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Geriatrics

Geriatrics

Ethnogeriatrics

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Substance Abuse

Smoking

Smoking prevalence is high among Native Hawaiians and particularly among other Pacific Islander populations. For example, the prevalence of smoking among Samoan and Chuukese men is reportedly greater than 50% (Lew, 2004). Data on elder-specific rates of smoking is limited. Among Native Hawaiian elders, compared to Caucasian elders, a higher percentage of Native Hawaiian elders reported smoking every day or some days (14.2% versus 8.9% respectively) (Salvail Salvail FR et al, 2003). By contrast, Native Hawaiian elders were at overall lower risk for binge drinking (defined as having five or more drinks on one occasion) or heavy drinking (more than two drinks per day for men, one drink per day for women) than Caucasian elders (Salvail FR et al, 2003).

Methamphetamine use is reportedly higher among Native Hawaiians living in Hawaiii (Joint House-Senate Task Force on Ice and Drug Abatement, 2004). Unfortunately little is known of the risk of methamphetamine or other illegal substance abuse in the elder population. Recent reports from at least one Native Hawaiian homestead community have cited illegal drug use in their community as negatively impacting the elderly population because they often own the residence where illegal drug use or transactions are occurring (Kekauoha, July 2004)


Summary

 

  • Other Pacific Islanders have a high prevalence of smoking. A lower percentage of Native Hawaiian elders report smoking every day or some days compared to Caucasian elders, although by contrast, binge drinking among Native Hawaiian elders is lower than Caucasian elders.
  • The availability of data on illegal substance abuse among Native Hawaiian and Pacific Islander elders is limited although these elders may be negatively affected by high rates of illegal substance abuse among other family members.
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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
  • Searchable Reference Database
  • Glossary
  • Interview Strategies
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