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Principal Investigator: Yvette C Paulino
Organization: UNIVERSITY OF GUAM
Fiscal Year: 2024
Award: $576,517
Funding agency: National Institute on Minority Health and Health Disparities
PROJECT SUMMARY
Historically, data on Native Hawaiians and Pacific Islanders (NHPI) have been
aggregated with Asians thereby masking disparities across this diverse group. Recent
disaggregation of NHPIs in health data sets, such as the National Health Interview Survey
(NHIS) in the United States (US), indicate that NHPI health disparities continue to exist. The
NHIS excludes the US territories and affiliated Pacific Islands where non-communicable
diseases (NCD) have been declared a health emergency. One NCD, common yet understudied in
the US Affiliated Pacific Islands (USAPI), is gout sometimes resulting from hyperuricemia.
NHPIs in the US experience a higher burden of gout and hyperuricemia. Furthermore, half-
century old data suggest differences in gout and hyperuricemia among populations in the
USAPIs, but the data needs updating. In partnership with the University of Michigan, the
University of Guam proposes two specific aims to: 1) establish a Micronesian Data Laboratory at
the University of Guam, and 2) conduct the first Guam NHIS with a representative probability
sample of 500 households of adults and adolescents in Guam with an emphasis on measuring
gout and hyperuricemia prevalence. The Micronesian Data Laboratory will occur in Years 1 and
2 and require identifying and equipping the physical space, as well as forming a Steering
Committee working with community partners. The research approach in Years 3 to 5 will entail
the Guam NHIS preparation (sampling frame design, finalization of instruments, interviewer
training), implementation (household recruitment and interviews), and analysis and
dissemination of findings. Throughout the project, the research team will engage the Steering
Committee and community partners – a process that may identify novel alternative approaches
to enhance research implementation in the COVID-19 era sustainable through our Micronesian
Data Laboratory. The inaugural GNHIS findings will inform policy or program needs to support
population health, generate future collaborative grant proposals, and serve as a model for other
territories or USAPIs interested in NHIS or similar survey implementation.
Terms: <21+ years old><Accreditation><Address><Adolescent><Adolescent Youth><Adult><Adult Human><Affect><Ankle><Applications Grants><Arthritis><Asian><Asian Pacific Islander><Asian group><Asian individual><Asian people><Asian population><Asians><Asthma><Bronchial Asthma><COVID crisis><COVID epidemic><COVID pandemic><COVID-19 crisis><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><Cancers><Chronic><Communities><Consultations><Data><Data Set><Disease><Disorder><Disparities><Disparity><Emergencies><Emergency Situation><Ethnic Group><Ethnic People><Ethnic Population><Ethnic individual><Ethnicity People><Ethnicity Population><Exclusion><Funding><Future><Gout><Government><Grant Proposals><Guam><Health><Health Surveys><Heavy Drinking><Household><Hyperuricemia><Information Technology><Infrastructure><Interview><Interviewer><Island><Joints><Kidney Diseases><Knee><Knowledge><Laboratories><Language><Low Back Ache><Low Back Pain><Low Backache><Lumbago><Malignant Neoplasms><Malignant Tumor><Measures><Michigan><Modeling><NIH><Names><National Health Interview Survey><National Institutes of Health><Native Hawaiian and Other Pacific Islander><Native Hawaiian and Pacific Islander><Native Hawaiian or Other Pacific Islander><Native Hawaiian or Pacific Islander><Nephropathy><Obesity><Pacific Islands><Pain><Painful><Policies><Population><Preparation><Prevalence><Probability Samples><Process><Protocol><Protocols documentation><Race><Races><Regio tarsalis><Renal Disease><Reporting><Research><Research Activity><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Sampling><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Smoking><Strategic Planning><Survey Instrument><Surveys><Time><Toes><Training><Trioxopurine><United States><United States National Institutes of Health><Universities><Update><Uric Acid><accredited><adiposity><adulthood><arthritic><community partners><community partnership><community-based partners><consultation><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><corpulence><data space><design><designing><disparity in health><drink heavily><ethnic diversity><ethnic subgroup><ethnically diverse><ethnicity group><excessive alcohol consumption><excessive alcohol ingestion><excessive alcohol intake><excessive drinking><excessive ethanol ingestion><experience><extreme drinking><health data><health disparity><heavy alcohol use><instrument><interdisciplinary approach><interest><juvenile><juvenile human><kidney disorder><malignancy><multidisciplinary approach><name><named><naming><neoplasm/cancer><novel><population based><population health><preparations><programs><psychological distress><racial><racial background><racial origin><recruit><renal disorder><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><training opportunity><uricacidemia>