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皮利“奥哈纳”项目:夏威夷实现代谢健康公平的社区与学术合作项目。

The PILI 'Ohana Project: a community-academic partnership to achieve metabolic health equity in Hawai'i.

作者信息

Kaholokula Joseph Keawe'aimoku, Kekauoha Puni, Dillard Adrienne, Yoshimura Sheryl, Palakiko Donna-Marie, Hughes Claire, Townsend Claire Km

机构信息

Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JKK,CKMT).

出版信息

Hawaii J Med Public Health. 2014 Dec;73(12 Suppl 3):29-33.

PMID:25535599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4271354/
Abstract

Native Hawaiians and Pacific Islanders (NHPI) have higher rates of excess body weight and related medical disorders, such as diabetes and cardiovascular disease, compared to other ethnic groups in Hawai'i. To address this metabolic health inequity, the Partnership for Improving Lifestyle Intervention (PILI) 'Ohana Project, a community-academic partnership, was formed over eight years ago and developed two community-placed health promotion programs: the PILI Lifestyle Program (PLP) to address overweight/obesity and the Partners in Care (PIC) to address diabetes self-care. This article describes and reviews the innovations, scientific discoveries, and community capacity built over the last eight years by the PILI 'Ohana Project's (POP) partnership in working toward metabolic health equity. It also briefly describes the plans to disseminate and implement the PLP and PIC in other NHPI communities. Highlighted in this article is how scientific discoveries can have a real-world impact on health disparate populations by integrating community wisdom and academic expertise to achieve social and health equity through research.

摘要

与夏威夷其他种族群体相比,夏威夷原住民和太平洋岛民(NHPI)超重及患糖尿病和心血管疾病等相关医学疾病的比例更高。为解决这种代谢健康方面的不平等问题,八年前成立了改善生活方式干预伙伴关系(PILI)“奥哈纳”项目,这是一个社区与学术机构的合作项目,并制定了两个社区健康促进项目:解决超重/肥胖问题的PILI生活方式项目(PLP)和解决糖尿病自我护理问题的护理伙伴项目(PIC)。本文描述并回顾了PILI“奥哈纳”项目(POP)伙伴关系在过去八年中为实现代谢健康公平所开展的创新、科学发现以及建立的社区能力。文章还简要介绍了在其他NHPI社区推广和实施PLP及PIC的计划。本文重点介绍了科学发现如何通过整合社区智慧和学术专业知识,对健康状况存在差异的人群产生现实影响,从而通过研究实现社会和健康公平。

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本文引用的文献

1
Sociodemographic, behavioral, and biological variables related to weight loss in native Hawaiians and other Pacific Islanders.与夏威夷原住民和其他太平洋岛民体重减轻相关的社会人口学、行为和生物学变量。
Obesity (Silver Spring). 2013 Mar;21(3):E196-203. doi: 10.1002/oby.20038.
2
Outcomes from a diabetes self-management intervention for Native Hawaiians and Pacific People: Partners in Care.《针对夏威夷原住民和太平洋岛民的糖尿病自我管理干预措施的结果:关爱伙伴》。
Ann Behav Med. 2013 Feb;45(1):24-32. doi: 10.1007/s12160-012-9422-1.
3
A family and community focused lifestyle program prevents weight regain in Pacific Islanders: a pilot randomized controlled trial.以家庭和社区为重点的生活方式项目可预防太平洋岛民体重反弹:一项试点随机对照试验。
Health Educ Behav. 2012 Aug;39(4):386-95. doi: 10.1177/1090198110394174. Epub 2011 May 6.
4
Translating diabetes prevention into native Hawaiian and Pacific Islander communities: the PILI 'Ohana Pilot project.将糖尿病预防引入夏威夷原住民和太平洋岛民社区:皮利大家庭试点项目。
Prog Community Health Partnersh. 2010 Spring;4(1):7-16. doi: 10.1353/cpr.0.0111.
5
Cardiometabolic health disparities in native Hawaiians and other Pacific Islanders.美属夏威夷原住民和其他太平洋岛民的心脏代谢健康差异。
Epidemiol Rev. 2009;31:113-29. doi: 10.1093/ajerev/mxp004. Epub 2009 Jun 16.
6
American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults.美国运动医学学院立场声明。成人减肥及预防体重反弹的适当体育活动干预策略。
Med Sci Sports Exerc. 2009 Feb;41(2):459-71. doi: 10.1249/MSS.0b013e3181949333.
7
Partnerships to address obesity disparities in Hawai'i: the PILI 'Ohana Project.解决夏威夷肥胖差异问题的伙伴关系:皮利大家庭项目。
Hawaii Med J. 2008 Sep;67(9):237-41.
8
Environmental factors of obesity in communities with native Hawaiians.夏威夷原住民社区肥胖的环境因素。
Hawaii Med J. 2008 Sep;67(9):233-6.
9
The development, implementation, and process evaluation of the REACH Detroit Partnership's Diabetes Lifestyle Intervention.底特律社区健康促进合作组织糖尿病生活方式干预项目的开展、实施及过程评估
Diabetes Educ. 2007 May-Jun;33(3):509-20. doi: 10.1177/0145721707301371.
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Effect of weight loss with lifestyle intervention on risk of diabetes.生活方式干预减重对糖尿病风险的影响。
Diabetes Care. 2006 Sep;29(9):2102-7. doi: 10.2337/dc06-0560.