Social, Cultural and Behavioral Determinants of Health among Hawaii Filipinos: The Filipino Healthy Communities Project

Background/Purpose: Filipinos are Hawaii’s largest immigrant group and second largest ethnic group. The Hawaii Filipino Health Communities Project was initiated by the Hawaii State Department of Health, because of the high rates of heart disease and stroke mortality, and other behavioral risks seen among Hawaii’s Filipino population (i.e. high smoking rates among Filipino men). The project sought to gather Filipino community members’ perspectives on why such chronic disease health disparities exist for Filipinos, and identify solutions to address them. Methods: The project gathered information from both immigrant and local Filipinos throughout the state, using community engagement methods of interviews with community leaders (n=20) and community-based focus groups (n=20 groups with 130 participants), Results: Filipino community members were aware of, and community leaders well-versed in, the behavioral, cultural, and social determinants of health in their communities. However, being aware of such determinants of health has yet not resulted in changed behavior in the overall Filipino community (i.e. improved diet, increased physical activity, or better access to healthcare). Conclusion: More outreach is needed with Filipinos, along with interventions to combat health disparities in chronic disease, such as increased smoking cessation and creative ways to eat healthier and increase physical activit

Vegetation changes along an urbanisation and atmospheric pollution gradient in Mexico

Green areas are important places for biodiversity conservation within cities, but their vegetation is affected by various anthropogenic factors. This study used an exploratory approach to examine the influence of urbanisation and air pollution-related factors on the indicators for the composition and structure of vegetation in an urban area in northeast Mexico. Based on the spatial analysis of the major air pollutants, four sampling categories were delimited (rural, low, moderate and high urbanisation). The differences between categories, based on vegetation structure, were determined using non-parametric Kruskal-Wallis tests. The Importance Value was calculated for the species. The floristic similarity was compared using NMDS and PERMANOVA unidirectional. The relationship between environmental variables and abundance of species was evaluated using CCA. One hundred and ten plant species were collected, including ten alien species. The highest abundance and species richness were registered in the rural site. The general tendency of vegetation structure is to plants decreasing with respect to the increase in the levels of urbanisation and air pollution present in the study area. The association between the environmental variables and plant communities along the urbanisation gradient was significant, being the relative humidity, the particles lower than 2.5 μm, the dew point and the heat index as the most important variables. The understanding of the nature and variability of vegetation within green areas contributes to increasing our knowledge about the distribution of the environmental services they provide and the composition of the faunal communities that depend on them. For this reason, this study relates the plants of a specific area of northeast Mexico with the environmental quality present in an urban area