OBJECTIVE: To compare the fast food outlets and exercise resources across 3 communities with varying percentages of Native Hawaiians (NH) and to correlate these findings with obesity prevalence. METHODS: Data on all food and exercise resources were collected from January through July 2006 within a 1-mile radius in 3 distinct communities (site A = higher % NH to site C = lower % NH). Comparisons between communities were analyzed in 2007 using Fisher's Exact and ANOVA. RESULTS: Trends in obesity prevalence paralleled the percentage of NHs. After adjusting for population size, site B had a greater number of fast food outlets (p < 0.001) than site A or C, and more exercise facilities compared to site A (p = 0.05). Availability of fast food outlets was significantly greater at site A compared to site C (p = 0.03). Usage of exercise facilities was not significantly different between sites although exercise resources were in 'poorer' condition at site A compared to site B or C (p < or = 0.05). DISCUSSION: Results confirm the increased frequency of obesogenic environmental factors and their correlation with obesity trends across 3 distinct NH communities. These results suggest that environmental factors may offer another means for reducing obesity disparities in minority communities.
OBJECTIVE: To compare the fast food outlets and exercise resources across 3 communities with varying percentages of Native Hawaiians (NH) and to correlate these findings with obesity prevalence. METHODS: Data on all food and exercise resources were collected from January through July 2006 within a 1-mile radius in 3 distinct communities (site A = higher % NH to site C = lower % NH). Comparisons between communities were analyzed in 2007 using Fisher's Exact and ANOVA. RESULTS: Trends in obesity prevalence paralleled the percentage of NHs. After adjusting for population size, site B had a greater number of fast food outlets (p < 0.001) than site A or C, and more exercise facilities compared to site A (p = 0.05). Availability of fast food outlets was significantly greater at site A compared to site C (p = 0.03). Usage of exercise facilities was not significantly different between sites although exercise resources were in 'poorer' condition at site A compared to site B or C (p < or = 0.05). DISCUSSION: Results confirm the increased frequency of obesogenic environmental factors and their correlation with obesity trends across 3 distinct NH communities. These results suggest that environmental factors may offer another means for reducing obesity disparities in minority communities.
Authors: David C Sloane; Allison L Diamant; LaVonna B Lewis; Antronette K Yancey; Gwendolyn Flynn; Lori Miller Nascimento; William J McCarthy; Joyce Jones Guinyard; Michael R Cousineau Journal: J Gen Intern Med Date: 2003-07 Impact factor: 5.128
Authors: Deborah A Cohen; Thomas L McKenzie; Amber Sehgal; Stephanie Williamson; Daniela Golinelli; Nicole Lurie Journal: Am J Public Health Date: 2007-01-31 Impact factor: 9.308
Authors: Latetia V Moore; Ana V Diez Roux; Kelly R Evenson; Aileen P McGinn; Shannon J Brines Journal: Am J Prev Med Date: 2008-01 Impact factor: 5.043
Authors: Joseph Keawe'aimoku Kaholokula; Puni Kekauoha; Adrienne Dillard; Sheryl Yoshimura; Donna-Marie Palakiko; Claire Hughes; Claire Km Townsend Journal: Hawaii J Med Public Health Date: 2014-12
Authors: Marjorie K Mau; Joseph Keawe'aimoku Kaholokula; Margaret R West; Anne Leake; James T Efird; Charles Rose; Donna-Marie Palakiko; Sheryl Yoshimura; Puni B Kekauoha; Henry Gomes Journal: Prog Community Health Partnersh Date: 2010
Authors: Joseph Keawe'aimoku Kaholokula; Marjorie K Mau; Jimmy T Efird; Anne Leake; Margaret West; Donna-Marie Palakiko; Sheryl R Yoshimura; B Puni Kekauoha; Charles Rose; Henry Gomes Journal: Health Educ Behav Date: 2011-05-06
Authors: Rebecca Delafield; Andrea Nacapoy Hermosura; Claire Townsend Ing; Claire K Hughes; Donna-Marie Palakiko; Adrienne Dillard; B Puni Kekauoha; Sheryl R Yoshimura; Shari Gamiao; Joseph Keawe Kaholokula Journal: Prog Community Health Partnersh Date: 2016
Authors: Joseph Keawe'aimoku Kaholokula; Mele A Look; Thomas A Wills; Māpuana de Silva; Tricia Mabellos; Todd B Seto; Hyeong Jun Ahn; Ka'imi A Sinclair; Dedra Buchwald Journal: BMC Public Health Date: 2017-04-17 Impact factor: 3.295