Skip to main content
NCBI home page
Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 2003 Oct;95(10):955–963.

Renal disease disparities in Asian and Pacific-based populations in Hawai'i.

Marjorie K Mau 1, Margaret West 1, Jared Sugihara 1, Martina Kamaka 1, Judy Mikami 1, Shiuh-Feng Cheng 1
PMCID: PMC2594499  PMID: 14620708

Abstract

The prevalence of end-stage renal disease (ESRD) in the United States is expected to double over the next 10 years. The identification of ethnic differences in the prevalence, treatment, morbidity, and mortality related to chronic kidney disease (CKD) is of great concern. Asian Americans comprise a rapidly expanding sector of the U.S. population and are reported to have ESRD growth rates that are approximately 50% higher than caucasians. Hawai'i has a large, well-established Asian and Pacific-based population that facilitates the examination of disparities in renal disease among the state's diverse ethnic groups. The prevalence of ESRD in Hawai'i has continued to rise due, in part, to high rates of diabetes, glomerulonephritis, and hypertension reported in Asian Americans and Pacific-based populations. ESRD patients in Hawai'i have a two-fold higher prevalence of glomerulonephritis, compared with the general ESRD population in the United States. Other potential sources of renal disparities-such as cultural factors, language barriers, and health access factors-among Hawaii's major ethnic groups are assessed. However, few studies have examined the relative contribution of these potential factors. Consequently, efforts to reduce and eventually eliminate renal disease disparities will require a better understanding of the major sources of health disparities, such as timely medical care, a diverse health workforce, and cultural/social barriers, that affect optimal health care practices in Asian and Pacific-based populations.

Full text

PDF
955

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beddow R., Arakaki R. Non-insulin dependent diabetes mellitus: an epidemic among Hawaiians. Hawaii Med J. 1997 Jan;56(1):14, 16-7. [PubMed] [Google Scholar]
  2. Blaisdell Richard Kekuni. Health Status of Kanaka Maoli (Indigenous Hawaiians). Asian Am Pac Isl J Health. 1993 Autumn;1(2):116–160. [PubMed] [Google Scholar]
  3. Eadington D. W. Delayed referral for dialysis. Nephrol Dial Transplant. 1996 Nov;11(11):2124–2126. doi: 10.1093/oxfordjournals.ndt.a027123. [DOI] [PubMed] [Google Scholar]
  4. Grandinetti A., Chang H. K., Chen R., Fujimoto W. Y., Rodriguez B. L., Curb J. D. Prevalence of overweight and central adiposity is associated with percentage of indigenous ancestry among native Hawaiians. Int J Obes Relat Metab Disord. 1999 Jul;23(7):733–737. doi: 10.1038/sj.ijo.0800921. [DOI] [PubMed] [Google Scholar]
  5. Grandinetti A., Chang H. K., Mau M. K., Curb J. D., Kinney E. K., Sagum R., Arakaki R. F. Prevalence of glucose intolerance among Native Hawaiians in two rural communities. Native Hawaiian Health Research (NHHR) Project. Diabetes Care. 1998 Apr;21(4):549–554. doi: 10.2337/diacare.21.4.549. [DOI] [PubMed] [Google Scholar]
  6. Imazu M., Sumida K., Yamabe T., Yamamoto H., Ueda H., Hattori Y., Miyauchi A., Hara H., Yamakido M. A comparison of the prevalence and risk factors of high blood pressure among Japanese living in Japan, Hawaii, and Los Angeles. Public Health Rep. 1996;111 (Suppl 2):59–61. [PMC free article] [PubMed] [Google Scholar]
  7. Kasiske B. L., London W., Ellison M. D. Race and socioeconomic factors influencing early placement on the kidney transplant waiting list. J Am Soc Nephrol. 1998 Nov;9(11):2142–2147. doi: 10.1681/ASN.V9112142. [DOI] [PubMed] [Google Scholar]
  8. Kausz A. T., Obrador G. T., Arora P., Ruthazer R., Levey A. S., Pereira B. J. Late initiation of dialysis among women and ethnic minorities in the United States. J Am Soc Nephrol. 2000 Dec;11(12):2351–2357. doi: 10.1681/ASN.V11122351. [DOI] [PubMed] [Google Scholar]
  9. Lin-Fu Jane S. Asian and Pacific Islander Americans: An Overview of Demographic Characteristics and Health Care Issues. Asian Am Pac Isl J Health. 1993 Summer;1(1):20–36. [PubMed] [Google Scholar]
  10. Maskarinec G. Diabetes in Hawaii: estimating prevalence from insurance claims data. Am J Public Health. 1997 Oct;87(10):1717–1720. doi: 10.2105/ajph.87.10.1717. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Mau M. K., Grandinetti A., Arakaki R. F., Chang H. K., Kinney E. K., Curb J. D. The insulin resistance syndrome in native Hawaiians. Native Hawaiian Health Research (NHHR) Project. Diabetes Care. 1997 Sep;20(9):1376–1380. doi: 10.2337/diacare.20.9.1376. [DOI] [PubMed] [Google Scholar]
  12. Núez A. E. Transforming cultural competence into cross-cultural efficacy in women's health education. Acad Med. 2000 Nov;75(11):1071–1080. doi: 10.1097/00001888-200011000-00011. [DOI] [PubMed] [Google Scholar]
  13. Reaven G. M. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes. 1988 Dec;37(12):1595–1607. doi: 10.2337/diab.37.12.1595. [DOI] [PubMed] [Google Scholar]
  14. Wang C. Y., Abbott L. J. Development of a community-based diabetes and hypertension preventive program. Public Health Nurs. 1998 Dec;15(6):406–414. doi: 10.1111/j.1525-1446.1998.tb00367.x. [DOI] [PubMed] [Google Scholar]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

RESOURCES