Association Between Acculturation Modes and Type 2 Diabetes Among Native Hawaiians
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OBJECTIVE: To examine the association between acculturation modes (integrated, assimilated, traditional, and marginalized) and type 2 diabetes prevalence in Native Hawaiians. RESEARCH DESIGN AND METHODS: Cross-sectional data were analyzed from 495 Native Hawaiians, including acculturation modes, diabetes status, triglycerides, fasting insulin, BMI, age, and education level. Acculturation modes were assessed using an eight-item cultural affiliation questionnaire. RESULTS: Native Hawaiians in a traditional mode of acculturation were more likely to have type 2 diabetes (27.9%) than those in integrated (15.4%), assimilated (12.5%), or marginalized (10.5%) modes. CONCLUSIONS: The higher prevalence of type 2 diabetes among Native Hawaiians in a traditional mode of acculturation could not be attributed to any of the sociodemographic or biological factors included in this study. We discuss the role of psychosocial factors as possible mediators in the relationship between acculturation modes and type 2 diabetes.
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Traditional Kānaka Maoli were significantly more likely to have a diagnosis of diabetes (27.9%) than integrated Kānaka Maoli (15.4%), even after taking into account differences in socio-demographics, degree of Kānaka Maoli ancestry and biological correlates of diabetes.
“It was found that traditional Känaka Maoli were significantly more likely to have a diagnosis of diabetes (27.9%) than integrated Känaka Maoli (15.4%), even after taking into account differences in socio-demographics, degree of Känaka Maoli ancestry and biological correlates of diabetes.”
From Social Justice as a Public Health Imperative for Kānaka Maoli (2009) · cites this paper as Kaholokula et al., 2008
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Experimental — accuracy not yet measuredImmigration status and acculturation processes may impact CVD risk among Asian and Pacific Islander populations.
“Immigration status and acculturation processes may also impact CVD risk among Asian and Pacific Islander populations [46].”
From Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai’i and California (2023) · cites this paper as [46]
The Results report an association between acculturation mode and type 2 diabetes prevalence among Native Hawaiians. The Methods describe the parent project as a study of diabetes and cardiovascular risk factors, but this paper does not establish an effect on CVD risk, assess immigration status, or study Asian populations. The cited passages do not provide page labels. (LLM, conf=0.82)
Experimental — accuracy not yet measuredIn another KHRP study, 77% of Kānaka Maoli could be categorized as integrated while 17.4% were categorized as traditional, with a minority categorized as assimilated (1.6%) or marginalized (3.8%).
“Similar to the previous KHRP study, 77% of Känaka Maoli could be categorized as integrated while 17.4% were categorized as traditional, with a minority categorized as assimilated (1.6%) or marginalized (3.8%).”
From Social Justice as a Public Health Imperative for Kānaka Maoli (2009) · cites this paper as Kaholokula et al., 2008
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- Authors
- Kaholokula, J. K., Nacapoy, A. H., Grandinetti, A., & Chang, H. K.
- Affiliations
- University of Hawaiʻi at Mānoa (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2008-04-01
- Volume
- 31
- Issue
- 4
- Pages
- 698-700
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2111350319
- Cited by
- 68
- References
- 11
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 11 · 2021: 1 · 2020: 3 · 2019: 8 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 4
- FWCI
- 9.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p20rr011091-15)
- National Heart, Lung, and Blood Institute (U01HL079163)
- National Center for Research Resources (P20-RR011091, G12RR003061, P20RR016467)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Keywords
- type 2 diabetes, Native Hawaiians, cultural affiliation, psychosocial factors, diabetes prevalence
- MeSH terms
- Acculturation, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Ethnicity, Female, Hawaii, Humans, Male, Polynesia, World Health Organization, Prevalence
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