Document Detail


Effects of perceived racism and acculturation on hypertension in Native Hawaiians.
MedLine Citation:
PMID:  20544603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the effects of perceived racism and acculturation on the hypertension status of Native Hawaiians.
DESIGN: Cross-sectional data from 94 Native Hawaiian adults were obtained which included the following: 1) socio-demographic variables and self-reported hypertension status; 2) a 5-item Hawaiian cultural identity subscale (HCSS) and a 5-item American cultural identity subscale (ACSS); and 3) perceived racism based on a 6-item modified version of the 32-item Oppression Questionnaire (OQ).
RESULTS: Based on logistic regression analysis, the ACSS scores and OQ scores had significant (p<.05) and independent effects on hypertension status, after considering the effects of age, sex, and education level, and HCSS scores. Of the variables examined, OQ scores had the greatest magnitude of effect on hypertension status.
CONCLUSION: More perceived racism and a greater identification with the American mainstream culture were both, independently, related to self-reported hypertension in Native Hawaiians. These findings have important clinical and public health implications.
Authors:
Joseph Keawe'aimoku Kaholokula; Marcus K Iwane; Andrea H Nacapoy
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Hawaii medical journal     Volume:  69     ISSN:  0017-8594     ISO Abbreviation:  Hawaii Med J     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-06-14     Completed Date:  2011-05-09     Revised Date:  2013-02-15    
Medline Journal Info:
Nlm Unique ID:  2984209R     Medline TA:  Hawaii Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-5     Citation Subset:  IM    
Copyright Information:
Hawaii Medical Journal Copyright 2010.
Affiliation:
Department of Native Hawaiian Health, University of Hawaii John A. Burns School of Medicine, 651 Ilalo Street, Honolulu, HI 96813, USA. kaholoku@hawaii.edu
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MeSH Terms
Descriptor/Qualifier:
Acculturation*
Adult
Age Distribution
Aged
Blood Pressure / physiology
Cross-Sectional Studies
Female
Hawaii
Humans
Hypertension / ethnology*,  psychology*
Logistic Models
Male
Middle Aged
Oceanic Ancestry Group / psychology*
Perception
Prejudice*
Prevalence
Questionnaires
Self Report
Social Identification
Socioeconomic Factors
Young Adult
Grant Support
ID/Acronym/Agency:
P20RR016467/RR/NCRR NIH HHS; U01 HL079163/HL/NHLBI NIH HHS; U01 HL079163-02S1/HL/NHLBI NIH HHS; U01HL079163/HL/NHLBI NIH HHS
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