs in early adulthood had high BMIs; overtime this situation could worsen without intervention.
NHOPIs with low education levels or in areas of low food prices are at increased risk for obesity. Future research should focus on culturally sensitive interventions to reduce NHOPI obesity and associated risks.
夏威夷原住民及其他太平洋岛民（NHOPIs）是世界上超重和肥胖患病率最高的人群。我们确定了NHOPI样本在每个体重指数（BMI）类别中的比例，并探讨了BMI与人口统计学特征之间的关系。
设计/方法：我们的描述性相关性研究纳入了犹他州（n = 155）和夏威夷（n = 209）的364名NHOPI成年照料者。我们通过问卷调查收集人口统计学信息。测量身高和体重以计算BMI。
根据疾病控制与预防中心的BMI分类，我们样本中的84.3%超重或肥胖。犹他州的参与者BMI显著高于夏威夷的参与者。受教育程度与BMI呈负相关；然而，年龄、性别和收入与BMI无显著相关性。
美国大陆的NHOPIs可能比夏威夷的NHOPIs面临更大的肥胖风险；不同地区的食品价格差异可能有助于解释这一点。成年早期的NHOPIs BMI较高；如果不进行干预，这种情况随着时间推移可能会恶化。
教育水平低或生活在食品价格低的地区的NHOPIs肥胖风险增加。未来的研究应侧重于文化敏感的干预措施，以降低NHOPIs的肥胖率及相关风险。
