Arkansas is home to one of the largest populations of Marshallese in the world. Marshallese communities suffer from a disproportionate incidence of chronic diseases, including obesity, cardiovascular disease, diabetes, and infectious diseases, such as Hansen's disease (leprosy), tuberculosis, and types of hepatitis. There are a number of structural, legal, economic, and social issues that must be addressed in order to reduce health disparities and increase access to health care for Marshallese living in Arkansas.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5418851 | PMC |
Cancer Causes Control
January 2025
University of Hawai'i Cancer Center, 701 Ilalo St, Honolulu, HI, 96813, USA.
Purpose: Respondent-driven sampling (RDS) is a sampling method that relies on social networks to recruit hard-to-reach populations, and reduces the bias from non-random selection. This study aimed to assess the efficacy of RDS in collecting health assessment data from underrepresented populations not captured by traditional sampling techniques.
Methods: An RDS study was conducted in Hawai'i between 2017 and 2018 of Native Hawaiians, Chuukese, and Marshallese participants.
J Health Care Poor Underserved
November 2024
Introduction: Diabetes self-management education and support (DSMES) is effective for reducing health complications among people with type 2 diabetes (PWD). However, standard DSMES interventions have not been effective for Marshallese Pacific Islanders.
Methods: A culturally adapted Family-DSMES intervention for Marshallese PWD was implemented in churches in Hawaii and Washington state and delivered by Marshal-lese community health workers.
Ann Med
December 2024
Emory School of Medicine, Atlanta, GA, USA.
Contemp Clin Trials
November 2024
University of Arkansas for Medical Sciences Northwest, 2708 S. 48(th) St, Springdale, AR 72762, USA.
Diabetologia
September 2024
Department of Preventive Medicine, School of Medicine, Loma Linda University, Loma Linda, CA, USA.
Aims/hypothesis: We conducted the largest and longest clinical trial comparing a whole-food, plant-based intervention with standard medical care (SMC) in individuals with type 2 diabetes.
Methods: We randomised (parallel-arm; computerised 1:1 randomisation ratio) 169 adults aged 18-75 years with type 2 diabetes in the Marshall Islands to an intensive whole-food, plant-based intervention with moderate exercise (PB+Ex) or SMC for 24 weeks. The PB+Ex intervention included 12 weeks of meals, exercise sessions and group classes.
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