163617 Trends in prevalence of selected chronic diseases by demographic variables in Hawaii's older population

Tuesday, November 6, 2007

Kathleen K. Baker, PhD , Office of Health Status Monitoring, Hawai`i Department of Health, Honolulu, HI
Alvin T. Onaka, PhD , Office of Health Status Monitoring, Hawai`i Department of Health, Honolulu, HI
Brian Y. Horiuchi, MPH , Office of Health Status Monitoring, Hawai`i Department of Health, Honolulu, HI
James Dannemiller, President, MA , SMS Research, Honolulu, HI
Tianzhu Huang, Statistician , Office of Health Status Monitoring, Hawai`i Department of Health, Honolulu, HI
Trends in the prevalence of chronic health conditions among the older population of Hawai‘i from 1998-2006 are now available from the Hawai‘i Health Survey (HHS). In addition, Hawai`i with a multi-cultural society provides an opportunity for examining the disparities in health conditions by race/ethnicity within the aging population. Prevalence of chronic health conditions have been shown to differ widely among ethnic/race groups by age. Profiles of self-perceived mental and physical health, socioeconomic, and demographic data for those with chronic conditions will also be presented.

The Hawai`i Department of Health, Office of Health Status Monitoring, implements the HHS an annual survey initiated in 1968 (originally modeled after the National Health Interview Survey) and a telephone survey since 1996 that gathers health, demographic, and socio-economic information on people living in households with telephones in Hawai`i. The survey collects detailed information on race/ethnicity, other demographic and socio-economic variables, and health conditions (chronic conditions estimated include arthritis, asthma, diabetes, high blood pressure, high blood cholesterol, and fair/poor general health with a calculated summary score of chronic disease). Also available for the adult population by respondent are obesity and SF-12® summary mental and physical health scores.

The HHS when compared to many national surveys has a much larger sample size for many Asian and Pacific Islander populations enabling statistically reliable estimates for health conditions. The association and level of significance between ethnicity, chronic disease, and age were examined statistically with SAS and SUDAAN programs. Implications and limitations will be discussed.

Learning Objectives:
1. Recognize that prevalence of chronic conditions for the older population in Hawai‘i varies by race/ethnicity. 2. Articulate patterns of chronic disease by ethnicity for the older population of Hawai‘i. 3. Develop more effective public health interventions for the older population in Hawai‘i.

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.