A new study by researchers at the University of Hawai‘i at Mānoa and colleagues in Brazil and Canada finds that older women from multiple countries who reported adolescent childbirth had greater cardiovascular disease risk.
What is new? To the best of our knowledge, this is the first study to demonstrate in postmenopausal women from multiple global settings that adolescent childbirth is related to greater overall cardiovascular risk, as measured by the Framingham Risk Score, compared to women who gave birth at later ages, as well as compared to nulliparous women.
What are the clinical implications? Adolescent childbirth may serve as a cardiovascular disease risk marker; women who were adolescent mothers may benefit from earlier and increased cardiovascular screening to reduce the incidence of cardiovascular events.
The study examines the relationship between economic adversity transitions from childhood to older adulthood and older adulthood physical performance among 1,998 community-dwelling older adults from five demographically diverse sites from middle and high-income countries.
Principal investigator and Office of Public Health Studies Associate Professor Tetine Sentell, says, “We were interested in patient perspectives on the role of housing as contributing to their potentially preventable hospitalization.”
Said Michelle Quensell, MPH '15, lead author of the study and a UH public health graduate, “We talked to 90 patients, and almost 25 percent reported a housing-related issue as a major factor in hospitalization. About half of these patients were homeless, noting the high cost of housing in Hawaiʻi.”
“Patients said it was hard to care for their diabetes or heart disease when they were living without amenities such as refrigeration, running water, a stove or a safe place to store medications,” added Sentell. “Patients also mentioned challenges of following diet plans when canned goods were the only available foods at the shelters and food banks.”
Several major health providers in Hawaiʻi have recently created innovative new programs to address social determinants, including housing, within the health care setting to improve health care quality and reduce health care costs. This research strongly supports these efforts.
Other investigators include Kathryn Braun, UH Public Health, Deborah Taira, Daniel K. Inouye College of Pharmacy at UH Hilo, and Todd Seto, Queen’s Medical Center.
Congratulations to the 2017 UH Mānoa Awardees from our very own Public Health program ‘ohana - doctoral student, Mapuana, and assistant professor, Denise Nelson-Hurwitz!
Dr. Nelson-Hurwitz received the Frances Davis Award for Excellence in Undergraduate Teaching. She was selected because of her incredible work developing and teaching the BA in public health.
Mapuana Antonio won the Student Excellence in Research Award for her studies of Native Hawaiian physical and mental health resilience. Mapuana graduated in May 2017 with her DrPH and is now teaching at Leeward Community College.
Assistant Professor Catherine Pirkle (Health Policy and Management) has been selected as a Fulbright Specialist by the J. William Fulbright Council for International Exchange of Scholars. She will collaborate with faculty at the College of Health Sciences of Trairí (FACISA), which is a rural satellite campus of the Federal University of Rio Grande do Norte in Northeast, Brazil.
Dr. Pirkle will be working on FACISA’s health system and research capacity to address issues such as reproductive and sexual health including early pregnancy, sexually transmitted diseases and violence against women. She will lead teacher training and participate in short-term lecturing and seminars.
Dr. Pirkle has a long history of working in underserved global settings including West Africa and Arctic regions. She has strong, long-term international connections to research teams around the globe with which to link faculty and staff at FACISA. She will help prepare students to address critical public health needs and to attract more local and international students.
As a Fulbright Specialist, Dr. Pirkle will also be considered for additional future overseas assignments that require her unique expertise during the next three years.
The Hawai‘i Chapter of Delta Omega invites all interested Public Health graduate and undergraduate Students to submit an abstract for the National Delta Omega Poster Contest Display at the APHA 2017 annual meeting to be held 4-8 November, 2017, in Atlanta. Each chapter is able to select no more than 2 abstracts for the graduate student competition and 1 for the undergraduate competition.
Students whose work is selected for a national award will receive a $350 cash prize from the national Delta Omega Honor Society, which the OPHS will match for a total of $700. Student awards will be made during the Delta Omega Social Hour. In addition, students will have the opportunity to present their poster during the APHA scientific poster sessions. Student abstracts will also be published on the Delta Omega National Webpage.
All abstracts must be submitted via email for consideration to firstname.lastname@example.org by 17:00 (5:00 pm) Friday, April 14, 2017. No late or incomplete submissions will be accepted or considered.
1) Only student work that is completed by the submission date will be considered by the review committee
2) “Because the Delta Omega Student Poster Session is held as part of APHA’s scientific sessions, presenters must adhere to APHA’s guidelines.”
The following is taken verbatim from the APHA “Poster Session Guidelines”:
Presenters must be individual members of APHA
Presenters, session organizers and moderators must register for the meeting (full or one-day).
All presenters must be registered by the Advance Registration Deadline.
Speakers who fail to show up for their scheduled presentations without previously notifying the program planner of cancellation will not be permitted to present papers or posters at any APHA-sponsored meeting for two years following the "no-show."
BeneFISHiary, an app created in part by University of Hawaiʻi at Mānoa Office of Public Health Studies Assistant Professor Catherine Pirkle, provides location-specific data and the risks and benefits of Bermudian fish species. Pirkle worked in close collaboration with Philippe Rouja of the Ocean and Human Health Research Programme in Bermuda and Tidjane Tall of HUACTIVE.
App users can search or browse fish and get detailed information about the mercury concentrations and nutrients such as selenium and omega-3 fatty acids in that particular species. The app also provides information about the sustainability of local and imported fish, as well as which lower mercury level fish can substitute for their higher relatives.
The BeneFISHiary app was recognized with a 2016 International Association for Ecology and Health Small Grant Award. The app is in a beta version with plans for scale-up to other communities and enhanced features including updated fish inventories.
The app was developed following a study on the consumption of fish by pregnant women in Bermuda and the effectiveness of public health messaging on mercury in fish. The study, “Examining the Impact of a Public Health Message on Fish Consumption in Bermuda” was published in PLOS One. It found that public health messaging warning of the dangers of mercury exposure from consumption of certain fish appeared to be effective, but adjustments needed to be made to promote consumption of healthy and sustainable fish with lower mercury levels. The BeneFISHiary app was created to help consumers make those adjustments, as well as healthcare providers who counsel pregnant women.
The data for the app was collected in Bermuda, however, with additional funding, Pirkle sees the potential to expand the use of the app to Hawaiʻi and other coastal communities with strong ties to their local environments.
BeneFISHiary is available for free at the iTunes store and the Google Play store.
Assistant Professor Victoria Fan, Associate Professor Timothy Halliday and Bradley Chen investigated infant and child mortality in after the 2010 earthquake in Haiti. Their study “The impact of internal displacement on child mortality in post-earthquake Haiti: a difference-in-differences analysis” was published in the International Journal for Equity in Health.
The study found that births from camp households had higher infant mortality and child mortality than those not living in camps. These odds are higher despite better access to food, water, bed net use, mosquito spraying and vaccines among camp households. Efforts are needed to identify vulnerable populations to provide targeted assistance in post-disaster relief.
“The data indicates that those living in camps are getting several key health services, but the services may not be of adequate quality to reduce child mortality,” said Fan. “We also found that those who did not or could not move, either to camps or elsewhere, are quite vulnerable as well. These populations are the literally ‘left behind.’”
“In carrying out disaster relief, providing a lot of materials and supplies to camps is not sufficient,” said Chen. “Despite better access to food, water and vaccines, kids in camps are still having worse health than other migrant and displaced households. Those reasons need to be better understood.”
In a newly published World Health Organization report, “The Health Workforce in India,” co-author University of Hawaiʻi at Mānoa Assistant Professor Victoria Y. Fan has brought attention to the level of education and medical qualifications of physicians and other healthcare providers in India. Fan and co-author Oxford University Professor Sudhir Anand’s 104-page book includes a three-page summary of key findings.
“The monograph examines the distribution, patterns and inequalities of the health workforce in India by education, gender and urban-rural stratum,” says Fan. “The report also lists the districts that lack any qualified nurses and qualified dentists, which may be useful for policymakers who wish to address these significant disparities that affect access to healthcare services.”
News articles published in India on the study:
WHO report sounds alarm on ‘doctors’ in India, The Hindu, July 18, 2016
Under-educated doctors, rural-urban divide and a stark gender gap. WHO study's shocking data on Indian healthcare, India Today, July 18, 2016