A Qualitative Analysis of a Caregivers’ Experience of Complementary Feeding in a Population of Native Hawaiian, Other Pacific Islander and Filipino Infants: The Timing of the Introduction of Complementary Foods, and the Role of Transgenerational Experience

The aim of this study was to investigate caregivers’ experiences of complementary feeding (CF) among the Native Hawaiian and Other Pacific Islander (NHPI), and Filipino populations. Research focused on the timing of CF commencement, and the influence of transgenerational experience on feeding practices. The experiences and practices of those who fed human milk exclusively (HME), were compared to those who included infant formula (F&HM). Caregivers of a subset of 32 infants who were participating in a larger longitudinal study relating to CF and diet diversity, took part in voluntary in-depth interviews relating to CF practices. Interviews were recorded and transcribed. Two researchers analyzed interview transcripts. Interrater reliability and saturation were established. Institutional Review Board exemption was confirmed prior to study commencement. Interviews with 29 caregivers of infants were included in this study. Only infants of the F&HM group had an early introduction to complementary foods (age). Caregivers reported receiving conflicting advice from healthcare professionals (HCPs) in relation to timing of the introduction of complementary foods. Nonetheless, the majority of caregivers reported following the advice of HCPs. Extended family (including grandparents) played less of a role in infant feeding, compared to previous generations. While transgenerational practices were valued and included, ultimately, the perceived health and safety of the practice for infants influenced decisions

Working Across Professions to Develop the Interprofessional Education Curriculum Pathway

This poster presents the assessment of curriculum through the Interprofessional Education committee, which was created in 2015 with the support of the Deans of the John A. Burns School of Medicine, School of Nursing and Dental Hygiene, Myron B. Thompson School of Social Work, the Daniel K. Inouye School of Pharmacy and Director of the Office of Public Health Studies in order to help prepare students for working collaboratively in complex healthcare settings. The process through which the curriculum is assess against the Interprofessional Education Collaborative competencies is outlined. In addition to discussing the identified curriculum gaps and plan for action, a detailed curriculum map is provided

Native Hawaiian adolescents' weight status, physical activity and dietary behaviors

D.P.H. University of Hawaii at Manoa 2014.Includes bibliographical references.Increased prevalence of childhood obesity is a public health problem. From 1976 to 2010, the national prevalence has increased from 5% to approximately 17%, and Native Hawaiians youth are more likely to be obese than White and Asian youth. Obese children and adolescents are more likely than healthy-weight youth to maintain excess weight into adulthood and experience earlier onset of chronic disease. Based on the socio-ecological model, this dissertation examined three questions. The first question was: "Is there an association between weight status (healthy, overweight or obese) and dietary behaviors, physical activity, sedentary behaviors, smoking, and bullying victimization among Hawaiʻi 's public school adolescents, and are there differences in association by ethnic-sex groups?" A secondary data analysis of the 2011 HYRBS was conducted. The second question was: "Is there a difference in engagement of healthy behaviors and weight status for 9th grade Native Hawaiian students by school type (public vs. private)?" Data were collected from Native Hawaiian 9th graders in private school (N=252) and compared to HYRBS data for Native Hawaiian 9th graders in public school (N=335). Multinomial logistic regression was used to determine if school type was a significant predictor of weight status. The third question was: "How do obese Native Hawaiian adolescents perceive supports and challenges to healthy eating and physical activity in their school and neighborhood environments?" Photovoice was used, through which students took photographs and wrote captions to illustrate their perceptions. Five key findings emerged. First, Native Hawaiian adolescents have a higher prevalence of obesity than White, Japanese, and Filipino adolescents, but a lower prevalence than Other Pacific Islanders. Second, females were less likely than males to have an obese weight status regardless of school type. Third, Native Hawaiian 9th graders in private school had a lower prevalence of obesity than Native Hawaiian 9th graders in public school. Fourth, students who engaged in physical activity at least 5 days a week had a greater healthy weight-to-obese ratio. Fifth, limitations in resources (financial, community, or school) contribute to increased weight status. These findings can help inform the tailoring of interventions to prevent and reduce obesity among Native Hawaiians adolescents