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Geriatrics

Geriatrics

Ethnogeriatrics

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Hypertension

In the state of Hawai’i, 53.2% of Native Hawaiian elders were found to be at risk for high blood pressure compared to 44.6% of Caucasian elders (Salvail FR et al, 2003). Of note, in the US general population (all ages), prevalence of hypertension is reported at 28.7% in men and 30.5% in women (National Center for Health Statistics, 2004). Thus, hypertension remains a common health problem among the elderly and Native Hawaiians have a higher prevalence compared to Caucasians.

Among other Pacific Islanders, a 1986 cross-sectional study of urban and rural Tongans (all ages) found the overall prevalence of hypertension to be 8.4% (Finau, Prior, & Salmond, 1986). Among adult Chamorros of all age groups, 43% had been told by a health professional that they had hypertension (Chiem et al., 2006).


Summary

 

  • Hypertension is more prevalent among the elderly compared to other age groups and this is also reflected in Native Hawaiian and Pacific Islander elderly.
  • However, the prevalence of hypertension has been reported to be higher among Native Hawaiian and other Pacific Islander elders compared to Caucasian elders, although existing data is extremely limited.
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Native Hawaiian and Pacific Islander

  • Description
  • Learning Objectives
  • Introduction and Overview
    • Demographics
    • Background
  • Patterns of Health Risk
    • Life Expectancy and Mortality
    • Morbidity
      • General Health Status
      • Cardiovascular and cerebrovascular disease
      • Dyslipidemia
      • Hypertension
      • Diabetes Mellitus
      • Chronic Kidney Disease and End Stage Renal Disease
      • Arthritis, Gout & Hyperuricemia
      • Cancer
      • Mental Health
      • Substance Abuse
      • Infectious Diseases
      • Asthma

Culturally Appropriate Care

  • Fund of Knowledge
    • Historical Background
      • Westernization of Hawaiian Islands
      • Colonization of Pacific Islands
    • Traditional Health Beliefs
      • Native Hawaiian Values
      • Values of Other Pacific Islanders
      • Theories of Illness
    • Traditional Health Practicies
  • Assessment
    • Population Diversity
    • Important Cultural Issues
    • Eliciting the Patient’s Perspective
  • Delivery of Care
    • Preventive Care
    • Compliance/Healthcare Utilization
    • Use of Traditional Healers
    • Community Based Health Initiatives
    • End of Life Preferences
    • Caregiver Stress
  • Cancer Care

Learning Resources

  • Instructional Strategies
    • Case Study 1
    • Case Study 2
    • Case Study 3
    • Case Study 4
  • Student Evaluation
  • List of References
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  • Glossary
  • Interview Strategies
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